2018-10-15T14:35:08-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 12721 METCALF AVENUE SUITE 201 OVERLAND PARK KS 66213 990 2017-01-01 480547716 BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS BETH 7852272334 321 NORTH CHESTNUT STREET LINDSBORG KS 67456 KRISTON ERICKSON CEO 7852272334 2018-10-11 1 AMANDA TINNEY P01587658 9134916655 2018-10-11 67.137.57.251 2018-10-11 09:56:57 CD P 95D15E21BD4EC2B205D8EA122B43C1279CC0BD26 C295692FC755D544774FE10B7A8A39D33D425111 2017 2018-06-14 16:35:46Z KRISTON ERICKSON 321 NORTH CHESTNUT STREET LINDSBORG KS 67456 9971282 0 X HTTP://BETHANYHOME.COM X 1907 KS BETHANY HOME ASSOCIATION PROVIDES A RETIREMENT COMMUNITY FOR THE AGING & HANDICAPPED INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, LONG TERM CARE, & SKILLED CARE. 12 12 281 400 0 0 108728 440246 8678732 9048878 183557 285497 174106 196661 9145123 9971282 0 0 0 0 6263711 6289351 0 0 7531 3101524 3419198 9365235 9708549 -220112 262733 13027579 13825657 4387697 4320144 8639882 9505513 CELEBRATING LIFE'S JOURNEY TOGETHER IN GOD'S LOVE 0 0 8011031 9117128 LONG TERM CARE - BETHANY HOME PROVIDES SAFE, PLEASANT CARE FOR AGING & HANDICAPPED PERSONS IN A HOME-LIKE SETTING. IN 2017, WE PROVIDED 32,373 DAYS OF CARE.ASSISTED LIVING - BETHANY HOME ASSISTED LIVING PROVIDES A 20-BED SAFE, SUPPORTIVE ENVIRONMENT FOR SENIORS WHO DO NOT YET NEED A SKILLED LEVEL OF CARE. IN 2017, WE PROVIDED 6,837 RESIDENT DAYS OF CARE.INDEPENDENT LIVING - THE BETHANY HOME ASSOCIATION OFFERS 49 INDEPENDENT LIVING RESIDENCES FOR INDIVIDUALS WHO CAN REMAIN INDEPENDENT. 8011031 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 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 1 0 0 0 1 24 0 281 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X X KRISTON ERICKSON 7852272334 321 N CHESTNUT ST LINDSBORG KS 67456 REV JAMES STRASEN CHAIRPERSON 1.00 X X 0 0 0 JAMES RUBLE VICE CHAIRPERSON 1.00 X X 0 0 0 REV LOREN MAI SECRETARY 1.00 X X 0 0 0 MIKE LOSIK TREASURER 1.00 X X 0 0 0 JEAN ROWLAND DIRECTOR 1.00 X 0 0 0 REV TIM LEAF DIRECTOR 1.00 X 0 0 0 ERIC ANDERSON DIRECTOR 1.00 X 0 0 0 GALEN SWENSON DIRECTOR 1.00 X 0 0 0 MARI LODER DIRECTOR 1.00 X 0 0 0 REV HARRY GRINSTAD DIRECTOR 1.00 X 0 0 0 KATHY RICHARDSON DIRECTOR 1.00 X 0 0 0 DEBBIE JACOBSON DIRECTOR 1.00 X 0 0 0 KRISTON ERICKSON CHIEF EXECUTIVE OFFICER 40.00 X 92442 0 9617 AMY DAUER CHIEF FINANCIAL OFFICER 40.00 X 63515 0 8598 155957 0 18215 0 0 0 0 CASCADE HEALTH SERVICES 1045 SWIFT AVENUE N KANSAS CITY MO 64116 AGENCY NURSE STAFFING 140225 1 11050 429196 440246 NET RESIDENT SERVICE R 623000 9048878 9048878 9048878 164883 164883 246 246 120614 0 120614 120614 120614 MGMT/MAINT FEES 561000 68250 68250 TV REVENUE 561000 54570 54570 EMPLOYEE/GUEST MEALS 722513 36275 36275 37320 37320 196415 9971282 9117128 0 413908 183872 95262 88610 5011590 4309673 701917 44723 37918 6805 678478 575243 103235 370688 314285 56403 27360 27360 2543 2543 73732 73732 40188 40188 817272 817122 150 26359 1500 24859 52356 29399 22957 25729 25729 352290 273312 78978 22475 779 21696 10440 8978 1462 142694 142694 425846 366203 59643 179950 179950 NURSING 511494 511494 DIETARY/FOOD 299339 299339 REPAIRS AND MAINTENANCE 155074 133355 21719 MISCELLANEOUS 91086 78329 12757 162971 16146 139294 7531 9708549 8011031 1689987 7531 247812 199886 57249 396949 760648 818257 5300 5300 37075 51492 13187638 7281803 6053830 5905835 5567401 6134864 298264 313074 13027579 13825657 761661 700463 14350 3181690 3169482 444346 435849 4387697 4320144 X 3449255 5174444 2261345 2453821 2929282 1877248 8639882 9505513 13027579 13825657 262733 602898 0 X X 0 1 X 1 0 X 310353 564317 139964 108728 440246 1563608 6807870 7579247 8326390 8678732 9048878 40441117 7118223 8143564 8466354 8787460 9489124 42004725 2000 700 70278 53185 47376 173539 176591 70664 43162 263158 553575 178591 71364 113440 316343 47376 727114 41277611 305085 332915 143406 100451 165129 1046986 305085 332915 143406 100451 165129 1046986 16879 339038 228479 173265 196415 954076 7440187 8815517 8838239 9061176 9850668 44005787 0.93800 0.93510 0.02380 0.02830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2013 AMOUNT: $ 16,879. 2014 AMOUNT: $ 339,038. 2015 AMOUNT: $ 228,479. 2016 AMOUNT: $ 90,376. 2017 AMOUNT: $ 13,158. MGMT/MAINT FEES - 2016 AMOUNT: $ 40,920. 2017 AMOUNT: $ 68,250. EMPLOYEE/GUEST MEALS - 2016 AMOUNT: $ 37,775. 2017 AMOUNT: $ 36,275. VENDING REVENUE - 2016 AMOUNT: $ 4,194. 2017 AMOUNT: $ 3,778. EXPENSE REIMBURSEMENTS - 2017 AMOUNT: $ 20,384. TV REVENUE - 2017 AMOUNT: $ 54,570. 0 1 X 3178099 387319 777738 12087 4331069 5088855 20760 290366 209354 5190627 5873269 197 -188437 183652 46526 5454851 5965715 282756 189888 518141 46949 5873269 5872994 178394 306548 346747 45474 5965715 0.00000 0.43340 0.56660 1 0 558070 558070 9688165 4952126 4736039 2705073 2209336 495737 236330 120341 115989 5905835 ANNUITIES PAYABLE 50512 LIFE LEASES 282592 SECURITY DEPOSITS LIABILITY 72165 AMORTIZATION OF LUF 30580 435849 X 10534802 602898 602898 9931904 39378 39378 9971282 9669171 0 9669171 39378 39378 9708549 PART IV, LINE 2B: THE ORGANZATIONS HOLDS FUNDS FOR RESIDENTS IN A TRUST ACCOUNT. PART V, LINE 4: TO FURTHER SPECIFIC PROGRAMS AND THE GENERAL OPERATIONS OF BETHANY HOME ASSOCIATION. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE CEO AND CFO THEN REVIEW THE FORM 990 WITH THE FULL BOARD AND ARE AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE CLARIFICATION. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ANNUALLY REVIEW AND SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD AFTER DISCLOSURE AND DISCUSSION OF THE CONFLICT. THE INTERESTED PERSON MUST LEAVE THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, THE BOARD WILL DETERMINE WHETHER THEY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED MEMBERS WILL NOT VOTE TO DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR OR REASONABLE, IN THE ORGANIZATION'S BEST INTEREST, AND TO THE ORGANIZATION'S BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A THE MANAGEMENT TEAM AND BOARD ANNUALLY REVIEWS THE CEO THROUGH A WRITTEN EVALUATION. THE BOARD REVIEWS THE RESPONSES TO THE WRITTEN EVALUATION AND DISCUSSES IN EXECUTIVE SESSION TO DETERMINE THE COMPENSATION. THIS IS THEN REVIEWED WITH THE CEO. THIS WAS LAST PERFORMED IN 2017. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: BETHANY HOME DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE OVERSIGHT PROCESS OR SELECTION PROCESS DID NOT CHANGE DURING 2017. PROGRESSIVE HEALTHCARE ALLIANCE INC PO BOX 3684 LAWRENCE KS 66046 481194308 PURCHASING KS 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1