2024-03-27T16:44:54-05:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450230141 Bethel Lutheran Nursing & Rehabilitation Center BETH 7015726766 1515 2nd Ave W Williston ND 58801 Tiffany Sickinger CFO 7015726766 2024-03-27 1 Tiffany Sickinger 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2024-03-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Belinda Moen 1515 2nd Ave W Williston ND 58801 19707141 0 X www.blnrc.com X 1948 ND Provide Christian care to residents in a senior living center in Williston, ND. 9 9 266 9 0 0 164832 2553010 13716913 13743884 95386 100334 721293 3269857 14698424 19667085 0 0 0 0 9310581 10850862 0 0 0 7036390 5470476 16346971 16321338 -1648547 3345747 14740286 18400433 1303929 1095440 13436357 17304993 Bethel Lutheran Nursing & Rehabilitation Center exists for the purpose of providing Christian care in its truest form, ministering to the physical, spiritual, and emotional needs of each person as a work of love and mercy. 0 0 14406255 13743884 Bethel Lutheran Nursing & Rehabilitation Center provides resident and tenant services in a long-term setting (skilled nursing and basic care) and apartment setting (assisted living). Bethel Lutheran Nursing & Rehabilitation Center provided 47,041 days of resident and tenant care in the year ended June 30, 2023. Bethel Lutheran Nursing & Rehabilitation Center provides short-term rehabilitative care, respite care, adult daycare, and a memory care neighborhood. 14406255 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 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 14 0 1 266 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Tiffany Sickinger 7015726766 1515 2nd Ave W Williston ND 58801 Aaron Schmit Chairperson (Jul-Sep) 2.00 0.50 X X 0 0 0 Tina Hanson Director Jul-Sep /Chairperson (Oct-Jun) 2.00 0.50 X X 0 0 0 Grant Carns Vice Chair (Jul-Sep) 1.00 0.00 X X 0 0 0 Peggy Sundet SecretaryTreasurer (Jul-Sep)/ Vice Chair (Oct-Jun) 1.00 0.50 X X 0 0 0 Alvina Skogen Director 1.00 0.00 X 0 0 0 Jim McKenzie Director (Oct-Jun) 1.00 0.00 X 0 0 0 Kelsey Geltel Director 1.00 0.00 X 0 0 0 Patti Stewart Director 1.00 0.00 X 0 0 0 Rick Braaten Director 1.00 0.00 X 0 0 0 Rob Osborn Director (Oct-Jun) 1.00 0.00 X 0 0 0 Ruth Carlson Director 1.00 0.00 X 0 0 0 Belinda Moen Administrator 40.00 0.00 X 151633 0 19526 Tiffany Sickinger CFO/Director of Finance 40.00 0.00 X 93727 0 17406 Moses Benda CNA 67.50 0.00 X 119946 0 15561 Sheila Johnson LPN 60.70 0.00 X 119495 0 4389 Ida Ford RN 42.00 0.00 X 116276 0 6647 601077 0 63529 4 0 1 0 Fusion Medical Staffing LLC PO Box 30133 Omaha NE 68103 Contracted nursing staff 1136235 LRS Healthcare PO Box 850781 Minneapolis MN 55485 Contracted nursing staff 710475 RehabVisions 11623 Arbor St Suite 101 Omaha NE 68144 Therapy Services 391085 Aspen Contracting 4141 NE Lakewood Way Lees Summit MO 64064 Contruction company 275671 Titan Nurse Staffing LLC 2110 S 169th Plaza Suite 100 Omaha NE 68130 Contracted nursing staff 218540 11 2543010 10000 2553010 Skilled Nursing Care Revenue 623000 12010345 12010345 Assisted Living Revenue 623990 1266798 1266798 Basic Nursing Care Revenue 623000 352623 352623 Therapy Services Revenue 623000 76258 76258 Employee and Guest Meals 623000 14424 14424 23436 23436 13743884 112614 112614 22070 27776 -5706 -5706 -5706 12280 -12280 -12280 -12280 Employee Retention Credit 900999 3260314 3260314 Gain on Insurance Claims 900999 15249 15249 3275563 19667085 13743884 0 3370191 299613 299613 8943413 8516998 426415 216516 209226 7290 728686 671907 56779 662634 611002 51632 26939 26939 337341 337341 1587471 1561741 25730 2106 275 1831 542046 495005 47041 178508 13215 165293 55669 55669 30003 20087 9916 8587 3294 5293 183 8 175 689490 661868 27622 179574 34614 144960 Food 630547 630547 Bad Debt Expense 419503 419503 Plant Management 413738 397458 16280 Repairs and maintenance 122223 7817 114406 246548 96021 150527 16321338 14406255 1915083 0 2792486 3782146 1427932 1240639 146907 117275 36699 77654 28532196 20624958 5596799 7907238 4534105 4541376 205358 734105 14740286 18400433 1235342 1042416 58266 51645 10321 1379 1303929 1095440 X 13436357 16782104 522889 13436357 17304993 14740286 18400433 X 3345747 522889 X 0 1 X 0 0 X 14337 975355 2470635 164832 2553010 6178169 15778019 14641790 14053490 13716913 13743884 71934096 29572 30394 19692 79658 15821928 15647539 16543817 13881745 16296894 78191923 0 0 0 78191923 117987 131610 103036 115617 134684 602934 117987 131610 103036 115617 134684 602934 15939915 15779149 16646853 13997362 16431578 78794857 0.99230 0.99290 0.00770 0.00710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2467238 1052273 3519511 459407 21678991 18158262 3980136 2874287 2466696 407591 7907238 Lease Payable 1379 1379 X 20202483 522889 522889 19679594 -12509 -12509 19667085 16333847 12509 12509 16321338 0 16321338 Part IV, Line 2b: The Organization acts as custodian for funds of the residents and security deposits. These funds are included in cash and accounts payable in the financial statements. Resident trust funds totaled $23,057 and $36,891 at June 30, 2023 and 2022. Security Deposits totaled $28,588 and $21,375 at June 30, 2023 and 2022. Part X, Line 2: The Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Change in beneficial interest in foundation 522,889. Part XI, Line 4b - Other Adjustments: Daycare Depreciation -7,238. Parsonage Depreciation -5,271. Part XII, Line 2d - Other Adjustments: Daycare depreciation 7,238. Parsonage depreciation 5,271. X X 0 0 0 0 0 0 0 0 0 Belinda Moen Administrator 144160 0 4300 0 3173 0 1047 0 18479 0 171159 0 0 0 Form 990, Part VI, Section A, line 6 At least a majority of the members of the organization must consist of congregations which are members of the Upper Missouri Conference of the Western North Dakota Synod of the Evangelical Lutheran Church in America. Other congregations may also be members of this corporation upon written application and approval by the members of the organization at an annual or special meeting of the organization. Voting members at the annual and special meetings consists of all pastors serving congregations who are members of the corporation and one lay delegate for each 100 confirmed members of that congregation. Each member congregation selects their delegates in accordance to their own qualifications. Form 990, Part VI, Section A, line 7a The Lutheran congregation/owners elect delegates from their congregations. The delegates elect the board members at Bethel Lutheran Nursing & Rehabilitation Center's annual meeting. Membership of the Board of Directors shall consist of at least 5 members of Lutheran Congregations which are members of the Upper Missouri Conference of the Western North Dakota Synod of the Evangelical Lutheran Church in America. Form 990, Part VI, Section A, line 7b The Lutheran congregation/owners elect delegates from their congregations to vote on corporate matters at the Bethal Lutheran Nursing & Rehabilitation Center's annual meeting. Form 990, Part VI, Section A, line 8b Committees do not have authority to act on behalf of the governing body. Committees make recommendations to the Board of Directors. Form 990, Part VI, Section B, line 11b The Form 990 will be provided to the board of directors at a board meeting prior to filng with the IRS. Form 990, Part VI, Section B, line 12c Annually the board of directors and officers of the organization review the conflict of interest policy. When an individual becomes aware that an issue, event or situation may involve a confict of interest, that individual reports the conflict to the board of directors. The board of directors will review the potential conflict and make a determination regarding the potential conflict. Form 990, Part VI, Section B, line 15a The Personnel Committee of the Board of Directors annually compares the compensation of the Administrator with comparable positions. The Personnel Committee brings their recommendations to the independent Board of Directors for review and approval. The Administrator used comparability data to review and approve the compensation for the CFO. Form 990, Part VI, Section C, line 19 Audited year-end financial statements are available at the Bethel Lutheran Nursing & Rehabilitation Center annual meeting, as well as published on the organization's website. The financial statements and conflict of interest policy are also available upon request. Form 990, Part XI, line 9: Change in beneficial interest in Foundation 522,889. Bethel Lutheran Foundation 1705 3rd Ave W Williston ND 58801 450390238 Provide support to Bethel Lutheran Nursing & Rehabilitation Center ND 501(c)(3) Line 12c, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0