2013-08-08T08:31:33-05:00 2012-09-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2011-10-01 421014553 BETHANY LUTHERAN HOME BETH 7023294255 7 ELLIOTT ST COUNCIL BLUFFS IA 51530 MICHAEL D VAN SICKLE 7023294255 2013-08-02 1 LAURIE HANSON P00851848 6053391999 2013-08-02 2011 2016-02-24 21:20:13Z MICHAEL D VAN SICKLE 7 ELLIOTT ST COUNCIL BLUFFS IA 51530 12050265 0 X WWW.BETHANYLUTHERANHOME.ORG X 1976 IA TO PROVIDE NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS AT THE LOWEST FEASIBLE COST. 9 9 320 500 0 0 113607 128213 10182439 10194563 47128 770178 0 0 10343174 11092954 0 0 0 0 45940 6502258 0 0 48620 10692828 3942848 10738768 10445106 -395594 647848 9670848 9696508 3726834 3108277 5944014 6588231 TO PROVIDE NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS AT THE LOWEST FEASIBLE COST. 0 0 8830762 10194563 BETHANY HOME, A 121 BED NURSING CARE FACILITY, AND BETHANY LUTHERAN HEIGHTS, A 60 UNIT CONGREGATE LIVING FACILITY, PROVIDE NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS AT THE LOWEST FEASIBLE COST. 8830762 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 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 1 1 0 0 1 15 0 1 320 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 1 0 X MILTON TRABAL 7123294255 7 ELLIOTT STREET COUNCIL BLUFFS IA 51503 MONTE BRACKER 1.00 X X 0 0 0 EUGENE GOODIN 0.50 X X 0 0 0 RESA MARSHALL 0.50 X X 0 0 0 KEN KEMMISH 0.50 X X 0 0 0 WILLIAM VORTHMANN 0.50 X 0 0 0 MICHAEL SHELTON 0.50 X 0 0 0 ROSE MARIE WOOD 0.50 X 0 0 0 PASTOR DENNIS MAASKE 0.50 X 0 0 0 CINDY HESSE 0.50 X 0 0 0 MICHAEL D VAN SICKLE 45.00 X 114960 0 9225 MILTON TRABAL 45.00 X 22375 0 391 137335 0 9616 1 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 520397 1 128213 128213 PATIENT SERVICE REV 623000 10069433 10069433 OTHER REVENUE 623000 125130 125130 10194563 68465 68465 820039 838985 829925 127386 -9886 711599 701713 701713 11092954 10194563 0 770178 141454 59108 82346 5436992 4937142 457308 42542 28046 26343 1703 524945 447228 76447 1270 370821 334749 33020 3052 169063 169063 29213 29213 966622 721595 245027 47970 9713 37907 350 982421 900652 81468 301 50256 16847 33127 282 254167 253994 173 42436 27428 14480 528 9470 8821 649 113934 113934 587271 587271 262788 262788 MEDICAL SUPPLIES 212096 212096 BAD DEBT 77320 77320 REPAIRS & MAINT 62483 60655 1828 DUES & LICENSES 7337 1834 5208 295 68001 34032 33969 10445106 8830762 1565724 48620 1131535 685516 607904 1082804 66555 82750 137957 97161 14345579 7727292 6293128 6618287 1344153 941557 89616 188433 9670848 9696508 753132 875076 2227175 2127870 6911 9027 739616 96304 3726834 3108277 X 5944014 6588231 5944014 6588231 9670848 9696508 X 647848 -3631 X 0 1 0 X 0 X 8823 209727 34142 113607 128213 494512 9261908 9705271 9384453 10182439 10194563 48728634 9270731 9914998 9418595 10296046 10322776 49223146 0 0 0 49223146 34756 8837 579 55028 68465 167665 34756 8837 579 55028 68465 167665 9305487 9923835 9419174 10351074 10391241 49390811 0.99660 0.99720 0.00340 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 372934 372934 11525632 5929404 5596228 2018798 1666458 352340 428215 131430 296785 6618287 SECURITY DEPOSITS 96304 96304 PART IV, LINE 2B: THE FACILITY MAINTAINS A SYSTEM THAT ENSURES A FULL, COMPLETE, AND SEPARATE ACCOUNTING OF EACH RESIDENT'S PERSONAL FUNDS ENTRUSTED TO THE FACILITY ON THE RESIDENT'S BEHALF. ACCOUNTING IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE SYSTEM PRECLUDES ANY COMMINGLING OF RESIDENT FUNDS WITH FACILITY FUNDS OR WITH THE FUNDS OF ANY PERSON OTHER THAN ANOTHER RESIDENT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: BETHANY LUTHERAN HOME BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE WOULD BE RECOGNIZED IF SUCH INTEREST AND PENALTIES WERE INCURRED. POTTAWATTAMIE COUNTY IOWA 426004433 2006-12-01 2650000 REFINANCE BONDS ISSUED IN 1991 USED FOR IMPROVEMENTS TO EXISTING FACILITIES. 0 0 0 522130 2650000 35437 904680 1709883 2008 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 0 0 0 0 SCHEDULE K, PART II, LINE 11: OTHER SPENT PROCEEDS OF $1,709,883 WERE USED TO REFUND BONDS PREVIOUSLY ISSUED IN 1991. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE GOVERNING BODY REVIEWS THE TAX RETURN FOR ACCURACY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CODE OF CONDUCT POLICY COVERS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS DETERMINE IF A CONFLICT EXISTS AMONG BOARD MEMBERS. THE BOARD WOULD REVIEW ACTUAL CONFLICTS AMONG THE BOARD MEMBERS. THE ORGANIZATION ALSO HAS A CONFLICT OF INTEREST POLICY THAT IT REVIEWS WITH NEW EMPLOYEES PRIOR TO THEIR EMPLOYMENT START DATE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE COO IS DETERMINED BY THE BOARD OF DIRECTORS. COMPENSATION FOR THE CFO AND ALL OTHER EMPLOYEES IS BASED ON THE SALARY SURVEY INFORMATION PROVIDED BY LEADINGAGE IOWA. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -3,631. BETHANY FOUNDATION OF COUNCIL BLUFFS 7 ELLIOT STREET COUNCIL BLUFFS SD 51503 421241419 SUPPORT OF BETHANY LUTHERAN HOME & HEIGHTS IA 501(C)(3) LINE 7 BETHANY LUTHERAN HOME & HEIGHTS 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 BETHANY FOUNDATION OF COUNCIL BLUFFS C 128213 CASH BETHANY FOUNDATION OF COUNCIL BLUFFS N 0