2024-05-21T13:49:22-05:00 2023-08-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-09-01 840528764 BAPTIST HOMES ASSOCIATION OF THE ROCKY MOUNTAINS BAPT 9522531459 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 LARS JOHNSON CFO 9522531459 2024-05-20 1 LARS JOHNSON 999009999 1 JOHN MELZAREK P02080879 6123764500 2024-05-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LARS JOHNSON 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 148885 0 X WWW.ABHOMES.NET X 1949 CO TO MANAGE OUR AFFILIATES AS THEY PROVIDE NURSING HOME CARE & HOUSING TO THE ELDERLY & DISABLED. 15 14 411 20 0 0 3114323 0 68800 0 15736 61500 0 0 3198859 61500 0 0 0 0 48794 205 0 0 0 2862 246 51656 451 3147203 61049 3668923 3849040 5214 8 3663709 3849032 TO MANAGE THE AFFILIATES OF BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS AND DENVER APARTMENT PARTNERS, LLC, WHICH PROVIDE NURSING HOME CARE AND HOUSING TO LOW INCOME ELDERLY AND DISABLED PERSONS. 0 0 451 0 61514 BAPTIST HOMES ASSOCIATION OF THE ROCKY MOUNTAINS PROVIDES MANAGEMENT SERVICES TO ALL OF THE BAPTIST HOMES EXEMPT ORGANIZATIONS. THE ORGANIZATIONS PROVIDE HEALTH CARE AND OTHER SERVICES TO THE ELDERLY. 451 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 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 1 0 0 0 1 0 0 411 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 CO X LARS JOHNSON 9522531459 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 JEFF HONGSLO CEO (THRU MAY 2023) 1.00 39.00 X X 0 367893 36910 MELISSA ZYGARLICKE CFO & TREASURER (THRU MARCH 2023) 1.00 39.00 X 0 205518 9783 ANDREA BLATNIK SECRETARY & VP OF HUMAN RE 1.00 39.00 X 0 182282 4338 ANNETTE GREELY PRESIDENT & CEO 1.00 39.00 X X 0 0 0 LARS JOHNSON CFO & TREASURER 1.00 39.00 X 0 0 0 DEBBIE SETLOCK BOARD CHAIR 1.00 4.00 X X 0 0 0 LARRY VANSPRIELL BOARD CHAIR (THRU APR 2023) 1.00 4.00 X X 0 0 0 RYAN ALLEN TRUSTEE 1.00 4.00 X 0 0 0 JANIS BERRY TRUSTEE 1.00 4.00 X 0 0 0 KEN DEHATE TRUSTEE (THRU AUG 2023) 1.00 2.00 X 0 0 0 MARSHA DENNISTON TRUSTEE 1.00 4.00 X 0 0 0 ASHLEY FORD TRUSTEE 1.00 4.00 X 0 0 0 JUDY FONS TRUSTEE 1.00 4.00 X 0 0 0 BECKY GRUBER TRUSTEE (THRU AUG 2023) 1.00 2.00 X 0 0 0 JIM JOHNSON TRUSTEE 1.00 4.00 X 0 0 0 GEORGE KILLIAN TRUSTEE 1.00 4.00 X 0 0 0 GREG MAMULA TRUSTEE 1.00 4.00 X 0 0 0 RUTH NEIMAN TRUSTEE 1.00 4.00 X 0 0 0 TIM O'BRIEN TRUSTEE 1.00 4.00 X 0 0 0 DAVE RUSSELL TRUSTEE 1.00 4.00 X 0 0 0 BRUCE VAN DER BEEK TRUSTEE 1.00 4.00 X 0 0 0 STEVEN VAN OSTRAN TRUSTEE (THRU DEC 2022) 1.00 4.00 X 0 0 0 BRUCE WHITAKER TRUSTEE 1.00 4.00 X 0 0 0 0 755693 51031 0 0 1 0 0 61514 61514 87371 87385 -14 -14 -14 61500 0 0 61500 205 205 246 246 451 451 0 0 0 0 -3530 27022 1052431 72441 121960 121960 2498062 3627617 3668923 3849040 5206 0 8 8 5214 8 X 3663709 3849032 3663709 3849032 3668923 3849040 61049 124274 0 X X 0 1 X 1 0 X 3114323 0 3114323 342680 342985 354106 68800 0 1108571 342680 342985 354106 3183123 4222894 0 0 0 4222894 7335 31827 61514 100676 7335 31827 61514 100676 342680 342985 361441 3214950 61514 4323570 0.97670 0.99150 0.02330 0.00850 X 0 DUE FROM RELATED PARTIES 3627617 3627617 ASSET RETIREMENT OBLIGATION 8 8 X PART X, LINE 2: THE ORGANIZATION FOLLOWS THE STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. 0 0 0 0 0 0 0 0 0 JEFF HONGSLO CEO (THRU MAY 2023) 0 367893 0 0 0 0 0 6100 0 30810 0 404803 0 0 MELISSA ZYGARLICKE CFO & TREASURER (THRU MARCH 2023) 0 202518 0 3000 0 0 0 4222 0 5561 0 215301 0 0 ANDREA BLATNIK SECRETARY & VP OF HUMAN RE 0 179282 0 3000 0 0 0 3659 0 679 0 186620 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT & CEO OF BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS IS DETERMINED BY AMERICAN BAPTIST HOMES OF THE MIDWEST, ITS SOLE MEMBER. THE FOLLOWING WERE USED BY AMERICAN BAPTIST HOMES OF THE MIDWEST TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS IS AMERICAN BAPTIST HOMES OF THE MIDWEST. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, AMERICAN BAPTIST HOMES OF THE MIDWEST, APPOINTS ALL MEMBERS OF THE BOARD OF TRUSTEES. THE PRESIDENT OF AMERICAN BAPTIST HOMES OF THE MIDWEST IS ALSO A VOTING TRUSTEE OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS, DUTIES, AND RIGHTS RESERVED TO THE MEMBER SHALL BE, BUT ARE NOT LIMITED TO, THE FOLLOWING: A. THE ADOPTION OR AMENDMENT OF MISSION, PHILOSOPHY AND PURPOSE STATEMENTS OF THIS CORPORATION AND ITS SUBSIDIARY CORPORATIONS; B. AMENDMENT, REVISION OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BY-LAWS OF THIS CORPORATION AND ANY SUBSIDIARY CORPORATIONS; C. MERGER OR CONSOLIDATION OF THIS CORPORATION OR ANY OF ITS SUBSIDIARY CORPORATIONS, INTO OR WITH ANY OTHER CORPORATION OR ASSOCIATION, AND THE DISSOLUTION OR OTHERWISE WINDING UP OF THE AFFAIRS OF THIS CORPORATION AND/OR ITS SUBSIDIARY CORPORATIONS; D. SALE, LEASE, EXCHANGE, PLEDGE, ENCUMBRANCE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THIS CORPORATION'S ASSETS OR THE ASSETS OF ANY OF ITS SUBSIDIARY CORPORATIONS; E. THE ESTABLISHMENT OR INCORPORATION OF ANY NEW ENTITIES, ORGANIZATIONS, OR ASSOCIATIONS OF THIS CORPORATION OR ANY OF ITS SUBSIDIARY CORPORATIONS; F. THE INCURRING OF LONG-TERM DEBT (DEBT WHICH WILL NOT BE TOTALLY REPAID WITHIN A PERIOD OF 12 MONTHS FROM THE DATE SUCH DEBT IS FIRST INCURRED) BY THIS CORPORATION OR ANY OF ITS SUBSIDIARIES IN AMOUNTS IN EXCESS OF THOSE LIMITS ESTABLISHED BY THE CORPORATE MEMBER; G. THE ELECTION OR REMOVAL, WITH OR WITHOUT CAUSE, OF TRUSTEES OF THIS CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF AMERICAN BAPTIST HOMES OF THE MIDWEST, THE SOLE MEMBER, REVIEWED THE FORM 990 AT THEIR QUARTELY MEETING PRIOR TO FILING. THEY RECEIVED COPIES OF THE DRAFT AND THE DETAIL WAS REVIEWED AT THAT TIME. COPIES OF THE 990 WERE THEN PROVIDED TO THE BOARD MEMBERS OF BAPTIST HOME ASSOCIATION OF THE MIDWEST. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST FORM IS SIGNED BY ALL BOARD DIRECTORS, ADMINSTRATORS, 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. IF A CONFLICT EXISTS, THE CONFLICTED INDIVIDUAL EITHER HAS TO CORRECT THE CONFLICT OF INTEREST OR MUST ABSTAIN FROM PARTICIPATION REGARDING THE CONFLICT OF INTEREST TOPIC. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS A MANAGEMENT REVIEW COMMITTEE THAT REVIEWS THE CEO'S COMPENSATION. THE COMMITTEE DETERMINES ANY COMPENSATION ADJUSTMENTS TO THE CEO. THE CEO, EXECUTIVE DIRECTORS AND OTHER TOP MANAGEMENT POSITIONS ARE COMPARED TO THE MOST RECENT CEMO STUDY TO DETERMINE HOW THEIR COMPENSATION COMPARES TO PEER ORGANIZATIONS. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2022. THE CEO DETERMINES ANY COMPENSATION ADJUSTMENTS TO THE SENIOR MANAGEMENT. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2022. 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 XII, LINE 2C THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. AMERICAN BAPTIST HOMES OF THE MIDWEST 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 410706155 HOUSING AND CARE FOR THE ELDERLY MN 501(C)(3) 10 N/A 0 RESIDENCES AT FRANKLIN PARK INC 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 840630940 HOUSING FOR LOW-INCOME SENIORS CO 501(C)(4) N/A ABHM BHARM 1 AMERICAN BAPTIST HOMES OF THE MIDWEST FOUNDATION 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 411803304 PHILANTHROPY MN 501(C)(3) LINE 12A, I ABHM 0 BAPTIST HOME ASSOC OF THE ROCKY MOUNTAINS - AFFILIATES 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 742755828 HOUSING AND CARE FOR THE ELDERLY CO 501(C)(3) 10 ABHM BHARM 1 THE CROSSINGS AT TUDOR OAKS 14850 SCENIC HEIGHTS ROAD 125 EDEN PRAIRIE MN 55344 203346875 INACTIVE MN 501(C)(3) 10 ABHM 0 DENVER APARTMENTS PARTNERS LLC 1535 FRANKLIN STREET DENVER CO 80218 261776678 HOUSING FOR LOW-INCOME SENIORS. NE N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 AMERICAN BAPTIST HOMES OF THE MIDWEST P 451 AMOUNT PAID