2020-09-11T10:34:04-05:00 2019-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2019-01-01 460225023 BETHESDA OF BERESFORD BETH 6057632050 606 WEST CEDAR BERESFORD SD 57004 CHERILYN HALLAWAY ADMINISTRATOR 6057632050 2020-09-11 1 LAURIE HANSON P00851848 6053391999 2020-09-11 184.83.199.194 2020-09-11 09:33:54 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 50CCFF325394DF76E401CCE6D67578A0FB45D135 2019 2021-01-29 14:40:06Z CHERILYN HALLAWAY 606 WEST CEDAR BERESFORD SD 57004 4587344 0 X WWW.BETHESDASD.COM X 1971 SD ELDERLY HOUSING AND CARE. 9 9 127 20 0 0 0 0 4098710 4183343 13978 41835 0 0 4112688 4225178 0 92 0 0 2583582 2512786 0 0 0 1910292 1851784 4493874 4364662 -381186 -139484 3384513 3536883 592662 714592 2791851 2822291 BETHESDA OF BERESFORD IS A CHRISTIAN COMMUNITY DEDICATED TO THE ART OF HEALING AND THE JOY OF CARING. 0 0 3963796 92 4183343 THE ORGANIZATION PROVIDES FACILITIES AND SERVICES FOR THE ELDERLY THROUGH THE OPERATION OF A 58-BED SKILLED NURSING AND 8-BED ASSISTED LIVING FACILITY. THE ORGANIZATION ALSO PROVIDES FACILITIES AND SERVICES THROUGH THE OPERATION OF A 16-UNIT ELDERLY APARTMENT COMPLEX AND AN OUTPATIENT THERAPY DEPARTMENT. THE FACILITY OPERATES A "LIFE-LINE" TO THE SURROUNDING COMMUNITY, WHICH PROVIDES A SAFER ENVIRONMENT AT HOME FOR THE ELDERLY IN THE AREA. THE FACILITY IS OPERATED TO MEET THE HEALTH AND HOUSING NEEDS OF ITS RESIDENTS. NUMBER OF RESIDENT DAYS 24,699; NUMBER OF ADMISSIONS 65. 3963796 1 0 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 1 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 0 X CHERILYN HALLAWAY 6057632050 606 WEST CEDAR BERESFORD SD 57004 X DON LERSETH CHAIRPERSON 0.30 X X 0 0 0 CLARICE PAULSON VICE-CHAIRPERSON 0.30 X X 0 0 0 PASTOR JARROD HYLDEN SECRETARY/TREASURER 0.30 X X 0 0 0 CINDY MUHLENKORT DIRECTOR 0.30 X 0 0 0 CLAIRE ANTONSON DIRECTOR 0.30 X 0 0 0 ANITA KOSTBOTH DIRECTOR 0.30 X 0 0 0 JOHN FAHLBERG DIRECTER (UNTIL 3/19) 0.30 X 0 0 0 PASTOR STEVE MARTENS DIRECTOR 0.30 X 0 0 0 BRENDA HANSON DIRECTOR (BEG 3/2019) 0.30 X 0 0 0 TONI FJERSTAD DIRECTOR (BEG 3/2019) 0.30 X 0 0 0 CHERILYN HALLAWAY ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 ADMINISTRATION 197101 TRI-STATE NURSING PO BOX 5074 OMAHA NE 68104 TEMP STAFFING 186111 US FOODS 9399 WEST HIGGINS ROAD SUITE 500 ROSEMONT IL 60018 DIETARY 135701 3 RESIDENT SERVICE REVEN 623000 3985425 3985425 APARTMENT REVENUE 900099 173401 173401 24517 24517 4183343 46944 46944 357057 362166 -5109 -5109 -5109 4225178 4183343 0 41835 X 92 92 2082169 1973072 109097 11366 10991 375 226712 216132 10580 192539 183200 9339 135899 135899 724874 717499 7375 9233 947 8286 60055 44526 15529 139966 124079 15887 2320 1047 1273 3787 3787 190760 169108 21652 50556 44818 5738 FOOD AND DIETARY COST 174085 174085 MEDICAL SUPPLIES 172331 172331 BAD DEBT 83048 83048 REPAIRS AND MAINTENANCE 50879 45034 5845 53991 53991 4364662 3963796 400866 0 152415 208046 326859 377680 17226 17803 6515915 4912465 1725868 1603450 1154225 1321984 7920 7920 3384513 3536883 573145 692281 3530 8574 15987 13737 592662 714592 X 2791851 2822291 2791851 2822291 3384513 3536883 -139484 169924 0 X 0 1 X 1 0 X 17495 17495 3814233 4047104 4110169 4098710 4183343 20253559 3814233 4064599 4110169 4098710 4183343 20271054 0 698864 868530 1213611 1304810 1224017 5309832 698864 868530 1213611 1304810 1224017 5309832 14961222 37899 30348 40156 30439 46944 185786 37899 30348 40156 30439 46944 185786 3852132 4094947 4150325 4129149 4230287 20456840 0.73140 0.75010 0.00910 0.00820 X 0 1 X 86713 86713 4640054 3571952 1068102 1565225 1208993 356232 223923 131520 92403 1603450 TENANT SECURITY DEPOSITS 13737 13737 X 4395102 169924 169924 4225178 0 4225178 4364662 0 4364662 0 4364662 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 $86,365 AND $13,151, 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 106,952. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,952. NURSE TEMPS: PROGRAM SERVICE EXPENSES 130,544. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,544. NURSE AIDE TEMPS: PROGRAM SERVICE EXPENSES 340,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 340,616. PROFESSIONAL FEES/NURSING: PROGRAM SERVICE EXPENSES 9,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,300. MED/A LABS/PROCEDURES: PROGRAM SERVICE EXPENSES 3,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,437. MISCELLANEOUS CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 117,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,837. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 8,669. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,669. RESIDENT PURCHASES: PROGRAM SERVICE EXPENSES 144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,375.