SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
BARTELS LUTHERAN HOME
 
Employer identification number

42-0752685
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS MADE UP OF MEMBER CORPORATE CHURCHES.
FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS MADE UP OF MEMBER CORPORATE CHURCHES WHO SEND DELEGATES FROM THEIR RESPECTIVE CONGREGATIONS TO THE ANNUAL MEETING. THE DELEGATES APPROVE AND INSTALL THE BOARD OF DIRECTORS AND MEMORIAL FOUNDATION TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B EACH BOARD MEMBER WILL RECEIVE AN ELECTRONIC COPY OF FORM 990 FOR THEIR REVIEW PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE OF CONFLICT OF INTEREST AND REQUIREMENT TO NOTIFY. BOARD MEMBERS ABSTAIN FROM VOTING ON MOTIONS THAT REPRESENT A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD SETS COMPENSATION FOR THE CEO BASED UPON PERFORMANCE, MERIT, AND LEADING AGE STATE AND NATIONAL SALARY SURVEY COMPARISONS. THE CEO DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC AS REQUIRED UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE GUIDESTAR WEBSITE AND AT WWW.BARTELSCOMMUNITY.ORG
FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,142,200. MANAGEMENT AND GENERAL EXPENSES 4,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,146,949. OTHER EMPLOYEE RELATED: PROGRAM SERVICE EXPENSES 140,183. MANAGEMENT AND GENERAL EXPENSES 36,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,796. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 169,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,474.
FORM 990. PART XI, LINE 2C THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE FINANCIAL STATEMENTS AND THE AUDIT OF THE ORGANIZATION. THE BOARD IS ALSO RESPONSIBLE FOR SELECTING THE INDEPENDANT AUDITORS TO PERFORM THE AUDIT. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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