2024-08-15T15:47:05-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2022-10-01 430730924 MENNONITE HOME ASSOCIATION INC MENN 5732216000 2500 PLEASANT STREET HANNIBAL MO 63401 KERRI LAUTERBACH CHIEF EXECUTIVE OFFICER 5732216000 2024-08-15 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2024-08-14 2022 2024-08-08 14:25:15Z KERRI LAUTERBACH 2500 PLEASANT STREET HANNIBAL MO 63401 8972005 0 X WWW.BETHAVEN.ORG X 1957 MO MENNONITE HOME ASSOCIATION PROVIDES QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. 5 5 242 125 0 0 280100 3502 6998086 8646375 48510 4827 364637 317301 7691333 8972005 0 0 0 0 4194846 5014195 0 0 0 3850086 3828639 8044932 8842834 -353599 129171 5388150 5519530 3505501 2832469 1882649 2687061 X PROVIDE QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. 0 0 6123784 0 6579581 BETH HAVEN NURSING HOME IS A 105 BED SKILLED NURSING FACILITY THAT IS HOME TO THOSE WHO NEED SHORT OR LONG-TERM CARE. FOR SOME, IT'S A SHORT STAY WHILE THEY REHABILITATE FOLLOWING HOSPITALIZATION. FOR OTHERS, IT'S A DECISION TO LIVE HERE AS A PERMANENT RESIDENT BECAUSE THEY NEED ROUND THE CLOCK ASSISTANCE, MEDICAL ATTENTION OR SECURITY. OUR ENTIRE FACILITY IS MEDICARE AND MEDICAID CERTIFIED. OUR PRIMARY CARE NURSING PROGRAM ENSURES THAT OUR STAFF CARE FOR THE SAME RESIDENT AND TRULY COME TO KNOW THEIR NEEDS AND DESIRES.OUR HEALTHCARE STAFF COMBINE WITH LICENSED THERAPISTS IN PHYSICAL, OCCUPATIONAL AND SPEECH PATHOLOGY TO TAILOR EACH PLAN OF CARE TO THE RESIDENT'S SPECIFIC NEEDS WITH A GOAL OF ATTAINING THE HIGHEST LEVEL OF FUNCTION POSSIBLE. 1505483 0 1617537 BETH HAVEN'S PLEASANT VIEW ASSISTED LIVING IS PERFECT FOR INDIVIDUALS WHO ARE CAPABLE OF LIVING INDEPENDENTLY WITH SOME ASSISTANCE AND SUPERVISION. IF YOU ARE SEEKING AN ENHANCED LEVEL OF HEALTH AND WELL-BEING THROUGH READY ACCESS TO SERVICES, GENTLE ENCOURAGEMENT, MOTIVATION AND REASSURANCE FROM OUR 24-HOUR STAFF, PLEASANT VIEW IS THE NEIGHBORHOOD FOR YOU.IN PLEASANT VIEW, LIFE IS ABOUT PROVIDING EACH RESIDENT WITH AS MUCH INDIVIDUALITY AS POSSIBLE. THE RESIDENTIAL-STYLE SETTING FOSTERS A SENSE OF COMMUNITY, WHERE FAMILY AND FRIENDS ARE ALWAYS WELCOME. INDIVIDUALS CAN SELECT FROM TWO FLOOR PLANS AND ARE ENCOURAGED TO BRING THEIR FAVORITE FURNISHINGS TO PERSONALIZE THEIR RESIDENCE.ACTIVITIES AT BETH HAVEN PROMOTE PERSONAL GROWTH. WE BELIEVE THAT SENIORS NEVER STOP GROWING AND LEARNING, AND WE TAKE CARE TO HELP THEM CONTINUE THEIR PERSONAL JOURNEY. 0 0 449257 MANAGEMENT FEES AND REIMBURSEMENTS FOR CERTAIN MANAGEMENT EMPLOYEES FOR SERVICES PERFORMED FOR BETH HAVEN GROUP HOMES AND BETH HAVEN TERRACE. 7629267 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 242 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KERRI LAUTERBACH 5732216000 2500 PLEASANT STREET HANNIBAL MO 63401 PHIL SMITH CHAIRMAN 0.50 1.50 X X 0 0 0 PAUL RICHARDS TREASURER (TERM ENDED) 0.50 1.50 X X 0 0 0 RACHEL SHEPHERD DIRECTOR (TERM ENDED) 0.50 1.50 X 0 0 0 SHARON MOORE DIRECTOR (TERM ENDED) 0.50 1.50 X 0 0 0 STEWART MCINTYRE DIRECTOR (TERM ENDED) 0.50 1.50 X 0 0 0 MICHAEL GAINES DIRECTOR (TERM ENDED) 0.50 1.50 X 0 0 0 MARK ALBEE DIRECTOR 0.50 1.50 X 0 0 0 CLAY THORNBURG DIRECTOR 0.50 1.50 X 0 0 0 SUSAN TATE DIRECTOR 0.50 1.50 X 0 0 0 SHAWN JANES DIRECTOR 0.50 1.50 X 0 0 0 KERRI LAUTERBACH CEO 30.00 10.00 X 124531 0 31600 124531 0 31600 1 0 1 0 AEGIS THERAPY PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICES 565575 PRIME TIME 15380 WEIR STREET OMAHA NE 68137 CONTRACTED NURSES 138273 2 3502 3502 SKILLED NURSING HEALTH 623000 6579581 6579581 INDEPENDENT & ASSISTED 623000 1617537 1617537 MANAGEMENT FEES 561499 449257 449257 8646375 4827 4827 11950 0 11950 11950 11950 INSURANCE REIMBURSEMEN 561499 260472 260472 MEAL INCOME 722320 34393 34393 TRANSPORTATION INCOME 480000 5596 5596 4890 4890 305351 8972005 8646375 0 322128 X 189855 189855 3826546 3531890 294656 659896 617803 42093 337898 316345 21553 146766 132089 14677 6036 6036 29575 29575 1134925 1095786 39139 29556 29556 1077426 910208 167218 289655 274641 15014 22010 22010 5069 1020 4049 73505 69695 3810 259796 246330 13466 157366 157366 NFRA MONTHLY FEE 354786 354786 MISCELLANEOUS 103239 103239 MEDICAID CHARGES 47027 47027 DUES & SUBSCRIPTIONS 36003 36003 55899 31647 24252 8842834 7629267 1213567 0 113017 5975 574522 563655 877766 854299 55853 54053 159793 162636 10781337 7282839 3561525 3498498 59791 45674 320623 5388150 5519530 615931 832247 305205 17121 20629 28487 1534343 1265481 1029393 689133 3505501 2832469 X 1882649 2687061 1882649 2687061 5388150 5519530 129171 14122 661119 0 X 0 0 0 X 6228 451564 706623 280100 3502 1448017 8034947 7950200 7662592 6998086 8646375 39292200 51839 44879 96718 8041175 8401764 8369215 7330025 8694756 40836935 0 0 0 40836935 41033 37864 32752 25292 16777 153718 41033 37864 32752 25292 16777 153718 83624 70063 64553 296271 260472 774983 8165832 8509691 8466520 7651588 8972005 41765636 0.97780 0.98120 0.00370 0.00430 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 19,930. 2019 AMOUNT: $ 7,004. 2020 AMOUNT: $ 14,128. 2021 AMOUNT: $ 296,271. 2022 AMOUNT: $ 260,472. TRANSPORTATION - 2018 AMOUNT: $ 14,721. 2019 AMOUNT: $ 13,014. 2020 AMOUNT: $ 14,160. MEAL/VENDING - 2018 AMOUNT: $ 45,523. 2019 AMOUNT: $ 44,105. 2020 AMOUNT: $ 32,695. LAUNDRY INCOME - 2018 AMOUNT: $ 3,450. 2019 AMOUNT: $ 3,945. 2020 AMOUNT: $ 3,570. MANAGEMENT SALARY INCOME - 2019 AMOUNT: $ 1,995. 0 1 X 171565 171565 8973446 5854450 3118996 562293 425700 136593 1074033 1002689 71344 3498498 DUE FROM AFFILIATE 320623 320623 DUE TO AFFILIATES 607152 SECURITY DEPOSITS 11620 ASSET RETIREMENT OBLIGATION 70361 689133 PART IV, LINE 2B: THE ASSOCIATION MAINTAINS SAVINGS ACCOUNTS ON BEHALF OF CERTAIN RESIDENTS. THE ASSOCIATION ACTS AS TRUSTEE OF THESE FUNDS WHICH ARE MAINTAINED FOR THE PERSONAL USE OF THOSE RESIDENTS. THE FUNDS ARE EXPENDED AT THE DIRECTION OF THE RESIDENTS. X X 0 0 0 0 0 0 0 0 0 KERRI LAUTERBACH CEO 124531 0 0 0 0 0 7538 0 24062 0 156131 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A ORGANIZATION HAS AN EXECUTIVE COMMITTEE TO THE FULL BOARD. EXECUTIVE COMMITTEE PROPOSES NEW DIRECTORS FOR THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT AND BOARD OF DIRECTORS WILL BE PROVIDED A DRAFT OF THE 990 FOR REVIEW PRIOR TO BEING FILED. THE BOARD WILL AGAIN REVIEW IT AT THE NEXT REGULAR MEETING FOLLOWING THE FILING. MANAGEMENT WILL REVIEW IT WITH THE BOARD WHERE THEY WILL RECEIVE A SUMMARY DURING THE MEETING AND PROVIDED A COPY FOR REVIEW ON THEIR OWN. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, IN JANUARY THE BOARD OF DIRECTORS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. THESE POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE ENTIRE BOARD. DURING A BOARD MEETING IF A POTENTIAL CONFLICT OF INTEREST ARISES THE BOARD MEMBER IS TO DISCLOSE THE POTENTIAL CONFLICT AND REMOVE THEMSELVES FROM THE BOARD DISCUSSION AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 PRIOR TO HIRING AN AREA WIDE REVIEW OF COMPARABLE POSITIONS IS CONDUCTED. ANNUALLY A SURVEY OF NORTHEAST MISSOURI NURSING HOMES IS CONDUCTED TO COMPARE SIMILAR POSITIONS. DURING THE ANNUAL REVIEW AN EVALUATION OF CURRENT MARKET CONDITIONS, COMPARABLE POSITIONS, AND FACILITY OPERATIONAL FORECASTS ARE CONSIDERED IN DETERMINING COMPENSATION. SALARY LEVELS FOR OFFICERS AND KEY EMPLOYEES ARE SET BY THE BOARD OF DIRECTORS. THIS PROCESS WAS LAST UNDERTAKEN IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G DIETARY: PROGRAM SERVICE EXPENSES 434,600. MANAGEMENT AND GENERAL EXPENSES 23,758. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 458,358. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 11,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,000. LAB/PHARMACY/THERAPY: PROGRAM SERVICE EXPENSES 526,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 526,649. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 123,537. MANAGEMENT AND GENERAL EXPENSES 15,169. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,706. UNRECOVERED COST BASIS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212. BETH HAVEN GROUP HOMES 2518 PLEASANT ST HANNIBAL MO 63401 431580486 HOME FOR HANDICAPPED MO 501(C)(3) PF N/A 0 BETH HAVEN TERRACE 901 CENTRAL AVE HANNIBAL MO 63401 431162094 ELDERLY APARTMENTS MO 501(C)(3) LINE 10 N/A 0 0 0 0 1 1 0 0 0 0 1 0 0 1 1 1 1 1 0 0