2018-01-15T17:44:18-06:00 2017-08-31 390859910 Baker Tilly Virchow Krause LLP 777 E Wisconsin Avenue 32nd Floor Milwaukee WI 53202 990 2016-09-01 390806446 Bethesda Lutheran Communities Inc BETH 9202613050 600 Hoffmann Drive Watertown WI 53094 David Griebl Chief Financial Officer 9202613050 2018-01-15 1 Troy Marine CPA P00187863 4147775500 2018-01-15 38.122.82.115 2018-01-15 15:30:16 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FC291E00EDC6CE15C22AD045E9D90E0D24B72456 2016 2021-01-29 14:40:06Z Dr Michael Thirtle 600 Hoffmann Drive Watertown WI 53094 129910202 0 X www.bethesdalutherancommunities.org X 1903 WI See Schedule O. 16 16 4579 1249 325968 13976 86719707 84467275 36934290 36327920 1173592 -12187006 2016869 1304922 126844458 109913111 85544 38679 0 0 117823153 107011873 241456 0 1899920 45817057 42571984 163967210 149622536 -37122752 -39709425 243887034 206807560 90773013 71874432 153114021 134933128 To enhance the lives of people with intellectual and developmental disabilities through services that share the good news of Jesus Christ. 0 0 122066632 38679 37161663 Bethesda provides homes and other services for more than 1,900 people with intellectual and developmental disabilities across 13 states. This includes host homes/family living programs, day programs, spiritual support services, vocational training, and thrift shops. Assisting people with living the lives they want drives Bethesda's mission. More than 500 congregations around the country have formally partnered with Bethesda and offer worship and Bible studies for people with developmental disabilities. 122066632 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 386 0 1 4579 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 AR CA CT FL HI KY MD MA MI MN MS NC NH NJ NM NY OK OR PA SC TN VA WI WV X X X David Griebl 9202613050 600 Hoffmann Drive Watertown WI 53094 Dr F Paul Carlson Chairman 1.00 1.00 X X 0 0 0 Dr Virginia Miller Vice Chairman 1.00 1.00 X X 0 0 0 Catherine Brondos Secretary 1.00 1.00 X X 0 0 0 Norman Sell Treasurer 1.00 1.00 X X 0 0 0 Rev Quinten Buechner Director 1.00 X 0 0 0 Dr Roger Burtner Director 1.00 X 0 0 0 David Kahle Director 1.00 X 0 0 0 Ardis Loeber Director 1.00 X 0 0 0 Tiffany Manor Director 1.00 X 0 0 0 Thomas Mcrae Director 1.00 X 0 0 0 Frederick Mundt Director 1.00 X 0 0 0 John Osland Director 1.00 X 0 0 0 Kurt Rutzen Director 1.00 X 0 0 0 Rev Ryan Tietz Director 1.00 X 0 0 0 Dr David Thomas Director 1.00 X 0 0 0 Ellen Trytek Director 1.00 X 0 0 0 Dr Michael Thirtle President & CEO 39.00 1.00 X 373152 0 17995 Jeffrey Kaczmarski EVP & VP Legal 39.00 1.00 X 273217 0 16350 Lori Anderson VP Residential Services 39.00 1.00 X 224151 0 8892 David Griebl Chief Financial Officer 39.00 1.00 X 211191 0 16910 Kelly Thran Termed 10/11/16 VP Quality 39.00 1.00 X 192682 0 13045 Jedd Lapid VP Development 39.00 1.00 X 185369 0 19538 Debborah Zubke Division Operating Officer 39.00 1.00 X 179979 0 8838 John Nickels Director of Leadership rel 39.00 1.00 X 178159 0 16316 Jennifer Becher Termed 7/5/17 VP HR and Org Dev 39.00 1.00 X 162342 0 8819 1980242 0 126703 12 0 1 0 Forney Construction 8945 Long Point Ste 200 Houston TX 77055 Construction 1577225 EM West LLC In Your Home 16868 SW 65th Ave Ste 332 Lake Oswego OR 97035 contracted Maintenance 536906 Brixmor Operating Partnership LP PO box 645349 Cincinnati OH 45264 Rent 366234 Morningstar Construction 2401 W Carriage Dr Sanata Ana CA 92704 Construction 331155 SOS Healthcare Staffing PO Box 90 Salt Lake City UT 84110 Temporary Help 247355 21 640 8654 67022571 17435410 6783315 84467275 Medicare/Medicaid Payments 623990 26146547 26146547 PRIVATE CLIENT CARE REVENUE 623990 10181373 10181373 36327920 74780 74780 336362 191151 145211 145211 145211 6867524 19129310 -12261786 -12261786 -12261786 39573 8654 39573 0 963025 637057 325968 325968 miscellaneous Revenue 900099 808569 808569 EDUCATIONAL RESOURCE SALES 900099 25174 25174 833743 109913111 37161663 325968 -12041795 38679 38679 1307643 1307643 82355987 70847779 10260581 1247627 1969537 1697713 239169 32655 14641862 12640176 1856170 145516 6736844 5825214 830953 80677 674306 672687 1619 157124 157124 6910052 4673066 2236986 100516 100114 402 3352965 1841566 1296442 214957 2208273 369507 1836021 2745 8530385 6959331 1567019 4035 2892345 2025801 719892 146652 118739 57215 56630 4894 6568987 5921331 647656 1966272 1750772 200770 14730 Repairs/Facility Mainte 2811631 2101043 710588 DIETARY SUPPLIES 2362089 2355099 6525 465 MEDICAID ASSESSMENT FEE 1441631 1441631 Other Client Ser/Recrui 999265 471649 527616 1477404 948946 525110 3348 149622536 122066632 25655984 1899920 7389680 4938137 313654 3013705 11337278 8767368 450184 349680 1053431 1042825 126666288 64113326 84208751 62552962 3158282 3485586 135975774 122657297 243887034 206807560 51895058 33135756 10 40780 35003871 35057574 3874074 3640322 90773013 71874432 X 138665586 122578912 6308763 4202230 8139672 8151986 153114021 134933128 243887034 206807560 X -39709425 21528532 X 0 1 X 1 1 1 X 78569926 83266136 87566237 86719707 84467274 420589280 40499856 41884839 38382685 36934290 36327919 194029589 119069782 125150975 125948922 123653997 120795193 614618869 4609562 4328670 2996250 1512812 4428319 17875613 28435700 29092783 25601252 24480774 24922887 132533396 33045262 33421453 28597502 25993586 29351206 150409009 464209860 314588 345150 467144 525040 411142 2063064 314588 345150 467144 525040 411142 2063064 317854 396637 439867 391529 325968 1871855 776847 776492 1115990 1492332 833743 4995404 120479071 126669254 127971923 126062898 122366046 623549192 0.74450 0.74250 0.00330 0.00310 X Schedule A, Part III, Line 12 Mail order/training materials sales/miscellaneous revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 9583 1 2551 1 4637 16771 0 Part II-B, Line 1: Schedule C, Part II-B, Line 1 - Line 1d: Bethesda has not used the U.S. mail for any direct lobbying or advocacy activities. All communications with Federal, state, and administration officials has been conducted using email, websites or face-to-face meetings. The only use of the mail service has been to communicate directly with parents and guardians regarding advocacy efforts. Line 1g: Direct contact with legislators and staff on the Federal level has primarily been in relation to the efforts to change Medicaid to a block grant or per capita capitation system. Other Federal issues include passage of fixes to the Achieving a Better Life Experiences Act (ABLE Act), access to Medicaid-funded acute care, Medicaid funding, waiting lists, and implementation of Home and Community-Based Services rules promulgated by the Centers for Medicare and Medicaid Services. Staff, advocates, and self-advocates have met with state officials in Oregon, Illinois, Wisconsin, Minnesota, and Colorado to discuss disability funding issues and access to Medicaid-funded health services. Line 1h: Bethesda has participated in rallies and Hill visits regarding Medicaid block grants/per-capita capitation with our national advocacy partner, ANCOR. We have also joined funding campaigns in Minnesota, Oregon, and Wisconsin. Bethesda has also conducted numerous advocacy trainings for staff, parents, and self-advocates. Line 1i: Bethesda maintains an Engage site to encourage email and phone contacts between advocates and their elected officials, a netcommunity website that contains up-to-date issue information and advocacy resources and contributes to Bethesda's social media sites. 1771829 1771829 1771829 1771829 1771829 1771829 1771829 1771829 1771829 1771829 1.00000 1 0 10604245 10604245 90532730 41326611 49206119 1081389 677524 403865 19303997 15823177 3480820 5143927 6286014 -1142087 62552962 Beneficial Interest In Net Assets of BLF and HUDS 112596096 Beneficial interest in SIA PIF 3920177 Other Receivables 4206358 Funds Held on behalf of clients 1593818 Cash Surrender Value of Life Insurance 301216 GSC 403B Loan Repayment 39632 122657297 Due to beneficiaries under SIA Annuities 1853658 funds held on behalf of clients 965178 Fixed Asset Retirement Liability 821486 3640322 Part V, Line 4: The endowment funds are used to support the operations of a portion of Bethesda's programs which were formerly the programs of Good Shepherd Lutheran Home of the West. Night to Shine Wisconsin 31713 7115 24598 2445 4173 1000 16979 Night to Shine Colorado 16514 1539 14975 1988 3649 1863 7476 48227 8654 39573 4433 7822 2863 24455 39573 0 1 SCHOLARSHIP - STUDENTS 14 32000 SCHOLARSHIP - Employee 10 6679 Part I, Line 2: Scholarships for individual students: The scholarship funds are sent directly to the educational institution of the student and applied toward their tuition costs. Scholarships for employees: The scholarship is awarded upon verification of successful completion of the course. All recipients agree to remain employed with the organization for one year after receipt of the scholarship. If the recipient terminates employment before one year is complete, the recipient agrees to return a prorated portion of the scholarship. X 1 1 X X X X 1 0 0 0 0 0 0 0 0 Dr Michael Thirtle President & CEO 373152 0 0 0 0 0 0 0 17995 0 391147 0 0 0 Jeffrey Kaczmarski EVP & VP Legal 273217 0 0 0 0 0 0 0 16350 0 289567 0 0 0 Lori Anderson VP Residential Services 224151 0 0 0 0 0 0 0 8892 0 233043 0 0 0 David Griebl Chief Financial Officer 211191 0 0 0 0 0 0 0 16910 0 228101 0 0 0 Kelly Thran Termed 10/11/16 VP Quality 192682 0 0 0 0 0 0 0 13045 0 205727 0 0 0 Jedd Lapid VP Development 185369 0 0 0 0 0 0 0 19538 0 204907 0 0 0 Debborah Zubke Division Operating Officer 179979 0 0 0 0 0 0 0 8838 0 188817 0 0 0 John Nickels Director of Leadership rel 178159 0 0 0 0 0 0 0 16316 0 194475 0 0 0 Jennifer Becher Termed 7/5/17 VP HR and Org Dev 162342 0 0 0 0 0 0 0 8819 0 171161 0 0 0 Part I, Line 1a Director spouse travel is reimbursed upon request for up to two (out of four) board meetings per year. Directors receive no compensation of any nature for their services as directors. Part I, Line 4a Severance payment and payout of accrued vacation: Jennifer Becher $26,096 X 5921168 Resale Value X 9 862147 Fair Market Value 0 1 1 Part I, Line 32b: Bethesda uses a brokerage firm to sell all gifts of donated securities. Form 990, Part I, Line 1: Bethesda is a Christian organization that provides support to nearly 2,000 people with intellectual and/or developmental disabilities across 13 states. The organization's mission is to enhance the lives of people with intellectual and/or developmental disabilities by sharing the good news of Jesus Christ. Its goal is to help the people they support live their best possible life. Bethesda offers a vast array of services, support and resources that include residential services, host homes/family living programs, day programs, spiritual support services, vocational training, a two-year college program and thrift shops. Additionally, more than 500 congregations around the country have formally partnered with Bethesda and offer worship and bible studies for people with developmental disabilities. Bethesda is committed to the Employment First Initiative. We now provide employment services to 86 people (This number changes as people who have gone through the program become employed). We are also participating in the Project Search partnership with a local hospital and school system. This program also prepares people for employment. Bethesda College is now in its third year and provides participants with a 2 year program that teaches life, employment and learning skills. Bethesda College is a partnership with Concordia University Wisconsin. The host home/family livings service provides support to 85 people in 5 states. This is a type of support that people have expressed a desire for and Bethesda will continue to expand. Bethesda operates 19 thrift stores that generate revenue to help further support those with intellectual and/or developmental disabilities. The stores have been a direct way for members of the community to support and connect with our mission. The stores provide local, affordable shopping options to the families in the communities we serve and employment opportunities for people of all abilities. Form 990, Part VI, Section A, line 6 THE ARTICLES OF INCORPORATION OF BETHESDA LUTHERAN COMMUNITIES, INC. (THE "CORPORATION") PROVIDES FOR BOTH INDIVIDUAL AND CONGREGATIONAL MEMBERSHIPS. ANY INDIVIDUAL WHO IS A COMUNICANT MEMBER OF A CONGREGATION AFFILIATED WITH THE LUTHERAN CHURCH- MISSOURI SYNOD, THE WISCONSIN EVANGELICAL LUTHERAN SYNOD, OR THE EVANGELICAL LUTHERAN SYNOD MAY BECOME A MEMBER OF THE CORPORATION UPON APPLICATION AND PAYMENT OF MEMBERSHIP DUES AS FIXED IN THE BYLAWS. ANY INDIVIDUAL MEMBER OF THE CORPORATION AS DESCRIBED ABOVE WHO SHALL NOT BE MORE THAN SIX (6) MONTHS IN ARREARS IN DUES AND SHALL HAVE ATTAINED THE AGE OF EIGHTEEN (18) SHALL BE ELEGIBLE TO VOTE; AND ANY VOTING MEMBER WHO SHALL HAVE ATTAINED THE AGE OF TWENTY-FIVE (25) SHALL BE ELEGIBLE TO BE ELECTED AS A DIRECTOR OF THE CORPORATION. ANY CONGREGATION AFFILIATED WITH THE LUTHERAN CHURCH - MISSOURI SYNOD, THE WISCONSIN EVANGELICAL LUTHERAN SYNOD, OR THE EVANGELICAL LUTHERAN SYNOD MAY HOLD A CONGREGATIONAL MEMBERSHIP IN THE CORPORATION UPON APPLICATION AND PAYMENT OF CONGREGATIONAL MEMBERSHIP DUES AS FIXED IN THE BYLAWS; A MEMBER CONGREGATION MAY BE REPRESENTED AT THE CORPORATION MEETING BY ONE (1) ELECTED REPRESENTATIVE. ANY CONGREGATION WHICH IS NOT MORE THAN SIX (6) MONTHS IN ARREARS IN DUES SHALL BE ENTITLED TO HAVE ITS REPRESENTATIVE VOTE. Form 990, Part VI, Section A, line 7a See narrative for Form 990, Part VI, Section A, line 6. Form 990, Part VI, Section A, line 7b BETHESDA LUTHERAN COMMUNITIES, INC. ("BETHESDA") MEMBERS HAVE THE FOLLOWING POLITICAL RIGHTS IN BETHESDA: MEMBERS HAVE THE RIGHT TO VOTE IN DIRECTOR ELECTIONS; ANY SUBSTANTIVE AMENDMENTS TO BETHESDA'S ARTICLES OF INCORPORATION MUST BE APPROVED BY ITS MEMBERSHIP, WIS. STAT. SECTION 181.1002 & .1003; BETHESDA MEMBERS MAY COMPEL A SPECIAL MEETING OF THE MEMBERSHIP, IF REQUESTED BY 25 MEMBERS; EVERY DIRECTOR IS REQUIRED TO BE A MEMBER IN GOOD STANDING; AND BETHESDA MEMBERS MAY AMEND THE BYLAWS AT A REGULAR ANNUAL OR SPECIAL MEMBERSHIP MEETING. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by staff and reviewed and approved by the Chief Financial Officer. The Form 990 was then presented to the Board of Directors for review. Form 990, Part VI, Section B, line 12c Annually each November, every director is required to assess the potential for any conflicts of interest and sign a form that discloses whether the director has any potential conflicts of interest. The organization's Compliance and Risk Management team audits whether every director has submitted a signed conflicts of interest disclosure form, and ensures that this is done annually for every director. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE SERVES AS A COMPENSATION COMMITTEE WITH THE DUTY TO REVIEW AND MAKE FINDINGS AS TO THE REASONABLENESS OF (I) THE COMPENSATION PAID AND BENEFITS PROVIDED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND (II) THE RECOMMENDATIONS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR THE COMPENSATION RANGES AND BENEFIT LEVELS FOR THE EXECUTIVE VICE PRESIDENT, THE CFO, THE COO AND ALL OTHER PERSONS WHOM IT DETERMINES TO BE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE CORPORATION WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE ("DISQUALIFIED PERSONS"). IN DOING SO IT (1) IDENTIFIES ALL DISQUALIFIED PERSONS, AND ANNUALLY REPORTS THE IDENTITY OF SUCH PERSONS TO THE BOARD OF DIRECTORS; (2) PERIODICALLY (AT LEAST IN EVERY ODD-NUMBER YEAR) REVIEWS AND DETERMINES THE REASONABLENESS OF THE COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER; (3) PERIODICALLY (AT LEAST IN EVERY ODD-NUMBER YEAR) REVIEWS AND DETERMINES THE REASONABLENESS OF THE RECOMMENDATIONS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR THE COMPENSATION RANGES AND BENEFIT LEVELS OF OTHER DISQUALIFIED PERSONS; (4) CONSIDERS ALL INCENTIVES, PERQUISITES, DEFERRED COMPENSATION AND ANYTHING OF VALUE WHEN CONSIDERING THE REASONABLENESS OF COMPENSATION OR BENEFIT LEVELS; (5) OBTAINS FROM SOURCES OUTSIDE THE CORPORATION OBJECTIVE, MARKET COMPARABLE COMPENSATION AND BENEFIT LEVEL DATA; (6) DOCUMENTS ITS CONSIDERATIONS AND DETERMINATIONS IN WRITTEN REPORTS; AND (7) AT LEAST ANNUALLY REPORT ITS ACTIVITIES AND FINDINGS TO THE BOARD OF DIRECTORS. Form 990, Part VI, Section C, line 19 The Corporation's governing documents including conflicts of interest policy, 990 tax returns and current audited financial statements are available on the organization's public web site (http://bethesdalutherancommunities.org) and to the public upon request. Form 990, Part XI, line 9: Change in net assets of Foundation and HUD Corporations (unrestricted) -13,701,011. Change in net assets of Foundation (restricted) 914. actuarial change in split interest agreements (Unrestricted) -82,837. restricted investment income 16,181. market adjustment on fixed income investments 239,308. adjustment to unfunded pension liability 11,905,977. transfer of assets from foundation 23,150,000. Bethesda Lutheran Foundation Inc 600 HOFFMANN DRIVE WATERTOWN WI 53094 391336413 RAISE FUNDS FOR BETHESDA LUTHERAN COMMUNITIES, INC. 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