AMERICAN LUTHERAN HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AMERICAN LUTHERAN HOMES INC (EIN 45-0274012)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-27
IRS object ID
201242409349300304
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)
Timestamp2012-08-27T08:39:31-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1
CityFARGOCity
StateNDState
ZIP Code581082545ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450274012EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1American Lutheran Homes IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone7012393000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 S University DriveAddressLine1
CityFargoCity
StateNDState
ZIP Code58103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameShawn StuhaugName
TitlePresident/CEOTitle
Phone7012393000Phone
Date Signed2012-08-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM C HUNWARDSENName
PTINP00484560PTIN
Phone7012398500Phone
Date Prepared2012-08-20DatePrepared
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 On UniversityBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonShawn StuhaugNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 S University DriveAddressLine1
CityFargoCity
StateNDState
ZIP Code58103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18561203GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.bethanynd.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionLong term care servicesActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees930TotalNbrEmployees
Total Nbr Volunteers214TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year192964ContributionsGrantsPriorYear
Contributions Grants Current Year14396ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17409120ProgramServiceRevenuePriorYear
Program Service Revenue CY18526794ProgramServiceRevenueCY
Investment Income Prior Year15143InvestmentIncomePriorYear
Investment Income Current Year-1354InvestmentIncomeCurrentYear
Other Revenue Prior Year110069OtherRevenuePriorYear
Other Revenue Current Year-542OtherRevenueCurrentYear
Total Revenue Prior Year17727296TotalRevenuePriorYear
Total Revenue Current Year18539294TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11800826SalariesEtcPriorYear
Salaries Etc Current Year11482107SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5370665OtherExpensePriorYear
Other Expenses Current Year5403767OtherExpensesCurrentYear
Total Expenses Prior Year17176491TotalExpensesPriorYear
Total Expenses Current Year16885874TotalExpensesCurrentYear
Revenues Less Expenses Prior Year550805RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1653420RevenuesLessExpensesCY
Total Assets BOY24778842TotalAssetsBOY
Total Assets EOY25861572TotalAssetsEOY
Total Liabilities BOY13705688TotalLiabilitiesBOY
Total Liabilities EOY13134998TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11073154NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12726574NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo provide living opportunities in a senior community shaped by Christian values.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14930545Expense
Revenue18526794Revenue
DescriptionService to the communityAmerican Lutheran Homes, Inc. (ALH) operates as a charitable organization consistent with the requirements of Internal Revenue Code Section 501(c)(3). ALH provides long term care services including skilled nursing care, assisted living, basic care and independent senior housing. ALH does not discriminate against individuals in the admissions process or in the delivery of care with regard to ability to pay for services. The assisted living facilities operated by ALH primarily serve low-income elderly residents. The Organization's cash reserves are generally applied to expansion and replacement of existing facilities and equipment, amortization of mortgages, improvement in resident care, training and education, and community benefit activities. The governing board of ALH is made up of leaders in the Fargo-Moorhead business community. Consistent with its charitable mission, ALH provides community benefit to the area served. In 2011, community benefit activities included:- Speaker's bureau services - provides free educational sessions to agencies and individuals in the community on topics such as: From Independent Living to Skilled Care - A LTC Overview 10 Things You Want To Know About Nursing Homes Early Dementia Care HIPAA - Protecting Information About You The A, B, C, D's Of Medicare Seniors and Spirituality Managing Your Resources - Estate Planning Activity With A Purpose Volunteerism - The Rewards Of Giving Yourself- Groups to which our speaker's bureau presented information included service clubs, churches, parish nurse groups, and senior centers.- Endings and Beginnings - a support group for family members dealing with a loved one diagnosed with Alzheimer's disease - Provides virtual dementia / sensitivity training to employees and community members. This training program teaches participants about the challenges and frustrations of an elderly nursing home resident in managing day-to-day tasks and activities. Participants learn through active involvement in a simulation exercise what is it like to be challenged by issues like hearing impairment, deteriorating vision, dementia, loss of control of their environment, communication difficulties, etc.- Volunteerism - coordinates a volunteer program that included approximately 214 volunteers giving over 16,800 hours of service, providing mental stimulation and emotional support to ALH's 352 elderly residents. Volunteers included members of sponsoring churches, experience works program volunteers, and many student volunteers from the community's schools - elementary, middle, high schools and colleges. ALH provides meeting space for the community's Director of Volunteer Services Association.- Tuition assistance - ALH recognizes that to continuously improve the Organization's value to our community and our residents, to encourage life-long learning among employees and to achieve an "employer of choice" status, it is in our best interest to provide opportunities that will assist eligible employees in pursuing formal, healthcare-related educational opportunities. ALH administers two internal scholarship programs, funded by donations. These programs provide schlarship opportunities to Bethany employees pursuing nursing education.- School Partnerships - ALH works with area nursing and other healthcare-related programs to provide on-site training opportunities for students. In 2011, we had approximately 150 nursing students complete clinical experiences at our facility. We also provided clinical site experience for the CNA training program and dietetic students, and internship opportunities for students in social worker programs, LTC administration and pre-med students for observation of Alzheimer's residents. We hosted visiting students from several higher education classes including: gender and aging class from North Dakota State University (NDSU) Department of Human Development; long term care planning class from NDSU's interior design program; Concordia College class from the long term care administration program.- Assessment and referral services - our staff help to refer individuals needing long term care services to the appropriate agency in the community. ALH licensed social workers provide guidance with medical assistance applications for residents/families.- Through in-kind gifts of equipment and other materials, ALH helps support the work of the following agencies: Project HERO Dakota Boys' and Girls' Ranch New Life Center Rape and Abuse Crisis Center YWCA programs- Community support - ALH provides meeting room space and accommodations for non-profit organizations and community groups. Several of our resident activity programs are open to community members. In 2011, these activities included an outdoor concert, carnival, special Christmas events, and several food festivals. ALH also supports and sponsors the Northern Plains Conference on Aging and Disability, as well as sponsoring the RSVP program. Facility space is open to use by outside groups for meetings, performances, activities, funeral/memorials services, music recitals, etc. Meals are provided for family members of ALH residents at a reduced cost.- Other - in addition to the activities above, ALH also organizes employee participation in fundraising activities for Cass-Clay United Way and the Alzheimer's association. There are also representatives from ALH on non-profit boards and civic organizations that work to improve the quality of life in the Fargo-Moorhead area. ALH's President/CEO serves on HERO's (Health Equipment Recycling Organization) Board of Directors and the Fargo Dome Finance Committee. He also serves as the Region VI director on the board of the North Dakota Long Term Care Association. ALH's Chief Financial Officer serves on the board of Hospice of the Red River Valley. The Senior Executive of Medicare/Contracted Services serves on the board for the National Association of Directors of Nursing Association (NADONA). ALH's Senior Executive of Support Services is on the Dietetics Advisory Committee for North Dakota State University. The Senior Executive of Housing/Assisted Living is a Board member of the Fargo West Rotary service club, serves as the Assisted Living Director at Large on the NDLTCA Board, and represents North Dakota as a State Leader for NCAL (National Center for Assisted Living). ALH's Director of Bethany Personal Care Services is on the Advisory Board for the North Dakota State University Nursing program and the Senior Executive of Resident Care is on the NADONA membership committee.The following is specific information relating to ALHs' care provided:Bethany on University skilled care - services provided, 172 nursing home beds: 62,415 days of care and 531,573 employee hours (total expenses = 13,501,968)Bethany Towers I - assisted living services, 17 beds - 4,783 days of care; basic care services, 36 beds - 11,772 days of care. BT I had 32,277 employee hours (total expenses = 1,346,964)Bethany Towers II - assisted living services, 92 units - 30,715 days of care and 17,759 employee hours (total expenses = 1,685,434)Bethany Kinder House Independent Senior Housing, 35 units - 11,139 days of care and 3,099 employee hours (total expenses = 351,508)Description
Total Program Service Expense14930545TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Required1ScheduleJRequired
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees930NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Approval1DecisionsSubjectToApproval
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 Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jane KellyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7012393226TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 South University DriveAddressLine1
CityFargoCity
StateNDState
ZIP Code58103ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Robert McConn
Board Chair (Jan-March)1.00XX000
Mary Johnson Board Vice Chair Jan-
March)/Chair (April-Dec)1.00XX000
Martha Leclerc Board Treasurer Jan-
March)/Vice Chair (April-Dec)1.00XX000
Lloyd Smith Board Secretary Jan-
March)/Treas (April-Dec)1.00XX000
Janice Nelson Board TrusteeJan-
April)/Secretary(April-Dec)1.00XX000
Shannon Charpentier
Board Trustee1.00X000
Neal Eriksmoen
Board Trustee1.00X000
David Glatt
Board Trustee3.00X825600
Robin Pratt
Board Trustee1.00X000
Harriet McCaul
Board Trustee1.00X000
Paul Wilson
Board Trustee1.00X000
Jerilynn Brantner-Adams
Board Trustee (April-Dec)1.00X000
Shawn Stuhaug
President/CEO23.00X19931307806
Jane Kelly
CFO25.00X151045019796
FieldValueIRS element (for citing)
Total Reportable Comp From Org358614TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation27602TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RehabCare Group IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 503534AddressLine1
CitySt LouisCity
StateMOState
ZIP Code631503534ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesContract TherapyDescriptionOfServices
Compensation486139Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations3000RelatedOrganizations
All Other Contributions11396AllOtherContributions
Total Contributions14396TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionResident Service RevenDescription
Business Code623000BusinessCode
Total Revenue Column18526794TotalRevenueColumn
Related Or Exempt Function Income18526794RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18526794TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20555TotalRevenueColumn
Exclusion$20,555ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other21909Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-21909Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21909TotalRevenueColumn
Exclusion-$21,909ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther RevenueDescription
Business Code900099BusinessCode
Total Revenue Column-542TotalRevenueColumn
Exclusion-$542ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-542TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18539294TotalRevenueColumn
Related Or Exempt Function Income18526794RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$1,896ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total386454Total
Program Services8256ProgramServices
Management And General378198ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9322438Total
Program Services8704408ProgramServices
Management And General618030ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total140265Total
Program Services126198ProgramServices
Management And General14067ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total931750Total
Program Services853555ProgramServices
Management And General78195ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total701200Total
Program Services629787ProgramServices
Management And General71413ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total94665Total
Management And General94665ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total602879Total
Program Services602879ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1660929Total
Program Services1298114ProgramServices
Management And General362815ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total580769Total
Program Services580769ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73666Total
Program Services55867ProgramServices
Management And General17799ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total171704Total
Program Services171704ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1168243Total
Program Services1168243ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total293068Total
Management And General293068ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies559725559725
Bad Debt Expense168153168153
Memberships2707927079
Flood Expenses28872887

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16885874Total
Program Services14930545ProgramServices
Management And General1955329ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1871111BOY
EOY4496683EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2002038BOY
EOY1420537EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6376612BOY
EOY6231813EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY149553BOY
EOY155092EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY174873BOY
EOY189022EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28492541LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18550710LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10551024BOY
EOY9941831EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY615735BOY
EOY661636EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1008465BOY
EOY846624EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2029431BOY
EOY1918334EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24778842BOY
EOY25861572EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2568580BOY
EOY2420854EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9608909BOY
EOY9228733EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY29002BOY
EOY31581EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY803547BOY
EOY773133EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY344671BOY
EOY335718EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY350979BOY
EOY344979EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13705688BOY
EOY13134998EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11073154BOY
EOY12726574EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11073154BOY
EOY12726574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24778842BOY
EOY25861572EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1653420ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
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 Years300871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19846CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years428364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192964CurrentTaxYearMinus1Year
Current Tax Year4396CurrentTaxYear
Total946441Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15318329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16195912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17242225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17409120CurrentTaxYearMinus1Year
Current Tax Year18526794CurrentTaxYear
Total84692380Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15619200CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16215758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17670589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17602084CurrentTaxYearMinus1Year
Current Tax Year18531190CurrentTaxYear
Total85638821Total

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 Total50985638821PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293936CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96611CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21661CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14720CurrentTaxYearMinus1Year
Current Tax Year20555CurrentTaxYear
Total447483Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293936CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96611CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21661CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14720CurrentTaxYearMinus1Year
Current Tax Year20555CurrentTaxYear
Total447483Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year110069CurrentTaxYearMinus1Year
Current Tax Year9458CurrentTaxYear
Total119527Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15913136CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16312369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17692250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17726873CurrentTaxYearMinus1Year
Current Tax Year18561203CurrentTaxYear
Total86205831Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99340PublicSupportPercentage509
Prior Year Support Percentage0.99000PriorYearSupportPercentage
Investment Income Percentage0.00520InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00870PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1230011OtherCostOrOtherBasis
Book Value1230011BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20273885OtherCostOrOtherBasis
Depreciation13993890Depreciation
Book Value6279995BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6225051OtherCostOrOtherBasis
Depreciation4206188Depreciation
Book Value2018863BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis763594OtherCostOrOtherBasis
Depreciation350632Depreciation
Book Value412962BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9941831TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Related Party Receivables1451579
Deferred Financing Costs25526
Land Held for Expansion441229
FieldValueIRS element (for citing)
Total Book Value Other Assets1918334TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Related Entity Note Payable$308,000
Related Party Payable$36,979
FieldValueIRS element (for citing)
Total Of Amounts344979TotalOfAmounts
Total Revenue18539294TotalRevenue
Total Expenses16885874TotalExpenses
Excess Or Deficit For Year1653420ExcessOrDeficitForYear
Excess Or Deficit Per FS1653420ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18539294TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal18539294RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018539294TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16885874TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16885874ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016885874TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 2b:The Organization acts as custodian for the funds of the residents. These funds are included in cash and cash equivalents and a corresponding liability is included in accounts payable-trade in the financial statements. Resident trust funds totaled $31,581 and $29,002 at December 31, 2011 and 2010.
Part X:Bethany believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. Bethany would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.Description of Uncertain Tax Positions Under FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Glatt
82560000000008256000
Shawn Stuhaug
160323038990000749104470207251000
Jane Kelly
12464402640100061720137300170947000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 7CEO and CFO received a bonus as determined by the Board of Directors. The bonus is based on review of performance and progress related to a specific work plan.
Part IIIIn conjuction with Bethany on 42nd, a related organization, American Lutheran Homes, Inc. has an agreement with Sanford Health for Medical Director services provided by David Glatt. Compensation noted in Schedule J Part II is the fee paid to Sanford Health for his services provided to American Lutheran Homes, Inc.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Cass County North Dakota
4560022052004-12-314607000Health Care Facilities Refunding Revenue Bonds-Series 2004A000
Cass County North Dakota
4560022052010-10-016400000Housing and health care facility revenue bonds000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
460700038881456811920041011
640000054857634514320100011

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
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6Bethany Homes, Inc. is the sole member of the Corporation.
Form 990, Part VI, Section A, line 7aThe Board of Directors is elected at the annual meeting of the Board of Trustees of the Member. The member has the right to fill any vacancies during the year. The member may also remove any directors with or without cause.
Form 990, Part VI, Section A, line 7bThe following actions by the Board of Directors require the approval of the Board of Trustees of the Member: - Establishment of annual operating budget - Sale, lease or encumbrance of any corporation real property - Unbudgeted capital expenditures exceeding amounts for which the President/CEO is specifically authorized to approve
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the CFO and CEO and then provided to the Finance Committee for their review and approval. A draft copy of the Form 990 is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12cBoard officers and directors, as well as officers of the Organization, complete a conflict of interest questionnaire on an annual basis. The Board reviews the conflicts to determine if a conflict exists. The individual with the conflict is required to abstain from voting if the conflict comes up in the board meeting where a decision needs to be made. This is a standing agenda item at each board meeting.
Form 990, Part VI, Section B, line 15The Executive Committee of the board meets to determine the compensation of the President/CEO. Compensation is determined by gathering comparable data, including salary surveys, personal contacts, 990 data, and evaluating criteria such as knowledge/experience, longevity, job performance, etc. Every three to five years, a consultant is brought in to assist in the evaluation process to test for fairness and reasonableness of compensation levels. The Executive Committee reviews the data and recommends the compensation package, which is reviewed and approved at the full board level. The process for determining compensation for the President/CEO is implemented on an annual basis. The President/CEO determines the CFO compensation and reviews the information with the Executive Committee. The process for determining compensation for the CFO is implemented on an annual basis. For the current year, a consultant reviewed the CFO compensation and and provided comparable data.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part VII, Section A:The CEO and CFO are compensated by American Lutheran Homes, Inc. for their services provided to American Lutheran Homes, Inc. and other related entities. The CEO serves approximately 27 hours per week to the other related entities. The CFO serves approximately 25 hours per week to the other related entities. All board members serve Bethany Homes, Inc. and Bethany on 42nd an additional 1 hour per week for each entity. The following individuals serve Bethany Home Health Care, Inc. an additional 1 hour per week: Neal Ericksmoen, Janice Nelson, Shannon Charpentier, Robin Pratt, and Harriette McCaul. David Glatt serves as a board member 1 hour per week. He serves an additional two hours per week as a Medical Director. Compensation shown on Part VII is compensation paid to Sanford Health for his services as Medical Director to American Lutheran Homes.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Bethany Home Health Care Inc
201 S University DriveFargoND58103450433045Promotion of healthND501(c)(3)9Bethany Homes Inc1
Bethany on 42nd
201 S University DriveFargoND58103261087740Long-term care services/Assisted living/Independent livingND501(c)(3)9Bethany Homes Inc1
Bethany Homes Inc
201 S University DriveFargoND58103450394181FundraisingND501(c)(3)9Bethany Homes Inc1
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Bethany Homes Inc
C0General Ledger
Bethany on 42nd
D423120General Ledger
Bethany on 42nd
P7476779General Ledger
Bethany Homes Inc
P118097General Ledger
Bethany Home Health Care Inc
P576213General Ledger
Bethany Home Health Care Inc
M0General Ledger

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