NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION (EIN 36-2167819)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-13
IRS object ID
201341339349304759
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T17:02:20-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN362985665EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WOLF & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11901 S MEYERS RD SUITE 500AddressLine1
CityOAKBROOK TERRACECity
StateILState
ZIP Code601815209ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362167819EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORWNameControl
Phone7736226144Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12833 N NORDICA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60634ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL ROBERTSName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7736226144Phone
Date Signed2013-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEITH A FRIEDLEINName
PTINP00362172PTIN
Phone6305454500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIE BOGGESSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12833 N NORDICA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60634ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6928105GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHESDAHOME.COMWebSite
Type Of Organization AssociationXTypeOfOrganizationAssociation
Year Formation1909YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE NORWEIGAN 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers160TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year479162ContributionsGrantsPriorYear
Contributions Grants Current Year555224ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6626696ProgramServiceRevenuePriorYear
Program Service Revenue CY6334580ProgramServiceRevenueCY
Investment Income Prior Year5636InvestmentIncomePriorYear
Investment Income Current Year913InvestmentIncomeCurrentYear
Other Revenue Prior Year36122OtherRevenuePriorYear
Other Revenue Current Year24505OtherRevenueCurrentYear
Total Revenue Prior Year7147616TotalRevenuePriorYear
Total Revenue Current Year6915222TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4126387SalariesEtcPriorYear
Salaries Etc Current Year4054998SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3280258OtherExpensePriorYear
Other Expenses Current Year3186172OtherExpensesCurrentYear
Total Expenses Prior Year7406645TotalExpensesPriorYear
Total Expenses Current Year7241170TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-259029RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-325948RevenuesLessExpensesCY
Total Assets BOY9713129TotalAssetsBOY
Total Assets EOY9028263TotalAssetsEOY
Total Liabilities BOY3570485TotalLiabilitiesBOY
Total Liabilities EOY3211567TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6142644NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5816696NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE NORWEIGAN 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6211714Expense
Revenue6370298Revenue
DescriptionLONG-TERM AND ASSISTED LIVING SERVICES FOR THE ELDERLY. BETHESDA RETIREMENT HOME HAD A TOTAL OF 24,367 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 7,399 DAYS OF CARE FOR RESIDENTS OF PUBLIC ASSISTANCE.Description
Total Program Service Expense6211714TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAUL ROBERTSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7736226144TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12833 N NORDICA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60634ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JULIE BOGGESS
CEO40.00XX13914800
PAUL ROBERTS
CFO40.00XX11514800
CHANDLER BARNES
SECRETARY1.00X000
TOM NOESEN
CHAIRPERSON1.00X000
MARILYN WIDEMAN
DIRECTOR1.00X000
MARGARET SMITH
DIRECTOR1.00X000
DIRK DANKER
DIRECTOR1.00X000
JOHN LATTYAK
VICE CHAIR1.00X000
MARYBETH BUSCHMANN
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org254296TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALLIANCE REHAB
1520 KENSINGTON RDOAK BROOKIL60523PT, OT & ST SERVICES412404
HEALTHCARE SERVICE CORP
25550 NETWORK PLACECHICAGOIL606731255ONSITE SERVICES390177
CERES FOOD GROUP INC
5150 N NORTHWEST HWY SUITE 101CHICAGOIL606304696FOOD SERVICE355748
ALLIANCE PHARMACY SERVICES
1520 KENSINGTON RDOAK BROOKIL60523PHARMACY PROGRAM163718
MEDLINE INDUSTRIES
DEPT CH 14400PALATINEIL600564400MEDICAL PRODUCTS151737
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions555224AllOtherContributions
Total Contributions555224TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300032107583210758
MEDICARE/MEDICAID PAYM62300030976263097626
ANCILLARY SERVICES6230002619626196
FieldValueIRS element (for citing)
Total Program Service Revenue6334580TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2583TotalRevenueColumn
Exclusion$2,583ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real11213Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-11213Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-11213TotalRevenueColumn
Exclusion-$11,213ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1670Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1670Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1670TotalRevenueColumn
Exclusion-$1,670ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column35718TotalRevenueColumn
Related Or Exempt Function Income35718RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue35718TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6915222TotalRevenueColumn
Related Or Exempt Function Income6370298RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$10,300ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total254296Total
Management And General254296ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3171317Total
Program Services2795608ProgramServices
Management And General375709ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total37295Total
Management And General37295ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total350332Total
Program Services350332ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total241758Total
Program Services203693ProgramServices
Management And General38065ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44972Total
Management And General44972ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54555Total
Management And General54555ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33911Total
Management And General33911ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total129250Total
Program Services9746ProgramServices
Management And General119504ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total67120Total
Management And General67120ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total355696Total
Program Services355696ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4029Total
Management And General4029ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total82764Total
Program Services82764ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total493172Total
Program Services493172ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total254758Total
Program Services254758ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL THERAPY EXPENSE866600866600
DIETARY EXPENSES237282237282
PROFESSIONAL SERVICES201667201667
IDPA LONG-TERM CARE FAC170209170209

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total190187Total
Program Services190187ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7241170Total
Program Services6211714ProgramServices
Management And General1029456ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8288BOY
EOY890EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY910419BOY
EOY672143EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20703BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74701BOY
EOY48435EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14403194LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8008177LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6447610BOY
EOY6395017EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15452BOY
EOY15452EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2235956BOY
EOY1896326EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9713129BOY
EOY9028263EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1023046BOY
EOY1149772EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY79158EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1907407BOY
EOY1672637EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY547324BOY
EOY310000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY92708BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3570485BOY
EOY3211567EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6132744BOY
EOY5805484EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9900BOY
EOY11212EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6142644BOY
EOY5816696EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9713129BOY
EOY9028263EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-325948ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years976836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years869279CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years695285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year479162CurrentTaxYearMinus1Year
Current Tax Year555224CurrentTaxYear
Total3575786Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years976836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years869279CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years695285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year479162CurrentTaxYearMinus1Year
Current Tax Year555224CurrentTaxYear
Total3575786Total
FieldValueIRS element (for citing)
Public Support Total1703575786PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7330CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4806CurrentTaxYearMinus1Year
Current Tax Year913CurrentTaxYear
Total76064Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years61910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48817CurrentTaxYearMinus1Year
Current Tax Year35718CurrentTaxYear
Total215344Total
FieldValueIRS element (for citing)
Total Support3867194TotalSupport
Gross Receipts From Admissions Etc30774278GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.92460PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89450PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1895073OtherCostOrOtherBasis
Book Value1895073BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11554619OtherCostOrOtherBasis
Depreciation7341726Depreciation
Book Value4212893BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis953502OtherCostOrOtherBasis
Depreciation666451Depreciation
Book Value287051BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6395017TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUANCE FEES77976
INVESTMENT IN HEALTH RESOURCES ALLIANCE1371652
INVESTMENT IN RISK RETENTION GROUP239902
CEMETARY LOTS2192
DEFERRED DEVELOPMENT COSTS95628
OTHER ASSETS108976
FieldValueIRS element (for citing)
Total Book Value Other Assets1896326TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 2009 TAX YEAR.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
Date Issued2012-03-01DateIssued
Issue Price1948200IssuePrice
Description Of Purpose1999 BOND PAYOFFDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired275563AmountRetired
Total Proceeds1948200TotalProceeds
Issuance Costs From Proceeds38964IssuanceCostsFromProceeds
Capital Expenditures398783CapitalExpenditures
Other Spent Proceeds1510453OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CAGENDA ITEM AT THE BOARD MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE REVIEWS CEO AND DETERMINES COMPENSATION. THE CEO REVIEWS ALL OTHER MANAGERS' COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19ANY REQUESTS FOR 990S ARE HANDLED INTERNALLY. GUIDESTAR.ORG POSTS THE ASSOCIATION'S 990S.
FORM 990. PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
BETHESDA FOUNDATION
2833 NORTH NORDICA AVENUECHICAGOIL606349968363558526PROVIDE SUPPORT FOR NORWEGIAN LUTHERAN BETHESDA HOME.IL501(C)(3)LINE 11, TYPE IN/A0
BETHESDA CHARITABLE GROUP INC
2833 NORTH NORDICA AVENUECHICAGOIL606349968363557703HOLDING COMPANY FOR NORWEGIAN LUTHERAN AND BETHESDA FOUNDATIONIL501(C)(3)LINE 7N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1BETHESDA FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved400000AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

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