2013-05-13T17:02:20-05:00 2012-12-31 362985665 WOLF & COMPANY LLP 1901 S MEYERS RD SUITE 500 OAKBROOK TERRACE IL 601815209 990 2012-01-01 362167819 NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION NORW 7736226144 2833 N NORDICA AVE CHICAGO IL 60634 PAUL ROBERTS 7736226144 2013-05-09 1 KEITH A FRIEDLEIN P00362172 6305454500 2012 2016-02-24 21:20:13Z JULIE BOGGESS 2833 N NORDICA AVE CHICAGO IL 60634 6928105 0 X WWW.BETHESDAHOME.COM X 1909 IL THE 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. 7 7 0 160 0 0 479162 555224 6626696 6334580 5636 913 36122 24505 7147616 6915222 0 0 0 0 4126387 4054998 0 0 0 3280258 3186172 7406645 7241170 -259029 -325948 9713129 9028263 3570485 3211567 6142644 5816696 X THE 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. 0 0 6211714 6370298 LONG-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. 6211714 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 59 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 1 1 1 1 1 1 IL X X PAUL ROBERTS 7736226144 2833 N NORDICA AVE CHICAGO IL 60634 JULIE BOGGESS 40.00 X X 139148 0 0 PAUL ROBERTS 40.00 X X 115148 0 0 CHANDLER BARNES 1.00 X 0 0 0 TOM NOESEN 1.00 X 0 0 0 MARILYN WIDEMAN 1.00 X 0 0 0 MARGARET SMITH 1.00 X 0 0 0 DIRK DANKER 1.00 X 0 0 0 JOHN LATTYAK 1.00 X 0 0 0 MARYBETH BUSCHMANN 1.00 X 0 0 0 254296 0 0 2 0 0 0 ALLIANCE REHAB 1520 KENSINGTON RD OAK BROOK IL 60523 PT, OT & ST SERVICES 412404 HEALTHCARE SERVICE CORP 25550 NETWORK PLACE CHICAGO IL 606731255 ONSITE SERVICES 390177 CERES FOOD GROUP INC 5150 N NORTHWEST HWY SUITE 101 CHICAGO IL 606304696 FOOD SERVICE 355748 ALLIANCE PHARMACY SERVICES 1520 KENSINGTON RD OAK BROOK IL 60523 PHARMACY PROGRAM 163718 MEDLINE INDUSTRIES DEPT CH 14400 PALATINE IL 600564400 MEDICAL PRODUCTS 151737 5 555224 555224 RESIDENT SERVICES 623000 3210758 3210758 MEDICARE/MEDICAID PAYM 623000 3097626 3097626 ANCILLARY SERVICES 623000 26196 26196 6334580 2583 2583 11213 -11213 -11213 -11213 1670 -1670 -1670 -1670 MISC. REVENUE 623000 35718 35718 35718 6915222 6370298 0 -10300 254296 254296 3171317 2795608 375709 37295 37295 350332 350332 241758 203693 38065 44972 44972 54555 54555 33911 33911 129250 9746 119504 67120 67120 355696 355696 4029 4029 82764 82764 493172 493172 254758 254758 MEDICAL THERAPY EXPENSE 866600 866600 DIETARY EXPENSES 237282 237282 PROFESSIONAL SERVICES 201667 201667 IDPA LONG-TERM CARE FAC 170209 170209 190187 190187 7241170 6211714 1029456 0 8288 890 910419 672143 20703 74701 48435 14403194 8008177 6447610 6395017 15452 15452 2235956 1896326 9713129 9028263 1023046 1149772 79158 1907407 1672637 547324 310000 92708 0 3570485 3211567 X 6132744 5805484 9900 11212 6142644 5816696 9713129 9028263 -325948 0 X X 0 1 X 1 0 X 976836 869279 695285 479162 555224 3575786 976836 869279 695285 479162 555224 3575786 3575786 48075 14940 7330 4806 913 76064 36177 32722 61910 48817 35718 215344 3867194 30774278 0.92460 0.89450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1895073 1895073 11554619 7341726 4212893 953502 666451 287051 6395017 BOND ISSUANCE FEES 77976 INVESTMENT IN HEALTH RESOURCES ALLIANCE 1371652 INVESTMENT IN RISK RETENTION GROUP 239902 CEMETARY LOTS 2192 DEFERRED DEVELOPMENT COSTS 95628 OTHER ASSETS 108976 1896326 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2009 TAX YEAR. A ILLINOIS FINANCE AUTHORITY 861091967 2012-03-01 1948200 1999 BOND PAYOFF 0 0 0 A 275563 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 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 400000 COST