2022-11-11T16:58:19-06:00 2021-12-31 390758449 WIPFLI LLP 7733 FORSYTH BLVD SUITE 1200 ST LOUIS MO 63105 990 2021-01-01 431084953 BEAUTIFUL SAVIOR HOME BEAU 8163310781 1003 S CEDAR ST BELTON MO 64012 JENNIFER SMITH ADMINISTRATOR 8163310781 2022-11-11 1 JENNIFER SMITH 999009999 KARYN A NUNN P00958489 3148622070 2022-11-11 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z JENNIFER SMITH 1003 S CEDAR ST BELTON MO 64012 7785939 0 X WWW.BEAUTIFULSAVIORLUTHERANHOME.ORG X 1978 MO TO PROVIDE QUALITY CARE FOR SENIOR CITIZENS AND OTHERS IN NEED OF SUPERVISION AND TO IMPROVE EACH RESIDENT'S QUALITY OF LIFE 9 9 210 9 0 0 1436835 775255 7963089 7007990 0 203 0 2491 9399924 7785939 0 0 0 0 4370410 3970438 0 0 0 4009651 4406070 8380061 8376508 1019863 -590569 6043285 5730314 3002528 2404747 3040757 3325567 TO PROVIDE QUALITY CARE FOR SENIOR CITIZENS AND OTHERS IN NEED OF SUPERVISION AND TO IMPROVE EACH RESIDENT'S QUALITY OF LIFE 0 0 6765794 7009981 OPERATION OF 126 - BED LONG-TERM CARE AND 55-BED ASSISTED LIVING NURSING HOME FOR PRIVATE PAY INDIVIDUALS AND FOR MEDICAID RECIPIENTS AT RATES DETEREMINED BY THE STATE OF MISSOURI. 6765794 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 1 24 0 1 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JENNIFER SMITH 8163310781 1003 S CEDAR STREET BELTON MO 64012 PASTOR DAVID ROLF PRESIDENT 1.00 X X 0 0 0 PASTOR STEVE STREUTFERT VICE PRESIDENT 1.00 X X 0 0 0 JENNIFER DELUCA SECRETARY 1.00 X X 0 0 0 PEGGY POE TREASURER 1.00 X X 0 0 0 PEGGY NOAH DIRECTOR 1.00 X 0 0 0 TOM FITZGERALD DIRECTOR 1.00 X 0 0 0 PAULINE MCDANIEL DIRECTOR 1.00 X 0 0 0 DALE HEIL DIRECTOR 1.00 X 0 0 0 CAROL BEHM DIRECTOR 1.00 X 0 0 0 BRENDA BUFORD ADMINISTRATOR (THROUGH NOV 2021) 40.00 X 142392 0 23731 142392 0 23731 1 0 1 0 CASCADE HEALTH SERVICES 1001 NW BARRY RD KANSAS CITY MO 64155 STAFFING SERVICES 152802 TOTAL NURSES NETWORK 10200 W 75TH ST SUITE 108 BUILDING MERRIAM KS 66204 STAFFING SERVICES 132760 NEXTAFF 11101 SWITZER ROAD SUITE 110 OVERLAND PARK KS 66210 STAFFING SERVICES 112647 3 775255 775255 PATIENT REVENUE 623000 7007990 7007990 7007990 203 203 500 0 500 500 500 MICELLANEOUS REVENUE 900099 1991 1991 1991 7785939 7009981 0 703 166123 166123 3386505 2709204 677301 20364 17309 3055 83448 70931 12517 313998 266898 47100 11447 11447 112406 112406 106932 90892 16040 10711 9104 1607 11672 9921 1751 339191 288312 50879 4876 4145 731 193989 164891 29098 222468 189098 33370 PURCHASED SERVICES 1876421 1594958 281463 TAXES AND LICENSES 432856 367928 64928 FOOD ANF MEDICINE 410439 410439 SUPPLIES 287604 244463 43141 385058 327301 57757 8376508 6765794 1610714 0 90 2111025 1695038 2009994 2268014 6880 15847 40453 7295825 5583948 1906419 1711877 0 7962 6043285 5730314 798194 999275 1938727 1108269 265607 297203 3002528 2404747 X 3040757 3325567 3040757 3325567 6043285 5730314 X -590569 875379 X 0 0 0 X 1436835 775255 2212090 8434339 8206747 8603170 7963089 7007990 40215335 8434339 8206747 8603170 9399924 7783245 42427425 0 0 0 42427425 703 703 703 703 1991 1991 8434339 8206747 8603170 9399924 7785939 42430119 0.99990 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5602356 4398958 1203398 1330360 1184990 145370 363109 363109 1711877 RESIDENT TRUST FUNDS 97689 PATIENT CREDIT BALANCES 199514 297203 X 0 0 0 0 0 0 0 0 0 BRENDA BUFORD ADMINISTRATOR (THROUGH NOV 2021) 142392 0 0 0 0 0 0 0 23731 0 166123 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AN OUTSIDE INDEPENDENT CPA FIRM PREPARES AND REVIEWS THE FORM 990. PRIOR TO FILING, THE FORM 990 IS ALSO REVIEWED BY THE ADMINISTRATOR AND IS PROVIDED TO ALL BOARD MEMBERS FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE ANNUALLY. ANY CONFLICTS ARE EVALUTED BY THE BOARD. WHEN THERE IS A CONFLICT OF INTEREST : THE DIRECTOR OR OFFICER THAT HAS A CONFLICT WILL EXCUSE THEMSELVES FROM THE MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTORS COMPENSATION USING COMPARABLE DATA AND DOCUMENTS THIER DECISION PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE BEAUTIFUL SAVIOR HOME MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PRIOR YEAR MIS-BILLED SERVICES THAT WERE PROCESSED IN 2021 875,379.