FURP.ORG / PUBLIC DATA EXPLORER

BETHANY MANOR INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BETHANY MANOR INC (EIN 42-0685073)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-09
IRS object ID
201221919349300432
Schema version
2011v1.2
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)
Timestamp2012-07-09T16:03:44-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420732909EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYUN GIVENS & COMPANY PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 301AddressLine1
CityURBANDALECity
StateIAState
ZIP Code50322ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420685073EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHANY MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone5157334325Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1212 LAFAYETTE AVENUEAddressLine1
CitySTORY CITYCity
StateIAState
ZIP Code502481454ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETSY WARBURTONName
TitleCEOTitle
Phone5157334325Phone
Date Signed2012-06-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCURTIS E BRAND CPAName
PTINP00299230PTIN
Phone5152253141Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1BETHANY LIFE COMMUNITIESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETSY WARBURTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1212 LAFAYETTE AVENUEAddressLine1
CitySTORY CITYCity
StateIAState
ZIP Code502481454ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13921752GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHANYLIFE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1914YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionHELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE & COMPASSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees253TotalNbrEmployees
Total Nbr Volunteers270TotalNbrVolunteers
Total Gross UBI-1565TotalGrossUBI
Net Unrelated Business Txbl Income-1565NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year287965ContributionsGrantsPriorYear
Contributions Grants Current Year13793ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12902167ProgramServiceRevenuePriorYear
Program Service Revenue CY13776926ProgramServiceRevenueCY
Investment Income Prior Year42108InvestmentIncomePriorYear
Investment Income Current Year65555InvestmentIncomeCurrentYear
Other Revenue Prior Year166070OtherRevenuePriorYear
Other Revenue Current Year65478OtherRevenueCurrentYear
Total Revenue Prior Year13398310TotalRevenuePriorYear
Total Revenue Current Year13921752TotalRevenueCurrentYear
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 Year7522975SalariesEtcPriorYear
Salaries Etc Current Year7857701SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5369628OtherExpensePriorYear
Other Expenses Current Year5507173OtherExpensesCurrentYear
Total Expenses Prior Year12892603TotalExpensesPriorYear
Total Expenses Current Year13364874TotalExpensesCurrentYear
Revenues Less Expenses Prior Year505707RevenuesLessExpensesPriorYear
Revenues Less Expenses CY556878RevenuesLessExpensesCY
Total Assets BOY19550991TotalAssetsBOY
Total Assets EOY20028887TotalAssetsEOY
Total Liabilities BOY12763587TotalLiabilitiesBOY
Total Liabilities EOY12720802TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6787404NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7308085NetAssetsOrFundBalancesEOY
Mission DescriptionTO HELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE AND COMPASSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10698043Expense
Revenue13747657Revenue
DescriptionPROVIDED SKILLED NURSING AND NURSING FACILITY LEVELS OF CARE FOR APPROX 53,200 BED DAYS; PROVIDED REHABILITION SERVICES, ASSISTED LIVING AND INDEPENDENT LIVING UNITS, HEAD START AND CONGREGATE MEALS. THE NURSING HOME CAPACITY IS 180 BEDS, THE ASSISTED LIVING FACILITY HAS 24 UNITS, AND THE INDEPENDENT LIVING FACILITY HAS 36 UNITS. THEY OPERATE AT NEAR 100% CAPACITY.Description
Total Program Service Expense10698043TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109683NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees253NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledIAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETHANY MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5157334325TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1212 LAFAYETTE AVENUEAddressLine1
CitySTORY CITYCity
StateIAState
ZIP Code50248ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT HIGGINS
CHAIR1.00XX000
SANDY RISDAL
DIRECTOR1.00X000
DREW LARSON
DIRECTOR1.00X000
SUSAN AMENSEN
SECRETARY1.00XX000
CHRISTINE TIMMONS
DIRECTOR1.00X000
PASTOR RANDY GEHRING
DIRECTOR1.00X000
JANE JACKSON
DIRECTOR1.00X000
GARY HESTED
TREASURER1.00XX000
NANCY CARROLL
VICE CHAIR1.00XX000
BETSY WARBURTON
PRESIDENT/CEO40.00X133607012518
AARON KELLER
VICE PRESIDENT OF FINANCE40.00X8131409139
FieldValueIRS element (for citing)
Total Reportable Comp From Org214921TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21657TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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
HEALTHCARE SERVICES GROUP
15 SPINNING WHEEL DRHINSDALEIL60521HOUSEKEEPING SERVICES530766
ONR
1101 STATE CAPITOL OF TEXAS HIGHWAYAUSTINTX78746THERAPY SERVICES498234
MERWIN PHARMACY
18 OLD HIGHWAY 8 NW STE BNEW BRIGHTONMN55112PHARMACY/CONSULTING SERVICES204959
STORY CONSTRUCTION
300 S BELL AVEAMESIA50010CONSTRUCTION139599
CBS STAFFING
7611 DOUGLAS AVE 36URBANDALEIA50322STAFFING SERVICES101182
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations13793RelatedOrganizations
Total Contributions13793TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
RESIDENT CARE SERVICES6230001334747013347470
PHARMACY/ANCILLARY623000189650189650
AL/IL APT AND GARAGE R623000142351142351
MEALS/VENDING AND TRAN623000974551143$96,312
FieldValueIRS element (for citing)
Total Program Service Revenue13776926TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column65555TotalRevenueColumn
Exclusion$65,555ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
INSURANCE PROCEEDS6230005500055000
HOME FOR LIFE6230001318613186
PARTNERSHIP LOSS621610-2708-2708
FieldValueIRS element (for citing)
Total Other Revenue65478TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13921752TotalRevenueColumn
Related Or Exempt Function Income13747657RelatedOrExemptFunctionIncome
Unrelated Business Revenue-1565UnrelatedBusinessRevenue
Exclusion$161,867ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total236578Total
Management And General236578ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6333075Total
Program Services5774331ProgramServices
Management And General558744ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48188Total
Program Services47028ProgramServices
Management And General1160ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total745280Total
Program Services650117ProgramServices
Management And General95163ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total494580Total
Program Services408134ProgramServices
Management And General86446ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1786804Total
Program Services943786ProgramServices
Management And General843018ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14904Total
Program Services701ProgramServices
Management And General14203ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total449336Total
Program Services39487ProgramServices
Management And General409849ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total104449Total
Management And General104449ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total911490Total
Program Services911490ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total47395Total
Program Services14365ProgramServices
Management And General33030ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33950Total
Program Services19877ProgramServices
Management And General14073ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total826311Total
Program Services817854ProgramServices
Management And General8457ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total121755Total
Management And General121755ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES549393549393
FOOD COSTS476605476605
MISCELLANEOUS EXPENSE18478144875139906

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13364874Total
Program Services10698043ProgramServices
Management And General2666831ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1300BOY
EOY1300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3194960BOY
EOY4141155EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1179689BOY
EOY1070877EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36536BOY
EOY41058EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY347540BOY
EOY387924EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23085023LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8956319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14725769BOY
EOY14128704EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY65197BOY
EOY257869EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19550991BOY
EOY20028887EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY928478BOY
EOY994168EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1950109BOY
EOY1961634EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9885000BOY
EOY9765000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12763587BOY
EOY12720802EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6787404BOY
EOY7308085EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6787404BOY
EOY7308085EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19550991BOY
EOY20028887EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses556878ReconcilationRevenueExpenses
Reconcilation Other Changes-36197ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135057CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years126834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184081CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year287965CurrentTaxYearMinus1Year
Current Tax Year13793CurrentTaxYear
Total747730Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11089702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11286886CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12114783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12965574CurrentTaxYearMinus1Year
Current Tax Year13747658CurrentTaxYear
Total61204603Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years106550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105689CurrentTaxYearMinus1Year
Current Tax Year97455CurrentTaxYear
Total309694Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11224759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11413720CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12405414CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13359228CurrentTaxYearMinus1Year
Current Tax Year13858906CurrentTaxYear
Total62262027Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50962262027PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105629CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39466CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42480CurrentTaxYearMinus1Year
Current Tax Year65555CurrentTaxYear
Total319022Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105629CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39466CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42480CurrentTaxYearMinus1Year
Current Tax Year65555CurrentTaxYear
Total319022Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years186CurrentTaxYearMinus3Years
Total679Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11330881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11479798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12444880CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13401708CurrentTaxYearMinus1Year
Current Tax Year13924461CurrentTaxYear
Total62581728Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99490PublicSupportPercentage509
Prior Year Support Percentage0.99500PriorYearSupportPercentage
Investment Income Percentage0.00510InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00500PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis226226OtherCostOrOtherBasis
Book Value226226BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20549029OtherCostOrOtherBasis
Depreciation7228010Depreciation
Book Value13321019BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis245722OtherCostOrOtherBasis
Depreciation147701Depreciation
Book Value98021BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2064046OtherCostOrOtherBasis
Depreciation1580608Depreciation
Book Value483438BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14128704TotalOfBookValueLandBuildings
Total Revenue13921752TotalRevenue
Total Expenses13364874TotalExpenses
Excess Or Deficit For Year556878ExcessOrDeficitForYear
Net Unrealized GL On Investments-39223NetUnrealizedGLOnInvestments
Prior Period Adjustments3026PriorPeriodAdjustments
Total Adjustments-36197TotalAdjustments
Excess Or Deficit Per FS520681ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13882529TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-39223NetUnrealizedGainsInvestments
Revenue Not Rptd F990-39223RevenueNotRptdF990
Revenue Subtotal13921752RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013921752TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13364874TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13364874ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013364874TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IOWA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521699886IssuerEIN
CUSIP Number46245AAD6CUSIPNumber
Date Issued2006-11-21DateIssued
Issue Price10225000IssuePrice
Description Of PurposeREFUND SERIES 2001 AND SERIES 2002 BONDS, BUILDING CONSTRUCTION PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer1OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired120000AmountRetired
Total Proceeds9885000TotalProceeds
Amount In Reserve Fund664459AmountInReserveFund
Refunding Escrow8099588RefundingEscrow
Issuance Costs From Proceeds190651IssuanceCostsFromProceeds
Capital Expenditures1270302CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1ROYAL BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC26.800000000000TermOfGIC
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGARY HESTEDNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Description Of TransactionTHE ORGANIZATION HAS A $250,000 CERTIFICATE OF DEPOSIT WITH EXCHANGE BANK WHERE BOARD MEMBER IS CHIEF EXECUTIVE OFFICER OF THE BANK.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBER CHURCHES THAT SUPPORT THE ORGANIZATION'S MISSION. THEY PROVIDE SOME FINANCIAL SUPPORT, BUT ARE NOT REQUIRED TO GIVE FINANCIAL SUPPORT. THE MEMBER CHURCHES ARE EACH ALLOWED TO SEND DELEGATES, NUMBER BASED ON THE FORMULA SET OUT IN THE ARTICLES OF INCORPORATION AND BYLAWS, TO THE ANNUAL MEETING. THE MEMBER CHURCHES ARE NOT INVOLVED IN THE DAY TO DAY OPERATIONS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER CHURCHES SEND DELEGATES TO THE ANNUAL MEETING AND AT THE ANNUAL MEETING THE DELEGATES VOTE ON THE BOARD OF DIRECTOR NOMINEES.
FORM 990, PART VI, SECTION B, LINE 11THE GOVERNANCE COMMITTEE AND THE PRESIDENT/CEO REVIEW THE FORM 990. THE FORM 990 IS THEN PRESENTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE ITS SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION EMPLOYS AN INTEGRITY OFFICER, WHO THROUGH PERIODIC REVIEWS OF PERSONNEL AND RECORDS MONITORS COMPLIANCE. THE RESULTS OF REVIEWS ARE BROUGHT BEFORE THE INTEGRITY COMMITTEE FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 15THE REVIEW OF THE CEO IS PERFORMED BY THE FULL BOARD OF DIRECTORS. THE BOARD EVALUATES THE CEO USING AN EVALUATION TOOL AND CONSIDERS PERFORMANCE. THE GOVERNANCE COMMITTEE USES A COMPARATIVE ANALYSIS OF CEO'S SALARIES TO SET THE SALARY. EVALUATION OF OTHER OFFICERS ARE PERFORMED BY THE CEO ON A YEARLY BASIS AND DIRECT REPORTS ARE USED IN THE EVALUATION PROCESS. SALARIES ARE ESTABLISHED THROUGH PERFORMANCE AND A WAGE ANALYSIS.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -39,223. PRIOR PERIOD ADJUSTMENTS: 3,026. TOTAL TO FORM 990, PART XI, LINE 5: -36,197.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
BETHANY MANOR FOUNDATION INC
212 LAFAYETTE AVENUESTORY CITYIA50248396707107SUPPORT THE OPERATIONS AND ACTIVITIES OF BETHANY MANOR,INC.IA501(C)(3)LINE 11A, I0
CEDAR PLACE INC
212 LAFAYETTE AVENUESTORY CITYIA50248421164744TO PROVIDE AFFORDABLE HOUSING TO THE ELDERLY AND DISABLED PERSONSIA501(C)(3)LINE 90

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HOME FOR LIFE SOLUTIONS OF IOWA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 E 11TH STREETAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode
FieldValueIRS element (for citing)
EIN272065745EIN
Primary ActivitySALES OF ELDERLY CARE SERVICESPrimaryActivity
Legal Domicile StateIALegalDomicileState
Predominant Income TypeUNRELATEDPredominantIncomeType
Share Of Total Income-2707ShareOfTotalIncome
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.26740PercentageOwnership
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
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 Employees1SharingOfPaidEmployees
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BETHANY MANOR FOUNDATION INC
N134786
BETHANY MANOR FOUNDATION INC
C13793