2012-07-02T13:41:48-05:00 2011-08-31 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-09-01 410706155 AMERICAN BAPTIST HOMES OF THE MIDWEST INC AMER 9529413175 14850 SCENIC HEIGHTS ROAD NO 125 EDEN PRAIRIE MN 55344 JEFF HONGSLO 9529413175 2012-06-19 1 6123764500 2010 2016-02-24 21:20:13Z DAVID ZWICKEY 14850 SCENIC HEIGHTS ROAD NO 125 EDEN PRAIRIE MN 55344 47495560 0 X WWW.ABHOMES.NET X 1930 MN TO PROVIDE NURSING HOME CARE AND HOUSING TO LOW INCOME, ELDERLY, AND DISABLED PERSONS. 17 16 1495 550 0 0 108518 274467 45868768 47035739 296399 185354 0 0 46273685 47495560 0 0 0 0 30681720 31423758 0 0 0 16378400 19277049 47060120 50700807 -786435 -3205247 74244818 75385944 78368597 82694639 -4123779 -7308695 X AMERICAN BAPTIST HOMES OF THE MIDWEST, EMBRACING OUR CHRISTIAN HERITAGE AND MISSION, SEEKS TO CREATE AND ENCOURAGE CARING COMMUNITIES OFFERING HEALTH CARE, HOUSING, AND SUPPORTIVE SERVICES TO PEOPLE OF MANY AGES, CULTURES AND CONDITIONS. WE ENDEAVOR TO PROVIDE ENVRIONMENTS WHICH NURTHER SELF-WORTH, HOPE AND DIGNITY. 0 0 44276012 0 47035739 SKILLED NURSING FACILITIES: THE SKILLED NURSING FACILITIES OF THE OBLIGATED GROUP (INCLUDING BOARD & CARE AND BASIC CARE UNITS) PROVIDE HEALTH CARE AND CONVALESCENT TREATMENT PRIMARILY FOR IN-PATIENT ELDERLY PERSONS, INCLUDING THOSE ADMITTED AS AN INTERMEDIATE STEP AFTER HOSPITALIZATION AND BEFORE RETURNING TO THEIR HOMES, AS WELL AS THOSE ADMITTED FOR LONG-TERM RESIDENCY. THE SKILLED NURSING FACILITIES ARE LICENSED UNDER THE REGULATIONS OF THE STATE IN WHICH THEY OPERATE, AND ARE CERTIFIED AS NURSING FACILITIES UNDER BOTH THE STATE MEDICAID AND FEDERAL MEDICARE PROGRAMS. CERTIFICATION REQUIRES THAT THE FACILITIES PROVIDE CONTINUOUS REGISTERED NURSE SUPERVISION AND SPECIFIC RATIOS OF NURSING PERSONNEL PER RESIDENT.THE SKILLED NURSING FACILITY RESIDENTS RECEIVE 24-HOUR NURSING CARE, ALL MEALS (AND SPECIAL DIETS AS REQUIRED) AND SUCH DRUGS AND THERAPY AS MAY BE PRESCRIBED BY THE RESIDENT'S PHYSICIAN. THREE BALANCED MEALS ARE PROVIDED TO EACH RESIDENT DAILY, IN THE RESIDENT'S ROOM OR AT A CENTRAL DINING LOCATION. LIGHT SNACKS ARE PROVIDED DURING THE DAY AND AT BEDTIME. EACH SKILLED NURSING FACILITY IS ADMINISTERED ON LOCATION BY A FULL-TIME ADMINISTRATOR LICENSED BY THE STATE. A DIRECTOR OF NURSING SERVICES, WHO IS A CERTIFIED NURSE, IS RESPONSIBLE FOR SUPERVISING THE REGISTERED NURSES, LICENSED PRACTICAL NURSES AND REGISTERED NURSING ASSISTANTS WORKING AT THE SKILLED NURSING FACILITIES. SOCIAL SERVICE PROGRAMS ARE PROVIDED BY SOCIAL WORKERS UNDER THE SUPERVISION OF A LICENSED STAFF MEMBER OR GUIDED BY A CONSULTING SOCIAL WORKER AND ASSISTED BY VOLUNTEER AUXILIARY GROUPS. EACH OF THE SKILLED NURSING FACILITIES HAS A CONSULTING PHYSICIAN ON CALL WHO IS AVAILABLE TO THE RESIDENTS AT THE FACILITY. IN ADDITION, THE SKILLED NURSING FACILITIES ARRANGE WITH HOSPITALS FOR TRANSFER OF RESIDENTS BETWEEN THE FACILITIES AND HOSPITALS WHEN NECESSARY.THE SKILLED NURSING FACILITIES PROVIDE RESIDENT ROOMS DESIGNED PRINCIPALLY FOR TWO BEDS, BUT ALSO INCLUDE SOME ONE-BED ROOMS. EACH SKILLED NURSING FACILITY CONTAINS ONE OR MORE DINING ROOMS, ONE OR MORE RECREATION AREAS, DAY ROOMS, THERAPY AREA, FULLY-EQUIPPED KITCHEN AND LAUNDRY FACILITIES. ALL SKILLED NURSING FACILITIES HAVE APPROVED FIRE DETECTION AND ALARM SYSTEMS. EACH SKILLED NURSING FACILITY PROVIDES A BEAUTY AND BARBER SHOP ON LOCATION.ASSISTED LIVING FACILITIES: THE ASSISTED LIVING FACILITIES ARE DESIGNED AND OPERATED TO ALLOW SENIOR ADULTS TO LIVE AND ENJOY AN INDEPENDENT LIFESTYLE IN A SECURE AND CONVENIENT COMMUNITY ATMOSPHERE. FULL-TIME PROFESSIONAL MANAGERS PROVIDE ASSISTANCE TO RESIDENTS. A NURSE CALL SYSTEM MONITORED 24 HOURS DAILY PUTS THE RESIDENTS IN CONTACT WITH NURSING SERVICE STAFF. DAILY HOUSEKEEPING, INCLUDED IN THE COST OF RENT, HELPS THE RESIDENTS WITH CLEANING CHORES AND PROVIDES AN OPPORTUNITY FOR FACILITY STAFF TO MONITOR THE WELL-BEING OF THE RESIDENTS. SOCIAL AND ACTIVITY PROGRAMS PROVIDE RESIDENTS WITH THE OPPORTUNITY TO FULLY ENJOY THE FACILITIES AND ARE DESIGNED TO MEET THE SOCIAL AND EMOTIONAL NEEDS OF THE RESIDENTS. ADDITIONAL SERVICES PROVIDED INCLUDE: PHYSICAL THERAPY, TRANSPORTATION, LAUNDRY SERVICES AND BLOOD PRESSURE CHECKS. MEAL SERVICE IS INCLUDED IN THE MONTHLY FEE FOR THE ASSISTED LIVING FACILITIES. INDEPENDENT LIVING COMMUNITIES: THE INDEPENDENT LIVING COMMUNITIES OFFER A CONTINUUM OF SERVICES ON A CAMPUS SETTING. THESE INDEPENDENT LIVING FACILITIES ARE DESIGNED AND OPERATED TO ALLOW SENIOR ADULTS TO LIVE AND ENJOY AN INDEPENDENT LIFESTYLE IN A SECURE AND CONVENIENT COMMUNITY ATMOSPHERE. FULL-TIME PROFESSIONAL MANAGERS PROVIDE ASSISTANCE TO RESIDENTS. THE OBLIGATED GROUP'S INDEPENDENT LIVING COMMUNITIES PROVIDE OR ASSIST IN ARRANGEMENTS FOR ADDITIONAL SERVICES SUCH AS VISITING NURSES, CHORE SERVICES, OR OTHER PERSONAL NEED SERVICES. ALL INDEPENDENT LIVING SETTINGS HAVE A PLANNED ACTIVITY PROGRAM, A VARIETY OF MEAL PLANS AVAILABLE, WEEKLY HOUSEKEEPING AND TRANSPORTATION SERVICES PROVIDED. SPECIALIZED PROGRAMS FOR HEALTH AND WELLNESS ARE ALSO AVAILABLE FOR A NOMINAL FEE OR WILL BE AVAILABLE SOON. VISITOR QUARTERS ARE AVAILABLE FOR FAMILY MEMBERS AND MEALS MAY BE PURCHASED FOR VISITORS AS NEEDED. AN EMERGENCY CALL SYSTEM MONITORED 24 HOURS DAILY PUTS THE RESIDENTS IN CONTACT WITH EMERGENCY MEDICAL SERVICES. GROUP HOMES FOR DEVELOPMENTALLY DISABLED (CREST SERVICES): CREST SERVICES, A DIVISION OF ABHM, PROVIDES RESIDENTIAL SERVICES TO PERSONS WITH DISABILITIES IN IOWA AND MINNESOTA. THE MAJORITY OF THE INDIVIDUALS SERVED ARE THOSE WITH A PRIMARY DIAGNOSIS OF MENTAL RETARDATION, OTHERS MAY HAVE SOME TYPE OF BRAIN INJURY OR OTHER TYPE OF DEVELOPMENTAL DISABILITY. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS INCLUDING THE INDIVIDUAL'S OWN APARTMENT UNDER THE HOME AND COMMUNITY BASED SERVICES (HCBS) PROGRAM OR A SMALL GROUP HOME SETTING WITH TWO TO FOUR INDIVIDUALS (TYPICALLY, A MODESTLY SIZED HOME LOCATED IN A RESIDENTIAL NEIGHBORHOOD). CREST SERVICES DOES MAINTAIN ONE LARGER GROUP HOME SERVING FIFTEEN INDIVIDUALS IN OTTUMWA, IOWA. THE CREST SERVICES STAFF WORKS IN CONJUNCTION WITH THE PRIMARY CONSUMER, THEIR FAMILY, THE MEDICAL TEAM, COUNTY AND STATE SOCIAL SERVICE STAFF TO PROVIDE TAILORED SERVICES FOR THE INDIVIDUAL. SERVICES PROVIDED INCLUDE HEALTH CARE AND ASSISTANCE WITH ACTIVITIES OF DAILY LIVING (BATHING, GROOMING, DRESSING, ETC), DEVELOPMENT OF JOB OR SOCIAL SKILLS, RECREATIONAL ACTIVITIES, BUDGETING AND BASIC FINANCIAL PLANNING. RESPITE SERVICES ARE ALSO PROVIDED AS NEEDED. THE PRIMARY FUNDING SOURCE IS THROUGH CERTIFICATION IN THE HCBS WAIVER PROGRAMS, WHICH WAIVES THE COST OF CERTAIN HEALTHCARE SERVICES, ALTHOUGH THERE ARE SEVERAL WAIVER PROGRAMS FUNDED WITH FEDERAL DOLLARS, I.E., MENTAL RETARDATION, BRAIN INJURY, ELDERLY. PERSONS WITH A DEVELOPMENTAL DISABILITY (DD), OTHER THAN MENTAL RETARDATION (EXCLUDING MENTAL ILLNESS) ARE SERVED UNDER THE COUNTY PAID CHAPTER 24 CERTIFIED PROGRAMS IN BOTH IOWA AND MINNESOTA. MINNESOTA PROVIDES A PARENTING PROGRAM FOR FAMILIES IN NEED OF TRAINING AND SUPPORT IN ORDER TO KEEP FAMILIES INTACT USING COUNTY FUNDING. CREST SERVICES ALSO PROVIDES PSYCHOLOGICAL COUNSELING SERVICE TO CHILDREN USING PRIVATE INSURANCE COVERAGE AND MEDICAID FUNDING.JUST AS ABHM SEEKS TO FULFILL OUR MISSION THROUGH THOSE WE SERVE, WE ALSO UNDERSTAND THAT MISSION CALLS US TO CONTRIBUTE TO THE GREATER COMMUNITIES IN WHICH WE LIVE AND WORK. THIS DUAL COMMITMENT BOTH DESCRIBES OUR PAST AND DEFINES OUR FUTURE BY REINFORCING THE CORE PRINCIPLES AND FAITH THAT GUIDE OUR WORK.THE INFORMATION THAT FOLLOWS IS A DETAILED DESCRIPTION AND ESTIMATED VALUE OF ALL CHARITABLE CONTRIBUTIONS GIVEN IN FISCAL YEAR 2011 BY ABHM, ITS CONTINUING CARE RETIREMENT COMMUNITIES, NURSING HOMES AND AFFORDABLE HOUSING RETIREMENT COMMUNITIES.DIRECT BENEVOLENCE TO CONTINUING CARE RESIDENTS BY ABHM DURING FISCAL YEAR 2011 WAS $24,000. ADJUSTMENTS OF $1,039,000 WERE MADE TO ABHM RESIDENTS DURING FISCAL YEAR 2011 REPRESENTING MEDICAID CONTRACTS THAT DID NOT PAY THE FULL AMOUNT FOR THEIR CARE.COMMUNITY BENEFITS TO RESIDENTS, EMPLOYEES AND COMMUNITY:THORNE CREST: PROVIDED RELIGIOUS SERVICES TO RESIDENTS, A CAREGIVER GROUP, A SENIOR SHOP FOR RESIDENTS, RSVP TAX SERVICES, VETERAN'S BIRTHDAYS,JOHN ULLAND MUSIC GATHERING, A WELLNESS FAIR, 7TH ANNUAL CAR SHOW, TRACTOR PARADE, WHISTLE STOP MUSIC GATHERING, SPONSORED PRESENTATIONS ON SENIOR SCAM AND IDENTITY THEFT.ELM CREST: PROVIDED A HOSPITALITY ROOM FOR FAMILY MEMBERS OF RESIDENTS AND PROVIDED THE MCKEE COMMUNITY ROOM FOR VARIOUS EVENTSMAPLE CREST: PROVIDED RELIGIOUS SERVICES FOR THE COMMUNITY AND EDUCATIONAL ACTIVITIES FOR RESIDENTS AND COMMUNITY OUTREACH SUPPORTTRAIL RIDGE: PROVIDED MEMORIAL SERVICES, PRESENTATIONS ON ESTATE PLANNING, WELLNESS CLASSES FOR STAFF AND A HEALTH FAIRTUDOR OAKS: PROVIDED WELLNESS CENTER ACCESS TO GUESTS AND STAFF, HOSTED EDUCATIONAL EVENTS ON DOWNSIZING, DRIVER SAFETY AND SENIOR HEALTH FAIRUSE OF THE COMMUNITY FACILITIES:THORNE CREST, ELM CREST, KENMARE, TUDOR OAKS AND TRAIL RIDGE HOSTED EVENTS AND PROVIDED SPACE FOR VARIOUS GROUPS INCLUDING THE FOLLOWING: THE DOLL CLUB, CHESS CLUB, CHURCH MEETINGS, LUNCH AND LEARN SESSIONS, BOOK CLUBS, BIBLE STUDIES, WEIGHT WATCHERS, HOMEMAKERS CLUB, KIWANIS CLUB, BESSY'S HOPE AND 4H CLUB.OTHER BENEFITS TO THE BROADER COMMUNITY:VOLUNTEER AND OTHER SERVICES TO COMMUNITY ORGANIZATIONS BY RESIDENTS AND STAFF OF ABHM AND ITS COMMUNITIES: STAFF SERVICE ON AN ADVISORY BOARD FOR NURSING, VOLUNTEERED ON A HOME HEALTH ADVISOR GROUP AT A LOCAL HOSPITAL, PARTICIPATED IN GROUP RESOURCE MEETING, HOSTED MINNESOTA TWINS CARAVAN, PARKINSON'S ASSOCIATION ANNUAL MEETING, PRESENTED VARIOUS SEMINARS AND PROVIDED ACCOUNTING SERVICES FOR MURROW INDIAN CHILDREN'S HOME. 44276012 1 1 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 189 0 1 1495 1 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X JEFF BREDT 9522531459 14850 SCENIC HEIGHTS ROAD NO 125 EDEN PRAIRIE MN 55344 DAVE ZWICKEY 40.00 X X 261893 0 8543 TED HERTEL JR 1.00 X X 0 0 0 BOB SLECHTA 1.00 X X 0 0 0 JUDY ZEA 1.00 X 0 0 0 EUGENE ALLEN 1.00 X 0 0 0 JAN DEWITT 1.00 X 0 0 0 ONNIE DRAIN 1.00 X 0 0 0 GARY L GROGAN 1.00 X 0 0 0 PHILIP HANSON 1.00 X 0 0 0 MERLE JOHNSON 1.00 X 0 0 0 KEVIN LOWE 1.00 X 0 0 0 JERE MADDUX 1.00 X 0 0 0 BILL MILLS 1.00 X 0 0 0 MARSHALL PETERS 1.00 X 0 0 0 ARLO REICHTER 1.00 X 0 0 0 STEVEN VAN OSTRAN 1.00 X 0 0 0 BARBARA WOODS 1.00 X 0 0 0 JEFF HONGSLO 40.00 X 152590 0 16260 TIM O'BRIEN 40.00 X 100000 0 6796 JEFF AMANN 40.00 X 162584 0 16696 ROGER HENNEN 40.00 X 119430 0 7685 DAVID CHARRON 40.00 X 112270 0 1576 CHARLES LAMSON 40.00 X 110083 0 9466 MIKE JARRELL 40.00 X 99982 0 9523 DIANE BAUMGARTNER 40.00 X 109279 0 2327 CLAUDIA RARDIN 40.00 X 137700 0 6717 1265829 0 76066 12 1 1 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY PROVIDER 763468 REHABVISIONS 11623 ARBOR STREET OMAHA NE 68144 THERAPY PROVIDER 246509 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY 203936 CARMEN PORCO 7 N PICKNEY ST 344 MADISON WI 53703 MANAGEMENT 182976 JOHN MAREK PO BOX 270463 MILWAUKEE WI 53227 CONTRACTOR 156325 8 274467 274467 RESIDENT REVENUE 623000 40538484 40538484 MANAGEMENT FEES 623990 4458691 4458691 ACCOMODATION FEES 623990 1368788 1368788 OTHER REVENUE 623990 679776 679776 INSURANCE PROCEEDS 623990 -10000 -10000 47035739 87945 87945 18376 79033 18376 79033 97409 97409 47495560 47035739 0 185354 563705 563705 25781193 25738276 42917 175426 175121 305 3113176 3107908 5268 1790258 1787263 2995 2481878 2481878 314993 314993 22448 22448 793434 735583 57851 475388 475388 2225655 1190764 1034891 2166195 1767231 398964 182439 182439 2742183 2660936 81247 2846530 2762191 84339 609555 591495 18060 MISCELLANEOUS 2000800 788792 1212008 FOOD 1548316 1548316 0 PHARMACY 542516 542516 0 REPAIRS 295477 286722 8755 LICENSES 29242 29193 49 50700807 44276012 6424795 0 1323881 1128968 4329182 4625627 276365 266861 758769 233611 85853990 33952397 45545438 51901593 1869948 3225454 5000 5000 1722312 2321327 18413923 11677503 74244818 75385944 12165886 9535538 9740516 16675013 47953537 47728251 1219013 245405 3056409 3151410 4233236 5359022 78368597 82694639 X -4205789 -7341179 82010 32484 -4123779 -7308695 74244818 75385944 X -3205247 20331 X 0 1 1 X 0 X 235707 179391 133239 108518 274467 931322 40204022 45074963 44886288 45868768 47035739 223069780 40439729 45254354 45019527 45977286 47310206 224001102 0 0 0 224001102 269547 321141 182568 162960 87945 1024161 269547 321141 182568 162960 87945 1024161 40709276 45575495 45202095 46140246 47398151 225025263 0.99540 0.99500 0.00460 0.00500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1394448 1394448 67675183 22978785 44696398 1701633 646010 1055623 14253357 10159292 4094065 829369 168310 661059 51901593 CASH SURRENDER VALUE LIFE INS 378289 DUE FROM RELATED ORGANIZATIONS 202916 SECURITY DEPOSITS 245405 BOND FUNDS 10850893 11677503 REFUNDABLE ACCOMMODATION FEES 4819872 RESERVE FOR GIFT ANNUITIES 77464 LOANS AGAINST CSV OF LIFE INSURANCE 272931 ASSET RETIREMENT OBLIGATION 188755 5359022 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF VARIOUS TRUST FUNDS ON BEHALF OF THE RESIDENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION FOLLOWS THE STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES. X X X 1 0 0 0 0 0 0 0 0 DAVE ZWICKEY 254616 0 0 0 7277 0 3402 0 5141 0 270436 0 0 0 JEFF HONGSLO 152563 0 0 0 27 0 2816 0 13444 0 168850 0 0 0 JEFF AMANN 159874 0 0 0 2710 0 3252 0 13444 0 179280 0 0 0 CLAUDIA RARDIN 137700 0 0 0 0 0 1514 0 5203 0 144417 0 0 0 PART I, LINE 4A CLAUDIA RARDIN - $61,983 (SEVERANCE) COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AEX9 2007-08-01 21085000 REFINANCE EXISTING DEBT, CAPITAL EXPENDITURES AND OPERATIONAL RESERVE FUND 0 0 0 COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648ASD8 2009-12-23 28115000 CONSTRUCT NEW INDEPENDENT LIVING UNITS 0 0 0 1005000 21085000 776265 626121 1314060 18368554 2010 1 1 1 1 28115000 3157212 1453732 23504056 2011 0 0 1 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 ROYAL BANK OF CANADA 8.000000000000 1 0 0 1 0 0 1 CALYON 2.000000000000 1 0 0 FORM 990, PART VI, SECTION A, LINE 1 AN EXECUTIVE COMMITTEE, COMPOSED OF THE CHAIR, VICE CHAIR, PRESIDENT/CEO AND THREE ADDITIONAL DIRECTORS, EXERCISES ALL OF THE POWERS OF THE BOARD OF DIRECTORS, BUT ONLY DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. ANY ACTIONS OF THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWED THE FORM 990 AT THEIR QUARTERLY MEETING PRIOR TO FILING. THEY RECEIVED COPIES OF THE DRAFT AND THE DETAIL WAS REVIEWED AT THAT TIME. COPIES OF THE 990 WERE THEN PROVIDED TO BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST FORM IS SIGNED BY ALL BOARD DIRECTORS, ADMINISTRATORS, HOME OFFICE DIRECTORS AND VICE PRESIDENTS. AT THAT TIME, ANY POTENTIAL CONFLICT OF INTEREST IS NOTED ON THE FORM. THE INFORMATION IS GIVEN TO THE CEO, BOARD PRESIDENT AND AUDIT COMMITTEE CHAIR. AT THAT TIME, ANY POTENTIAL CONFLICTS ARE REVIEWED. IF A CONFLICT EXISTS, THE CONFLICTED INDIVIDUAL EITHER HAS TO CORRECT THE CONFLICT OF INTEREST OR MUST ABSTAIN FROM PARTICIPATION REGARDING THE CONFLICT OF INTEREST TOPIC. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS HAS A MANAGEMENT REVIEW COMMITTEE THAT REVIEWS THE CEO'S COMPENSATION. THE COMMITTEE DETERMINES ANY COMPENSATION ADJUSTMENTS TO THE CEO. THE CEO, EXECUTIVE DIRECTORS AND OTHER TOP MANAGEMENT POSITIONS ARE COMPARED TO THE MOST RECENT CHIEF EXECUTIVES OF MULTI-FACILITY ORGANIZATIONS (CEMO) STUDY TO DETERMINE HOW THEIR COMPENSATION COMPARES TO PEER ORGANIZATIONS. THE INFORMATION IS THEN REVIEWED BY THE SENIOR LEADERSHIP TEAM. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 20,331. AVERAGE WEEKLY HOURS FORM 990, PART VII, SECTION A THE INDIVIDUALS COMPENSATED BY AMERICAN BAPTIST HOMES OF THE MIDWEST ("ABHM") ALSO SERVE ABHM'S RELATED ORGANIZATIONS. EACH INDIVIDUAL SPENDS 40+ HOURS EACH WEEK SERVING ABHM AND ITS RELATED ORGANIZATIONS. BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS 4800 TABOR ST WHEAT RIDGE CO 80033 840528764 PROVIDE HOUSING AND CARE FOR THE ELDERLY CO 501(C)(3) 9 N/A 1 RESIDENCE AT FRANKLIN PARK INC 1535 FRANKLIN ST DENVER CO 80218 840630940 HOUSING FOR LOW-INCOME SENIORS CO 501(C)(4) N/A ABHM BHARM 1 AMERICAN BAPTIST HOMES OF THE MIDWEST FOUNDATION 14850 SCENIC HEIGHTS RD 125 EDEN PRAIRIE MN 55344 411803304 PHILANTHROPY MN 501(C)(3) 11 TYPE 1 N/A 1 BAPTIST HOME ASSOC OF THE ROCKY MOUNTAINS - AFFILIATES 14850 SCENIC HEIGHTS RD 125 EDEN PRAIRIE MN 55344 742755828 HOUSING AND CARE FOR THE ELDERLY CO 501(C)(3) 9 ABHM BHARM 1 THE CROSSING AT TUDOR OAKS 14850 SCENIC HEIGHTS RD 125 EDEN PRAIRIE MN 55344 203346875 INACTIVE MN 501(C)(3) 9 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS P 9885000 CASH