2014-07-31T14:54:54-05:00 2013-12-31 362985665 WOLF & COMPANY LLP 1901 S MEYERS RD SUITE 500 OAKBROOK TERRACE IL 601815209 990 2013-01-01 362167819 NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION NORW 7736226144 2833 N NORDICA AVE CHICAGO IL 60634 JULIE BOGGESS CHIEF EXECUTIVE OFFICER 7736226144 2014-07-25 1 KEITH A FRIEDLEIN P00362172 6305454500 2013 2015-11-30 17:44:51Z JULIE BOGGESS 2833 N NORDICA AVE CHICAGO IL 60634 7228855 0 X WWW.BETHESDAHOME.COM X 1909 IL THE NORWEGIAN LUTHERAN HOME ASSOCIATION WAS FOUNDED IN 1907 TO SERVE THE NEEDS OF THE ELDERLY POPULATION OF THEIR COMMUNITY. THE BETHESDA HOME ORIGINALLY OPENED WITH 19 RESIDENTS. MAJOR RENOVATION AND EXPANSION PROGRAMS SINCE THEN HAVE ENABLED BETHESDA HOME TO PROVIDE CARE FOR APPROXIMATELY 180 RESIDENTS WITHIN THE COMMUNITY. THE CONTINUUM OF CARE AT BETHESDA HOME INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, INTERMEDIATE AND SKILLED NURSING CARE. PROFESSIONAL AND SUPPORTIVE SERVICES REQUIRED TO ADDRESS THE NEEDS OF EACH RESIDENT ARE READILY AVAILABLE EITHER IN-HOUSE OR THROUGH CONTRACTUAL AGREEMENT. 7 7 136 160 0 0 555224 796911 6334580 5951245 913 0 24505 476114 6915222 7224270 0 0 0 0 4054998 4122234 0 0 0 3186172 3875847 7241170 7998081 -325948 -773811 9028263 7867893 3211567 2835524 5816696 5032369 X THE NORWEGIAN LUTHERAN HOME ASSOCIATION WAS FOUNDED IN 1907 TO SERVE THE NEEDS OF THE ELDERLY POPULATION OF THEIR COMMUNITY. THE BETHESDA HOME ORGINALLY OPENED WITH 19 RESIDENTS. MAJOR RENOVATION AND EXPANSION PROGRAMS SINCE THEN HAVE ENABLED BETHESDA HOME TO PROVIDE CARE FOR APPROXIMATELY 180 RESIDENTS WITHIN THE COMMUNITY. THE CONTINUUM OF CARE AT BETHESDA HOME INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, INTERMEDIATE AND SKILLED NURSING CARE. PROFESSIONAL AND SUPPORTIVE SERVICES REQUIRED TO ADDRESS THE NEEDS OF EACH RESIDENT ARE READILY AVAILABLE EITHER IN-HOUSE OR THROUGH CONTRACTUAL AGREEMENT. 0 0 6895760 6431944 LONG-TERM AND ASSISTED LIVING SERVICES FOR THE ELDERLY. BETHESDA RETIREMENT HOME HAD A TOTAL OF 25,185 PATIENT SERVICE DAYS IN FISCAL YEAR 2012. SERVICES PROVIDED INCLUDE COMPREHENSIVE, IN-PATIENT REHABILITATION WHICH INCLUDES PHYSICAL, OCCUPATIONAL, SPEECH THERAPIES, AND RESPITE CARE. RESPITE CARE STAYS CAN RANGE FROM A MINIMUM OF ONE WEEK TO A MAXIMUM OF FOUR WEEKS. RESPITE GUESTS RECEIVE THE SAME SERVICES PROVIDED TO NURSING FACILITY PATIENTS. INCLUDED IN THE ABOVE WAS 6,805 DAYS OF CARE FOR RESIDENTS OF PUBLIC ASSISTANCE. 6895760 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 47 0 136 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 1 1 IL X X PAUL ROBERTS 7736226144 2833 N NORDICA AVE CHICAGO IL 60634 JULIE BOGGESS CEO 40.00 X X 121777 0 16297 PAUL ROBERTS CFO 40.00 X X 110847 0 3538 TOM NOESEN CHAIRPERSON 1.00 X 0 0 0 JOHN LATTYAK VICE CHAIR 1.00 X 0 0 0 DR CHANDLER BARNES SECRETARY 1.00 X 0 0 0 MARYBETH BUSCHMANN DIRECTOR 1.00 X 0 0 0 MARC ARNDT DIRECTOR 1.00 X 0 0 0 LAVERNE SCHWARTZ DIRECTOR 1.00 X 0 0 0 HOWARD HAMILTON DIRECTOR 1.00 X 0 0 0 MARY RASMUSSON DIRECTOR 1.00 X 0 0 0 232624 0 19835 2 0 0 0 CERES FOOD GROUP INC 5150 N NORTHWEST HWY SUITE 101 CHICAGO IL 606304696 FOOD SERVICE 438494 ALLIANCE REHAB 1520 KENSINGTON RD OAK BROOK IL 60523 PT, OT & ST SERVICES 333218 SYMBRIA RX SERVICES LLC 1520 KENSINGTON RD STE 105 OAK BROOK IL 60623 PHARMACY SERVICES 215395 MEDLINE INDUSTRIES DEPT CH 14400 PALATINE IL 600564400 MEDICAL PRODUCTS 175426 4 700000 96911 796911 RESIDENT SERVICES 623000 3550923 3550923 MEDICARE/MEDICAID PAYM 623000 2368581 2368581 ANCILLARY SERVICES 623000 31741 31741 5951245 4585 -4585 -4585 -4585 INSURANCE REMEDIATION 623000 226982 226982 JOINT VENTURE 623000 207269 207269 MISC. REVENUE 623000 46448 46448 480699 7224270 6431944 0 -4585 3438475 2764440 674035 42862 42862 387174 387174 253723 214016 39707 32791 32791 61390 61390 740 740 40355 40355 150338 10486 139852 62195 62195 370541 370541 8394 8394 59524 59524 514290 514290 238976 238976 MEDICAL EXPENSE 707771 707771 IMPAIRMENT 663402 663402 PROFESSIONAL SERVICES 292356 292356 DIETARY EXPENSES 246137 246137 426647 426647 7998081 6895760 1102321 0 890 2344 672143 543803 48435 68677 13067659 7688709 6395017 5378950 15452 15452 1896326 1858667 9028263 7867893 1149772 1178776 79158 67897 1672637 1298851 310000 290000 3211567 2835524 X 5805484 5014869 11212 17500 5816696 5032369 9028263 7867893 X -773811 -10516 X X 0 1 X 1 0 X 869279 695285 479162 555224 785905 3384855 5419274 6213380 6626696 6120257 5951245 30330852 6288553 6908665 7105858 6675481 6737150 33715707 825000 387000 400000 400000 700000 2712000 0 825000 387000 400000 400000 700000 2712000 31003707 14940 7330 4806 913 27989 14940 7330 4806 913 27989 32722 61910 48817 35718 273920 453087 6336215 6977905 7159481 6712112 7011070 34196783 0.90660 0.90680 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1895073 1895073 10116899 6904118 3212781 1055687 784591 271096 5378950 BOND ISSUANCE FEES 59628 INVESTMENT IN HEALTH RESOURCES ALLIANCE 1372315 INVESTMENT IN RISK RETENTION GROUP 246508 CEMETARY LOTS 2192 DEFERRED DEVELOPMENT COSTS 140961 OTHER ASSETS 37063 1858667 X PART X, LINE 2: THE GROUP RECOGNIZES THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE GROUP IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE THE 2010 TAX YEAR. A ILLINOIS FINANCE AUTHORITY 861091967 2012-03-01 1948200 1999 BOND PAYOFF 0 0 0 A 373786 1948200 38964 398783 1510453 2012 0 0 1 1 A 0 0 0 0 1 0 1 A 0 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS PREPARED BY THE AUDITING FIRM. THE CFO REVIEWS THE FORMS AND DISCUSSES WITH THE CEO. THE CFO DISCUSSES THE 990'S WITH THE FINANCE COMMITTEE, WHICH CONSISTS OF THE BOARD CHAIRPERSON, VICE CHAIRPERSON, AND ONE DIRECTOR. THE CEO AND CFO SIGN AND FILE THE RETURNS. FORM 990, PART VI, SECTION B, LINE 12C AGENDA ITEM AT THE BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE REVIEWS CEO AND DETERMINES COMPENSATION. THE CEO REVIEWS ALL OTHER MANAGERS' COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ANY REQUESTS FOR 990S ARE HANDLED INTERNALLY. GUIDESTAR.ORG POSTS THE ASSOCIATION'S 990S. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGES -10,516. FORM 990. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BETHESDA FOUNDATION 2833 NORTH NORDICA AVENUE CHICAGO IL 606349968 363558526 PROVIDE SUPPORT FOR NORWEGIAN LUTHERAN BETHESDA HOME. IL 501(C)(3) LINE 11, TYPE I N/A 0 BETHESDA CHARITABLE GROUP INC 2833 NORTH NORDICA AVENUE CHICAGO IL 606349968 363557703 HOLDING COMPANY FOR NORWEGIAN LUTHERAN AND BETHESDA FOUNDATION IL 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BETHESDA FOUNDATION C 700000 COST