2016-08-10T16:28:22-05:00 2015-09-30 363990892 Capin Crouse LLP 2435 Research Parkway STE 200 Colorado Springs CO 80920 990 2014-10-01 452666295 BSLC II BSLC 7194810100 15475 Gleneagle Drive Colorado Springs CO 80921 Nathan Merrill Treasurer and Secretary 7194810100 2016-08-10 1 David C Moja P00747006 7195286225 2014 2016-09-27 15:27:22Z Bethesda Senior Living Communities Larry W Smith 15475 Gleneagle Drive Colorado Springs CO 80921 30045315 0 X www.bethesdaseniorlivingcommunities.com X 2011 NE See Schedule O 7 4 0 77 0 0 3236 2587 29996390 29800794 -3457 1442 21179 236799 30017348 30041622 393544 487625 0 0 11165992 11179107 0 0 0 16510309 16820239 28069845 28486971 1947503 1554651 57926488 58091422 64687202 63297485 -6760714 -5206063 X See Schedule O 0 0 26463128 487625 29403037 Development and operation of tax exempt assisted living communities, independent living communities, and memory care facilities for seniors in Colorado, Texas, and Missouri. Cared for an average of 720 residents during the fiscal year ended 9/30/2015. 26463128 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 107 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 4 1 1 0 0 1 1 0 1 1 1 0 1 1 1 1 1 1 0 0 0 X Nathan Merrill 7194810100 15475 Gleneagle Drive Colorado Springs CO 80921 X Larry W Smith President & Director 20.00 22.00 X X 0 204736 7785 Dana L Rasic VP & Director 5.00 55.00 X X 0 288333 15885 Nathan D Merrill Secretary, Treasurer, Director 4.00 38.00 X X 0 186081 18646 Don A Morgan Director 1.00 5.00 X 0 55033 0 Daniel C Vagle Director 1.00 7.00 X 0 49833 0 Lyle G Arent Director (Part year) 1.00 4.00 X 0 52058 0 Dale R Turner Director 1.00 6.00 X 0 63516 0 Don Beard Director 1.00 3.00 X 0 41166 0 Sean P Rice Asst. Secretary 4.00 36.00 X 0 96704 13298 Tom Workman Asst. Secretary 0.00 0.00 X 0 0 0 Rick G Summers VP of Operations 0.00 50.00 X 0 144140 16899 0 1181600 72513 0 0 1 0 Healthcare Services Group LLC 3220 Tillman Drive 300 Bensalem PA 19020 Food services 1510869 Fry Construction Co Inc 8570 Criterion Dr Colorado Springs CO 80920 Construction 732513 Interiors by Design LTD 3016 1/2 South Ridge Street Breckenridge CO 80424 Construction & Design 172900 SimplexGrinnell Dept CH 10320 Palatine IL 60055 Construction 137110 Griffin Construction PO Box 2207 Fort Smith AR 72902 Construction 109064 5 2587 2587 Assisted Living/Independent Livin 722320 29211863 29211863 Miscellaneous Community Fees 900099 481000 481000 Meals Income 900099 78266 78266 Guest/Employee Meals Income 900099 29665 29665 29800794 5135 5135 45625 0 45625 45625 45625 3693 -3693 -3693 -3693 Other Income 900099 191174 191174 191174 30041622 29403037 0 635998 487625 487625 9364665 9364665 110879 110879 941045 941045 762518 762518 1802252 1802252 99044 90708 8336 21173 21173 949 949 1859361 1849228 10133 326326 326326 2017945 2012220 5725 122894 122894 2340835 2326301 14534 123564 99564 24000 26386 26386 3209090 3209090 3805529 3677776 127753 959702 957921 1781 Dues, Licenses, and Fee 71797 71539 258 Bad Debts 24363 24363 9029 2080 6949 28486971 26463128 2023843 0 760575 1153422 305940 1152606 353199 618498 39774 36043 462077 430741 81228445 32013977 48124410 49214468 2750550 0 5129963 5485644 57926488 58091422 2323389 1935811 349296 373471 62014517 60988203 64687202 63297485 X -6760714 -5206063 -6760714 -5206063 57926488 58091422 1554651 0 X X 0 1 X 1 0 X X 1 Bethesda Foundation 470497753 9 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 949 0 0 0 949 0 Part II-B, Line 1: A portion of dues paid to professional associations has been disclosed as lobbying expense. 3545817 3545817 69549180 26751886 42797294 5484984 3868544 1616440 2648464 1393547 1254917 49214468 Escrow account 571901 Loan costs net of amortization 535585 Related party receivable 4378158 5485644 X Part X, Line 2: The financial statement effects of a tax position taken or expected to be taken are recognized in the consolidated financial statements when it is more likely than not, based on the technical merits, that the position will be sustained upon examination. Interest and penalties, if any, are included in expenses in the consolidated statements of activities. As of September 30, 2015, Bethesda had no uncertain tax positions that qualify for recognition or disclosure in the consolidated financial statements. Bethesda files tax returns in the United States (U.S.) federal jurisdiction. With a few exceptions, Bethesda is no longer subject to U.S. federal examinations by tax authorities for years before 2012. 1 Bethesda MinistriesOne Child Matters 15475 Gleneagle Dr Colorado Springs CO 80921 841087689 501 (c) 3 450000 Support Operations 1 0 Part I, Line 2: The board of directors of Bethesda Ministries, the ultimate parent entity of BSLC II and Bethesda Foundation, has responsibility for ongoing oversight of the charitable operations of One Child Matters. Bethesda Ministries executes this responsibility during 4-6 board meetings per year which monitor the use of Bethesda Foundation's granted funds via the board's processes of financial oversight, budget approval, and budget variance review. Additionally, the President of Bethesda Foundation (Bethesda Foundation being the manager of BSLC II) sits on the board of directors of Bethesda Ministries and regularly attends its board meetings. 0 0 0 0 0 0 0 0 0 Larry W Smith President & Director 0 177294 0 15000 0 12442 0 7692 0 334 0 212762 0 0 Dana L Rasic VP & Director 0 262765 0 20175 0 5393 0 4619 0 29903 0 322855 0 0 Nathan D Merrill Secretary, Treasurer, Director 0 160821 0 14000 0 11260 0 7380 0 27710 0 221171 0 0 Rick G Summers VP of Operations 0 124888 0 10000 0 9252 0 5633 0 17413 0 167186 0 0 Organization's Mission: To serve seniors by enriching their physical, emotional, and spiritual health in a nurturing environment at our communities. Briefly describe the Organization's Mission: Our Mission: To serve seniors by enriching their physical, emotional, and spiritual health in a nurturing environment at our communities. Our Vision: To expand outreach and service to as many communities as God wills through expansion, acquisition, management contracts, and programming. Form 990, Part VI, Section A, line 2 Dana Rasic, Nathan Merrill, Lyle Arent, Dale Turner, Daniel Vagle, and Sean Rice have a business relationship because they are Directors or Officers of the indirectly-owned subsidiary disclosed on Schedule R, Part IV. Dan Vagle and Dale Turner are brothers-in-law Form 990, Part VI, Section A, line 3 BSLC II's communities are managed by Bethesda Foundation under a management contract. Form 990, Part VI, Section A, line 6 For purposes of Form 990 Part VI, Bethesda Foundation is the sole member of BSLC II. Form 990, Part VI, Section A, line 7a The Board of Directors of Bethesda Foundation appoints the Directors of BSLC II. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by a third party and is reviewed by the CFO and Controller. The final version of the Form 990 is distributed via email to the Organization's Board of Directors. Management answers all questions and incorporates the changes, if necessary, into the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c Conflict of interest forms are completed annually by officers, directors, and key employees and are presented to the board for approval. When a potential conflict arises during the year, the officer, director, or key employee is responsible for updating the conflict of interest form and the revised form is provided to the Board of Directors for approval. Form 990, Part VI, Section B, line 15 BSLC II does not have employees or officers that receive compensation through BSLC II. All functions of running BSLC II communities have been delegated to Bethesda Foundation under a management contract. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy and audited financial statments are available upon request. FORM 990, PART VI, SECTION A, QUESTION 9 Tom Workman 11404 West Dodge Road, Ste 500 Omaha, NE 68154 FORM 990, PART VII Many of the officers and directors provide services to affiliated organizations. The hours shown are specific to this organization but the compensation is total compensation for services provided to all of the affiliated organizations. FORM 990, PART XII, LINE 2C - EXPLANATION OF RESPONSIBILITY The organization's Board assumes responsibility for oversight of the audit of its financial statements and selection of its independent accountant. This process has not changed since the prior year. PART IX, LINES 7-9 Expenses paid to management company: The amounts on Part IX, Lines 7-9 are for expenses paid to BSLC II's management company, Bethesda Foundation, appropriately categorized on their respective lines for 990 purposes. Bethesda Associates 15475 Gleneagle Drive Colorado Springs CO 80921 841087692 Support Org NE 501(c)(3) Line 11a, I Bethesda Ministries 0 Bethesda MinistriesOne Child Matters 15475 Gleneagle Drive Colorado Springs CO 80921 841087689 Child Care NE 501(c)(3) Line 7 N/A 0 Bethesda Christian Broadcasting 15475 Gleneagle Drive Colorado Springs CO 80921 841162754 Christian Radio NE 501(c)(3) Line 9 Bethesda Ministries 0 Bethesda Foundation 15475 Gleneagle Drive Colorado Springs CO 80921 470497753 Asst'd Living NE 501(c)(3) Line 9 Bethesda Ministries 0 Bethesda Real Estate Company 15475 Gleneagle Drive Colorado Springs CO 80921 841133889 Real Estate Mgmt CO C 0 Mission of Mercy Trust 15475 Gleneagle Drive Colorado Springs CO 80921 841469496 Charitable Trust NE T 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 Bethesda MinistriesOCM B Bethesda Foundation E Bethesda Foundation M Bethesda Associates M Bethesda Foundation N Bethesda Foundation O Bethesda Foundation P Bethesda Foundation Q Bethesda Foundation R Bethesda Foundation S