2024-08-15T15:55:48-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2022-10-01 431162094 BETH HAVEN TERRACE INC BETH 5733316000 2500 PLEASANT STREET HANNIBAL MO 634012699 KERRI LAUTERBACH CHIEF EXECUTIVE OFFICER 5732216000 2024-08-15 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2024-08-15 2022 2024-08-08 14:25:15Z KERRI LAUTERBACH 2500 PLEASANT STREET HANNIBAL MO 634012699 718614 0 X WWW.BETHAVEN.ORG/INDEPENDENT-APARTMENTS/ X 1980 MO RENTAL HOUSING FOR SENIOR CITIZENS AND THE HANDICAPPED 5 5 4 10 0 0 0 0 664024 673821 300 138 11554 44655 675878 718614 0 0 0 0 242999 189937 0 0 0 385927 488016 628926 677953 46952 40661 655557 787577 755861 847220 -100304 -59643 BETH HAVEN PROVIDES QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. 0 0 552620 0 673821 RENTAL HOUSING FOR LOW-INCOME SENIOR CITIZENS AND THE HANDICAPPED. THERE ARE 102 APARTMENTS FOR THE ELDERLY.AFFORDABLE HOUSING RENT IS BASED ON INCOME. DESIGNED FOR PEOPLE WHO WISH TO ENJOY THE INDEPENDENCE AND PRIVACY OF THEIR OWN PLACE WITHOUT THE RESPONSIBILITY OF HOME OWNERSHIP AND MAINTENANCE. THE APARTMENTS ARE EQUIPPED TO PROVIDE MAXIMUM OPPORTUNITY FOR ACTIVE, MEANINGFUL LIVING IN YOUR RETIREMENT YEARS. EACH OF THE APARTMENTS, 600 SQUARE FEET, ARE LARGE ENOUGH TO BE COMFORTABLY COZY, YET SMALL ENOUGH TO MAKE CLEANING AND MAINTENANCE EASY. 552620 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 5 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 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 10.00 30.00 X 0 124531 31600 0 124531 31600 0 0 1 0 0 RENT REVENUE 623000 673821 673821 673821 138 138 MISCELLANEOUS REVENUE 900099 36885 36885 VENDING INCOME 900099 7770 7770 44655 718614 673821 0 44793 23312 23312 130133 130133 28763 28763 7729 7729 63685 63685 15854 15854 12342 12342 5006 5006 141632 123849 17783 366 366 80119 62293 17826 21144 21144 79783 62031 17752 50098 50098 MISCELLANEOUS 15288 15072 216 UNRECOVERED COST BASIS 2699 2699 677953 552620 125333 0 100 100 74687 81124 3518 4057 26866 70849 4402340 3806519 492386 595821 58000 35626 655557 787577 27316 73883 1367 664514 507241 62664 266096 755861 847220 X -100304 -59643 -100304 -59643 655557 787577 40661 0 X 0 0 0 X 641080 662822 654452 664024 673821 3296199 8093 7770 15863 641080 662822 654452 672117 681591 3312062 0 13549 13549 13549 13549 3298513 1618 1186 562 300 138 3804 1618 1186 562 300 138 3804 9431 19719 15967 3461 36885 85463 652129 683727 670981 675878 718614 3401329 0.96980 0.97610 0.00110 0.00150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 1,180. 2019 AMOUNT: $ 10. 2020 AMOUNT: $ 6,855. 2021 AMOUNT: $ 3,461. 2022 AMOUNT: $ 36,885. LAUNDRY INCOME - 2018 AMOUNT: $ 8,251. 2019 AMOUNT: $ 8,368. 2020 AMOUNT: $ 9,112. INSURANCE REFUNDS/CLAIMS - 2019 AMOUNT: $ 11,280. MO DEPT OF REV DISCOUNT - 2019 AMOUNT: $ 61. 104809 104809 3975433 3506656 468777 143433 128126 15307 177076 171737 5339 1589 1589 595821 TENANT SECURITY DEPOSITS 33022 DUE TO AFFILIATES 233074 266096 0 0 0 0 0 0 0 0 0 KERRI LAUTERBACH CEO 0 124531 0 0 0 0 0 7538 0 24062 0 156131 0 0 PART I, LINE 3 A RELATED ORGANIZATION, MENNONITE HOME ASSOCIATION, INC ESTABLISHS COMPENSATION USING COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO MENNONITE HOME ASSOCIATION, INC DBA: BETH HAVEN NURSING HOME, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT AND BOARD OF DIRECTORS WILL BE PROVIDED IN 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 BOTH THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. BETH HAVEN GROUP HOMES 2518 PLEASANT ST HANNABAL MO 63401 431580486 HOME FOR HANDICAPPED MO 501(C)(3) PF N/A 0 MENNONITE HOME ASSOCIATION INC 2500 PLEASANT STREET HANNABAL MO 63401 430730924 ELDERLY HEALTHCARE AND HOUSING MO 501(C)(3) LINE 10 N/A 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0