2012-07-09T16:03:44-05:00 2011-12-31 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2011-01-01 420685073 BETHANY MANOR INC BETH 5157334325 212 LAFAYETTE AVENUE STORY CITY IA 502481454 BETSY WARBURTON 5157334325 2012-06-27 1 CURTIS E BRAND CPA P00299230 5152253141 2011 2016-02-24 21:20:13Z BETHANY LIFE COMMUNITIES BETSY WARBURTON 212 LAFAYETTE AVENUE STORY CITY IA 502481454 13921752 0 X WWW.BETHANYLIFE.ORG X 1914 IA HELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE & COMPASSION. 9 9 253 270 -1565 -1565 287965 13793 12902167 13776926 42108 65555 166070 65478 13398310 13921752 0 0 0 0 7522975 7857701 0 0 0 5369628 5507173 12892603 13364874 505707 556878 19550991 20028887 12763587 12720802 6787404 7308085 TO HELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE AND COMPASSION. 0 0 10698043 13747657 PROVIDED 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. 10698043 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 83 0 1 253 1 0 0 0 0 0 1 1 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 1 0 IA X BETHANY MANOR INC 5157334325 212 LAFAYETTE AVENUE STORY CITY IA 50248 ROBERT HIGGINS 1.00 X X 0 0 0 SANDY RISDAL 1.00 X 0 0 0 DREW LARSON 1.00 X 0 0 0 SUSAN AMENSEN 1.00 X X 0 0 0 CHRISTINE TIMMONS 1.00 X 0 0 0 PASTOR RANDY GEHRING 1.00 X 0 0 0 JANE JACKSON 1.00 X 0 0 0 GARY HESTED 1.00 X X 0 0 0 NANCY CARROLL 1.00 X X 0 0 0 BETSY WARBURTON 40.00 X 133607 0 12518 AARON KELLER 40.00 X 81314 0 9139 214921 0 21657 1 0 0 0 HEALTHCARE SERVICES GROUP 15 SPINNING WHEEL DR HINSDALE IL 60521 HOUSEKEEPING SERVICES 530766 ONR 1101 STATE CAPITOL OF TEXAS HIGHWAY AUSTIN TX 78746 THERAPY SERVICES 498234 MERWIN PHARMACY 18 OLD HIGHWAY 8 NW STE B NEW BRIGHTON MN 55112 PHARMACY/CONSULTING SERVICES 204959 STORY CONSTRUCTION 300 S BELL AVE AMES IA 50010 CONSTRUCTION 139599 CBS STAFFING 7611 DOUGLAS AVE 36 URBANDALE IA 50322 STAFFING SERVICES 101182 5 13793 13793 RESIDENT CARE SERVICES 623000 13347470 13347470 PHARMACY/ANCILLARY 623000 189650 189650 AL/IL APT AND GARAGE R 623000 142351 142351 MEALS/VENDING AND TRAN 623000 97455 1143 96312 13776926 65555 65555 INSURANCE PROCEEDS 623000 55000 55000 HOME FOR LIFE 623000 13186 13186 PARTNERSHIP LOSS 621610 -2708 -2708 65478 13921752 13747657 -1565 161867 236578 236578 6333075 5774331 558744 48188 47028 1160 745280 650117 95163 494580 408134 86446 1786804 943786 843018 14904 701 14203 449336 39487 409849 104449 104449 911490 911490 47395 14365 33030 33950 19877 14073 826311 817854 8457 121755 121755 SUPPLIES 549393 549393 FOOD COSTS 476605 476605 MISCELLANEOUS EXPENSE 184781 44875 139906 13364874 10698043 2666831 0 1300 1300 3194960 4141155 1179689 1070877 36536 41058 347540 387924 23085023 8956319 14725769 14128704 65197 257869 19550991 20028887 928478 994168 1950109 1961634 9885000 9765000 12763587 12720802 X 6787404 7308085 6787404 7308085 19550991 20028887 X 556878 -36197 X 0 1 0 X 0 X 135057 126834 184081 287965 13793 747730 11089702 11286886 12114783 12965574 13747658 61204603 106550 105689 97455 309694 11224759 11413720 12405414 13359228 13858906 62262027 0 0 0 62262027 105629 65892 39466 42480 65555 319022 105629 65892 39466 42480 65555 319022 493 186 679 11330881 11479798 12444880 13401708 13924461 62581728 0.99490 0.99500 0.00510 0.00500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 226226 226226 20549029 7228010 13321019 245722 147701 98021 2064046 1580608 483438 14128704 13921752 13364874 556878 -39223 3026 -36197 520681 13882529 -39223 -39223 13921752 0 13921752 13364874 0 13364874 0 13364874 IOWA FINANCE AUTHORITY 521699886 46245AAD6 2006-11-21 10225000 REFUND SERIES 2001 AND SERIES 2002 BONDS, BUILDING CONSTRUCTION PROJECTS 0 1 0 120000 9885000 664459 8099588 190651 1270302 2007 1 1 1 1 0 0 0 0 1 0 0 0 1 ROYAL BANK 26.800000000000 1 0 0 GARY HESTED BOARD MEMBER THE ORGANIZATION HAS A $250,000 CERTIFICATE OF DEPOSIT WITH EXCHANGE BANK WHERE BOARD MEMBER IS CHIEF EXECUTIVE OFFICER OF THE BANK. 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THE 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 11 THE 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 12C THE 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 15 THE 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 18 THE FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: 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. BETHANY MANOR FOUNDATION INC 212 LAFAYETTE AVENUE STORY CITY IA 50248 396707107 SUPPORT THE OPERATIONS AND ACTIVITIES OF BETHANY MANOR,INC. IA 501(C)(3) LINE 11A, I 0 CEDAR PLACE INC 212 LAFAYETTE AVENUE STORY CITY IA 50248 421164744 TO PROVIDE AFFORDABLE HOUSING TO THE ELDERLY AND DISABLED PERSONS IA 501(C)(3) LINE 9 0 HOME FOR LIFE SOLUTIONS OF IOWA LLC 420 E 11TH STREET CEDAR FALLS IA 50613 272065745 SALES OF ELDERLY CARE SERVICES IA UNRELATED -2707 0 0 0.26740 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 BETHANY MANOR FOUNDATION INC N 134786 BETHANY MANOR FOUNDATION INC C 13793