2024-05-28T11:22:39-05:00 2023-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-10-01 410919107 BELGRADE NURSING HOME BELG 3202548215 PO BOX 340 BELGRADE MN 56312 STEPHANIE FISCHER ADMINISTRATOR 3202548215 2024-05-28 1 STEPHANIE FISCHER 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-03-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X STEPHANIE FISCHER PO BOX 340 BELGRADE MN 56312 3812286 0 X WWW.BELGRADENURSINGHOME.COM X 1967 MN OUR MISSION IS TO PROVIDE THE HIGHEST LEVEL OF TOTAL CARE POSSIBLE WITH EMPHASIS ON SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AS WELL AS THE PHYSICAL NEEDS OF OUR RESIDENTS. 4 4 65 5 0 0 272406 453092 3028004 3311826 71 832 9613 21299 3310094 3787049 0 20 0 0 1815185 1723065 0 0 0 1474909 2043964 3290094 3767049 20000 20000 766583 1522560 282540 1018517 484043 504043 OUR MISSION IS TO PROVIDE THE HIGHEST LEVEL OF TOTAL CARE POSSIBLE WITH EMPHASIS ON SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AS WELL AS THE PHYSICAL NEEDS OF OUR RESIDENTS. 0 0 3115960 20 3311826 BELGRADE NURSING HOME IS A 5 STAR LICENSED SKILLED NURSING FACILITY. THE FACILITY HAS 34 LICENSED BEDS WITH AN AVERAGE DAILY CENSUS OF 28. THE FACILITY PROVIDES SHORT-TERM AND LONG-TERM CARE SERVICES THAT INCLUDE OUTPATIENT THERAPY, ADULT DAY SERVICES, AND RESPITE CARE. WE PRIDE OURSELVES ON EXCELLENT QUALITY OF CARE. 3115960 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 65 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X THE ORGANIZATION 3202548215 PO BOX 340 BELGRADE MN 56312 SANDRA WESTABY PRESIDENT & CHAIR 1.00 X X 0 0 0 TRUDY LIESER DIRECTOR 0.50 X 0 0 0 LOWELL HOLLEN THRU 102022 DIRECTOR 0.50 X 0 0 0 JIM LEMMER DIRECTOR 0.50 X 0 0 0 ANN WINGER DIRECTOR 0.50 X 0 0 0 STEPHANIE FISCHER ADMINISTRATOR 40.00 X 90939 0 7914 90939 0 7914 0 0 0 0 ONESTAFF MEDICAL LLC PO BOX 3544 OMAHA NE 68103 NURSING SERVICES 265468 PRIME TIME HEALTHCARE LLC 15380 WEIT ST OMAHA NE 68137 NURSING SERVICES 120850 2 453092 453092 RESIDENT REVENUE 623000 3311826 3311826 3311826 832 832 38136 25237 12899 12899 12899 8400 8400 8400 3787049 3311826 0 22131 X 20 20 104722 33087 71635 1347152 1347152 13708 13708 144298 143273 1025 113185 108076 5109 107285 107285 112489 112489 30840 30840 896125 896125 53598 53598 127888 91505 36383 143608 143608 2990 2990 1594 1594 1186 1186 32085 28681 3404 44197 44197 SETTLEMENT EXPENSE 180500 180500 SURCHARGE 95710 95710 FOOD 83958 83958 BAD DEBT 44712 44712 85199 85159 40 3767049 3115960 651089 0 232517 470996 16447 187458 303847 363019 29612 36643 911708 727027 183605 184681 555 279763 766583 1522560 267702 296450 0 339148 14838 0 0 382919 282540 1018517 X 484043 504043 0 0 0 0 484043 504043 766583 1522560 20000 0 X 0 1 X 1 0 X 112318 196403 272406 453092 1034219 3108608 3109781 2846138 3028004 3311826 15404357 3108608 3222099 3042541 3300410 3764918 16438576 0 397631 385853 406275 443447 438511 2071717 397631 385853 406275 443447 438511 2071717 14366859 21485 15426 27027 31200 38968 134106 21485 15426 27027 31200 38968 134106 10916 1635 3724 2681 8400 27356 3141009 3239160 3073292 3334291 3812286 16600038 0.86550 0.86850 0.00810 0.00590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 158636 119215 39421 636896 549855 87041 116176 57957 58219 184681 RIGHT-OF-USE ASSETS - OPERATING LEASE 279763 279763 DUE TO CITY OF BELGRADE 106730 OPERATING LEASE OBLIGATION 276189 382919 3812286 0 3812286 -25237 -25237 3787049 3792286 25237 25237 3767049 0 3767049 PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -25,237. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 25,237. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C A SIGNIFICANT TRANSACTION, OR A TRANSACTION THAT REQUIRES CONTRACTUAL ARRANGEMENT, WILL, AT THE OPTION OF THE BOARD, BE SUBJECT TO LEGAL REVIEW FOR COMPLIANCE WITH CONFLICT OF INTEREST REQUIREMENTS. IN THE EVENT OF A CONFLICT OF INTEREST BY A MEMBER OF THE BOARD OF DIRECTORS, THE MEMBERS IN THE POTENTIAL CONFLICT WILL REFRAIN FROM VOTING ON MATTERS THAT COULD RESULT IN A CONFLICT OF INTEREST OF THEIR PERSONAL INTEREST AND THAT OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THE ADMINISTRATOR. DURING THE REVIEW COMPARABILITY DATA FROM THE STATE IS TAKEN INTO ACCOUNT ALONG WITH THE BUDGET AVAILABLE. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS MADE AVAILABLE TO PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G NURSING SERVICES: PROGRAM SERVICE EXPENSES 744,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 744,747. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 127,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,338. DIETICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,870. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 21,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,170.