2021-10-21T12:04:00-05:00 2020-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2020-01-01 460225023 BETHESDA OF BERESFORD BETH 6057632050 606 WEST CEDAR BERESFORD SD 57004 CHRIS HANSEN ADMINISTRATOR 6057634650 2021-09-15 1 CHRIS HANSEN 999009999 LAURIE HANSON CPA P00851848 6053391999 2021-09-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRIS HANSEN 606 WEST CEDAR BERESFORD SD 57004 5334442 0 X WWW.BETHESDASD.COM X 1971 SD ELDERLY HOUSING AND CARE. 8 8 140 19 0 0 0 848144 4183343 3962905 41835 77023 0 0 4225178 4888072 92 0 0 0 2512786 2463747 0 0 0 1851784 2041043 4364662 4504790 -139484 383282 3536883 3950612 714592 728041 2822291 3222571 BETHESDA OF BERESFORD IS A CHRISTIAN COMMUNITY DEDICATED TO THE ART OF HEALING AND THE JOY OF CARING. 0 0 4068049 3962905 THE ORGANIZATION PROVIDES SERVICES FOR THE ELDERLY THROUGH THE OPERATION OF A 58-SKILLED BED NURSING AND 8-BED ASSISTED LIVING. IN ADDITION, THE FACILITY PROVIDES AN 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 18,591; NUMBER OF ADMISSIONS 56. 4068049 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 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 0 0 0 X CHRIS HANSEN 6057634650 606 WEST CEDAR BERESFORD SD 57004 X DON LERSETH CHAIRPERSON (UNTIL 5/20) 0.30 X X 0 0 0 CLAIRE ANTONSON CHAIRPERSON (BEG 5/20) 0.30 X X 0 0 0 CLARICE PAULSON VICE-CHAIRPERSON 0.30 X X 0 0 0 PASTOR JARROD HYLDEN SECRETARY/TREASURER (UNTIL 5/20) 0.30 X X 0 0 0 BRENDA HANSEN SECRETARTY/DIRECTOR 0.30 X X 0 0 0 CINDY MUHLENKORT DIRECTOR (UNTIL 5/20) 0.30 X 0 0 0 PASTOR STEVE MARTENS DIRECTOR (UNTIL 5/20) 0.30 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 (BEG 5/20) 0.30 X 0 0 0 CARLA NELSON DIRECTOR (BEG 5/20) 0.30 X 0 0 0 JOE SCHULTE DIRECTOR (BEG 5/20 - UNTIL 9/20) 0.30 X 0 0 0 JANICE THOMPSON DIRECTOR (BEG 10/20) 0.30 X 0 0 0 CHERILYN HALLAWAY ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 TITAN NURSE STAFFING LLC 2110 S 169TH PLAZA SUITE 100 OMAHA NE 68104 TEMP STAFFING 441980 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 ADMINISTRATION 244517 PRIMETIME HEALTH 15380 WEIR ST OMAHA NE 69103 TEMP STAFFING 153072 TRI-STATE NURSING PO BOX 5074 OMAHA NE 68104 TEMP STAFFING 130827 4 848144 848144 RESIDENT SERVICE REVEN 623000 3800285 3800285 APARTMENT REVENUE 900099 181254 181254 -18634 -18634 3962905 39292 39292 484101 446370 37731 37731 37731 4888072 3962905 0 77023 X 2150341 2033536 116805 14335 13853 482 148536 139884 8652 150535 142432 8103 159826 159826 968374 940513 27861 8782 113 8669 62323 46116 16207 126464 111536 14928 1357 958 399 5402 5402 190813 169155 21658 51255 45437 5818 MEDICAL SUPPLIES 158381 158381 FOOD AND DIETARY COST 156225 156225 BAD DEBT 66159 66159 REPAIRS AND MAINTENANCE 42659 38349 4310 43023 43023 4504790 4068049 436741 0 208046 770102 377680 261731 17803 32428 6565705 5103278 1603450 1462427 1321984 1416004 7920 7920 3536883 3950612 692281 257942 442200 8574 16699 13737 11200 714592 728041 X 2822291 3222571 2822291 3222571 3536883 3950612 383282 16998 0 X 0 1 X 1 0 X 17495 848144 865639 4047104 4110169 4098710 4183343 3962905 20402231 4064599 4110169 4098710 4183343 4811049 21267870 0 868530 1213611 1304810 1224017 1241185 5852153 868530 1213611 1304810 1224017 1241185 5852153 15415717 30348 40156 30439 46944 39292 187179 30348 40156 30439 46944 39292 187179 4094947 4150325 4129149 4230287 4850341 21455049 0.71850 0.73140 0.00870 0.00910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 86713 86713 4640054 3682589 957465 223923 142274 81649 1615015 1278415 336600 1462427 TENANT SECURITY DEPOSITS 11200 11200 X 4905070 16998 16998 4888072 0 4888072 4504790 0 4504790 0 4504790 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 HAS A MANAGEMENT CONTRACT WITH SANFORD HEALTH NETWORK. THE ADMINISTRATOR, CHERILYN HALLAWAY, IS AN EMPLOYEE OF SANFORD HEALTH. CHERILYN HALLAWAY RECEIVED COMPENSATION AND BENEFITS IN THE AMOUNT OF $97,503 AND $10,667, RESPECTIVELY. 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 15 THE ORGANIZATION HAD ONE OFFICER PAID BY A MANAGEMENT COMPANY, SANFORD HEALTH. SANFORD HEALTH USES A NATIONAL COMPENSATION SURVEY ALONG WITH A PERFORMANCE REVIEW. SANFORD HEALTH REVIEWS THE COMPENSATION SURVEY AND PERFORMANCE EVALUATION WITH THE BOARD OF DIRECTORS TO DETERMINE PROPER COMPENSATION. 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 DON SALARY AND BENEFITS: PROGRAM SERVICE EXPENSES 122,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,449. NURSE TEMPS: PROGRAM SERVICE EXPENSES 138,172. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,172. NURSE AIDE TEMPS: PROGRAM SERVICE EXPENSES 564,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 564,500. PROFESSIONAL FEES/NURSING: PROGRAM SERVICE EXPENSES 7,680. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,680. MED/A LABS/PROCEDURES: PROGRAM SERVICE EXPENSES 3,179. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,179. MISCELLANEOUS CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 98,008. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,008. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 6,071. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,071. RESIDENT PURCHASES: PROGRAM SERVICE EXPENSES 454. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 454. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,861.