2011-05-31T10:00:17-05:00 2010-08-31 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2009-09-01 742755828 Baptist home association of the rocky MOUNTAINS - AFFILIATES BAPT 9522531459 14850 scenic heights road No 125 EDEN PRAIRIE MN 55344 Jeff Hongslo 9522531459 2011-05-26 1 6123764500 2009 2016-02-24 21:20:13Z david zwickey 14850 scenic heights road No 125 EDEN PRAIRIE MN 55344 20481504 1 1 2519 X www.abhomes.net X 1949 CO TO PROVIDE NURSING HOME CARE AND HOUSING TO LOW INCOME, ELDERLY AND DISABLED PERSONS. 5 4 475 150 0 0 21507 20177 20412791 20326281 75630 69298 131278 65748 20641206 20481504 0 0 14450422 13687898 0 0 5504911 6520372 19955333 20208270 685873 273234 14640925 14672908 18426513 18185247 -3785588 -3512339 TO PROVIDE NURSING HOME CARE AND HOUSING TO LOW INCOME, ELDERLY AND DISABLED PERSONS. 0 0 18348325 20326281 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. Just as BHA 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 2010 by BHA, its continuing care retirement communities, nursing homes and affordable housing retirement communities.Resident Discounts from Fully Established Contractual Rates -Resident subsidies by BHA (continuing care resident contracts and other discounts) during fiscal year 2010 were $21,700. Included are non-contract allowances, administrative discounts, permanent transfers to different levels of care credit, below market discounts, health center free days credit and medical insurance subsidies. The breakdown by community is:-Mountain Vista Health Center -Vista Village Assisted Living Direct Benevolence to Residents-Direct benevolence to continuing care residents by BHA during fiscal year 2010 was $4,500 from Vista Village Independent Living.Payment for Items Not Reimbursed by Medicaid Contracts-Adjustments of $689,000 were made to BHA residents during fiscal year 2010 representing Medicaid contracts that did not pay the full amount for their care. The breakdown of these adjustments to residents is listed below by community:-Mountain Vista Health Center - $323,958-Health Center at Franklin Park - $296,716-Vista Village Assisted Living - $68,251Research and Educational Activities with Other Organizations - $5,000-Mountain Vista provided a workplace for nurse training for Emily Griffith Opportunity School Community Benefits to Residents, Employees and Community - $3,600 -Friendship Baptist Church holds religious services at Health Center at Franklin Park -Bessys Hope, an intergenerational program, provides a program at Health Center at Franklin Park -Light of Light Miracle of Deliverance Church holds religious services at Health Center at Franklin Park Other Benefits to the Broader Community - $9,800Volunteer Services to Community Organizations by Residents and Staff of BHA and its Communities:-Health Center at Franklin Park provided durable medical equipment for Haiti earthquake relief - $8,000-Administrator at Health Center at Franklin Park is a committee member of Eden International - $1,000-Health Center at Franklin Park has a board member on Colorado Activities Professional Association - $480Mountain Vista sent residents who are members of the Bell/Chimes choir to local churches to perform - $350 18348325 1 1 0 0 0 0 0 1 0 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 0 0 0 1 0 0 475 1 0 0 0 0 0 0 0 0 0 5 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 CO X JEFF BREDT 9522531459 14850 scenic heights road No 125 EDEN PRAIRIE MN 55344 X DAVID ZWICKEY 40.00 X X 0 276619 9378 RAY WHISENHUNT 1.00 X 0 0 0 REV KEVIN LOWE 1.00 X 0 0 0 JIM O'DELL 1.00 X 0 0 0 DEAN TROYER 1.00 X 0 0 0 JEFF HONGSLO 40.00 X 0 164955 16418 TIM O'BRIEN 40.00 X 0 96871 7194 jill vitale 40.00 X 119570 0 3696 119570 538445 36686 1 0 1 0 rehab care group inc po box 503534 st louis MO 63150 therapy provider 367355 1 20177 20177 RESIDENT SERVICES 623000 20326281 20326281 20326281 68548 68548 750 750 750 750 Other Revenue 900099 62404 62404 INSURANCE gain 900099 3344 3344 65748 20481504 20326281 0 135046 11657568 11636544 21024 64015 63909 106 1134863 1132981 1882 831452 830073 1379 1223005 1223005 4071 4071 355 355 120023 119986 37 58935 58935 799703 670192 129511 658591 543764 114827 30091 30091 1032595 1002001 30594 645438 626315 19123 228147 221387 6760 food 762927 762927 miscellaneous 630070 413862 216208 pharmacy 253890 253890 repairs 68532 66502 2030 3999 3992 7 20208270 18348325 1859945 0 11034 7500 1425123 1475285 17191 -38000 17195171 6932458 10493070 10262713 496617 478829 2197890 2486581 14640925 14672908 1215624 1192415 17115000 16900000 55734 50669 40155 42163 18426513 18185247 X -3785588 -3512339 -3785588 -3512339 14640925 14672908 X 0 1 1 X 0 X 8699 17430 8730 21507 20177 76543 18982208 19668499 20070899 20412791 20326281 99460678 18990907 19685929 20079629 20434298 20346458 99537221 0 0 0 99537221 89422 126369 97873 75630 68548 457842 89422 126369 97873 75630 68548 457842 121086 155086 156515 131278 65748 629713 19201415 19967384 20334017 20641206 20480754 100624776 0.98920 0.98790 0.00450 0.00480 X Schedule A, Part II, Line 12, Explanation of Other Income: other income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 158322 158322 14453323 5407424 9045899 266554 190701 75853 2281226 1334333 946893 35746 35746 10262713 Bond Funds 1451787 INTERCOMPANY RECEIVABLE 985213 RESIDENT TRUST FUNDS 49581 2486581 Asset Retirement Obligation 42163 42163 Part IV, Line 2b: THE ORGANIZATION HOLDS IN TRUST SECURITY DEPOSITS ADVANCED BY TENANTS OF THE PROJECTS, IN CASE OF RENTAL DAMAGES. TENANTS RECEIVE THEIR FUNDS, WITH INTEREST AND LESS ANY COSTS OF REPAIR, WHEN THEIR TENANCY CEASES. 0 0 0 0 0 0 0 0 0 DAVID ZWICKEY 0 244481 0 24500 0 7638 0 3438 0 5940 0 285997 0 0 JEFF HONGSLO 0 146567 0 18388 0 0 0 2973 0 13445 0 181373 0 0 Supplemental Information Part III SCHEDULE J, PART I, LINE 3: THE COMPENSATION OF THE PRESIDENT & CEO OF BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS - AFFILIATES IS DETERMINED BY AMERICAN BAPTIST HOMES OF THE MIDWEST, A RELATED ORGANIZATION. THE FOLLOWING WERE USED BY AMERICAN BAPTIST HOMES OF THE MIDWEST TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION: 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AEX9 2007-08-01 15880847 REFINANCE EXISTING DEBT, FUND CAPITAL EXPENDITURES, OPERATIONAL RESERVE FUND 0 0 17500000 1451784 997797 519664 574500 2010 1 1 1 1 0 0 0 0 0 1 1 0 0 1 royal bank of canada 8.000000000000 1 0 0 Form 990, Part VI, Section A, line 6 The sole member of the organization is Baptist Home Association of the Rocky Mountains. Form 990, Part VI, Section A, line 7a The sole member appoints all members of the board of trustees. The President of the sole member is also a voting trustee of the organization. Form 990, Part VI, Section A, line 7b AMENDMENTS, ALTERATIONS OR RESTATEMENTS TO THE ARTICLES OR BYLAWS REQUIRE APPROVAL OF THE MEMBER. Form 990, Part VI, Section B, line 11 The board of trustees 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. Form 990, Part VI, Section B, line 12c A conflict of interest form is signed by all board trustees, 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. 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. form 990, part vii, section a average weekly hours the compensated individuals reported in form 990, part vii, section a serve baptist home association of the rocky mountains - affiliates and its related organizations. each individual spends 40+ hours each week serving the organization and its related organizations. american baptist homes of the midwest inc 14850 scenic heights road 125 eden prairie MN 55344 410706155 housing and care for the elderly MN 501(C)(3) 9 N/A american baptist homes of the midwest foundation 14850 scenic heights road 125 eden prairie MN 55344 411803304 philanthropy MN 501(C)(3) 11 N/A residences at franklin park inc 14850 scenic heights road 125 EDEn prairie MN 55344 840630940 hud low income housing CO 501(C)(4) N/A BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS 14850 scenic heights road 125 EDEn prairie MN 55344 840528764 housing and care for the elderly CO 501(C)(3) 9 N/A THE CROSSINGS AT TUDOR OAKS 14850 scenic heights road 125 EDEn prairie MN 55344 203346875 INACTIVE MN 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0