BETHEL LUTHERAN NURSING & REHABILITATION CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN NURSING & REHABILITATION CENTER (EIN 45-0230141)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-03-30
IRS object ID
202300899349300625
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-03-30T13:04:06-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11730 Burnt Boat Loop Ste 100AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585030886ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450230141EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bethel Lutheran Nursing & RehabilitationBusinessNameLine1Txt
Business Name Line2CenterBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone7015726766PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 2nd Ave WAddressLine1Txt
CityWillistonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTiffany SickingerPersonNm
Person TitleCFOPersonTitleTxt
Phone7015726766PhoneNum
Signature2023-03-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTiffanyPersonFirstNm
Person LastSickingerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2023-03-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBelinda MoenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 2nd Ave WAddressLine1Txt
CityWillistonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,723,278GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.blnrc.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionProvide Christian care to residents in a senior living center in Williston, ND.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee257TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,470,635PYContributionsGrantsAmt
CY Contributions Grants$164,832CYContributionsGrantsAmt
PY Program Service Revenue$14,053,496PYProgramServiceRevenueAmt
CY Program Service Revenue$13,716,913CYProgramServiceRevenueAmt
PY Investment Income$103,036PYInvestmentIncomeAmt
CY Investment Income$95,386CYInvestmentIncomeAmt
PY Other Revenue$26,770PYOtherRevenueAmt
CY Other Revenue$721,293CYOtherRevenueAmt
PY Total Revenue$16,653,937PYTotalRevenueAmt
CY Total Revenue$14,698,424CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,549,596PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,310,581CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,412,475PYOtherExpensesAmt
CY Other Expenses$7,036,390CYOtherExpensesAmt
PY Total Expenses$14,962,071PYTotalExpensesAmt
CY Total Expenses$16,346,971CYTotalExpensesAmt
PY Revenues Less Expenses$1,691,866PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,648,547CYRevenuesLessExpensesAmt
Total Assets BOY$16,209,444TotalAssetsBOYAmt
Total Assets EOY$14,740,286TotalAssetsEOYAmt
Total Liabilities BOY$1,124,540TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,303,929TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,084,904NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,436,357NetAssetsOrFundBalancesEOYAmt
MissionBethel 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,843,528ExpenseAmt
Revenue$13,716,913RevenueAmt
DescBethel 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 48,374 days of resident and tenant care in the year ended June 30, 2022. Bethel Lutheran Nursing & Rehabilitation Center provides short-term rehabilitative care, respite care, adult daycare, and a memory care neighborhood.Desc
Total Program Service Expenses$14,843,528TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee257EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tiffany SickingerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7015726766PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 2nd Ave WAddressLine1Txt
CityWillistonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Aaron Schmit
Chairperson2.000.00Yes (X)Yes (X)$0$0$0
Grant Carns
Vice Chair1.000.00Yes (X)Yes (X)$0$0$0
Peggy Sundet
Secretary/Treasurer1.002.00Yes (X)Yes (X)$0$0$0
Ruth Carlson
Director1.000.00Yes (X)$0$0$0
Alvina Skogen
Director1.000.00Yes (X)$0$0$0
Arlis Haug
Director (Left Sept 2021)1.000.00Yes (X)$0$0$0
Joel Wilt
Director (Left Sept 2021)1.000.00Yes (X)$0$0$0
Patti Stewart
Director1.000.00Yes (X)$0$0$0
Lyle Kuester
Director (Left Sept 2021)1.000.00Yes (X)$0$0$0
Kelsey Geltel
Director (Joined in Oct 2021)1.000.00Yes (X)$0$0$0
Tina Hanson
Director (Joined in Oct 2021)1.002.00Yes (X)$0$0$0
Kendra Richards
Director (Oct 21 - Apr 22)1.000.00Yes (X)$0$0$0
Rick Braaten
Director (Joined in May 2022)1.000.00Yes (X)$0$0$0
Tammra Peterson
Administrator (Left Jan 2022)40.000.00Yes (X)$162,812$0$31,233
Andrew Downer
Dir of Finance (Left Aug 2021)40.000.00Yes (X)$66,778$0$7,439
Belinda Boen
Interim Administrator-Join Sept 2240.000.00Yes (X)$27,624$0$811
Cynthia Sorenson
Interim Dir of Fin (Aug-Nov 2021)40.000.00Yes (X)$221$0$0
Tiffany Sickinger
CFO-Joined Nov 2140.000.00Yes (X)$11,760$0$1,146
Edith Cha-Ong
Registered Nurse46.000.00$103,865$0$7,113Yes (X)
Sheila Johnson
LPN67.000.00$102,053$0$27,389Yes (X)
Tanya Giese
Director of Nursing40.000.00$109,299$0$490Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$584,412TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$75,621TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Fusion Medical Staffing LLC
PO Box 30133OmahaNE68103Contracted nursing staff$1,629,983
RehabVisions
11623 Arbor St Suite 101OmahaNE68144Therapy Services$420,230
Arvant Healthcare Professionals LLC
PO Box 744554AtlantaGA30374Contracted nursing staff$409,366
LRS Healthcare
PO Box 850781MinneapolisMN55485Contracted nursing staff$373,056
Titan Nurse Staffing LLC
2110 S 169th Plaza Suite 100OmahaNE68130Contracted nursing staff$364,850
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$16,439RelatedOrganizationsAmt
Government Grants$148,393GovernmentGrantsAmt
Total Contributions$164,832TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Skilled Nursing Care Revenue623000$12,076,639$12,076,639
Assisted Living Revenue623990$1,171,008$1,171,008
Basic Nursing Care Revenue623000$348,996$348,996
Therapy Services Revenue623000$97,530$97,530
Employee and Guest Meals623000$15,855$15,855

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,885TotalRevenueColumnAmt
Related Or Exempt Func Income$6,885RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,716,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,342TotalRevenueColumnAmt
Exclusion$96,342ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,275RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$23,898RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$4,623RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,623TotalRevenueColumnAmt
Exclusion-$4,623ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$956OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$956OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$956TotalRevenueColumnAmt
Exclusion-$956ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGain on Insurance ClaimsDesc
Business900999BusinessCd
Total Revenue Column$725,916TotalRevenueColumnAmt
Exclusion$725,916ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$725,916OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,698,424TotalRevenueColumnAmt
Related Or Exempt Func Income$13,716,913RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$816,679ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$321,849TotalAmt
Program Services$11,227ProgramServicesAmt
Management And General$310,622ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,584,170TotalAmt
Program Services$7,255,584ProgramServicesAmt
Management And General$328,586ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$200,775TotalAmt
Program Services$191,771ProgramServicesAmt
Management And General$9,004ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$683,280TotalAmt
Program Services$628,645ProgramServicesAmt
Management And General$54,635ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$520,507TotalAmt
Program Services$478,888ProgramServicesAmt
Management And General$41,619ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,284TotalAmt
Management And General$32,284ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,920TotalAmt
Management And General$28,920ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,634,728TotalAmt
Program Services$3,580,369ProgramServicesAmt
Management And General$54,359ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,172TotalAmt
Management And General$3,172ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$573,727TotalAmt
Program Services$535,632ProgramServicesAmt
Management And General$38,095ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$159,155TotalAmt
Program Services$16,675ProgramServicesAmt
Management And General$142,480ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$60,888TotalAmt
Program Services$60,888ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,531TotalAmt
Program Services$9,092ProgramServicesAmt
Management And General$16,439ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,190TotalAmt
Program Services$3,300ProgramServicesAmt
Management And General$2,890ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$544TotalAmt
Program Services$22ProgramServicesAmt
Management And General$522ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$653,976TotalAmt
Program Services$628,647ProgramServicesAmt
Management And General$25,329ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$154,786TotalAmt
Program Services$28,745ProgramServicesAmt
Management And General$126,041ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food$576,149$576,149
Plant Management$404,002$388,106$15,896
Bad Debt Expense$274,969$274,969
Repairs and Maintenance$192,405$10,034$182,371

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$254,964TotalAmt
Program Services$164,785ProgramServicesAmt
Management And General$90,179ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,346,971TotalAmt
Program Services$14,843,528ProgramServicesAmt
Management And General$1,503,443ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,332,432BOYAmt
EOY$2,792,486EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,871,827BOYAmt
EOY$1,427,932EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$147,522EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$151,360BOYAmt
EOY$146,907EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$63,693BOYAmt
EOY$36,699EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,689,188LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,092,389LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,742,133BOYAmt
EOY$5,596,799EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$4,534,105EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,999BOYAmt
EOY$57,836EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,209,444BOYAmt
EOY$14,740,286EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,028,539BOYAmt
EOY$1,235,342EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$77,086BOYAmt
EOY$58,266EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,915BOYAmt
EOY$10,321EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,124,540BOYAmt
EOY$1,303,929EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,084,904BOYAmt
EOY$13,436,357EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,084,904BOYAmt
EOY$13,436,357EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,209,444BOYAmt
EOY$14,740,286EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,648,547ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,846CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$975,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,470,635CurrentTaxYearMinus1YearAmt
Current Tax Year$164,832CurrentTaxYearAmt
Total$3,645,005TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,630,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,778,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,641,790CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,053,490CurrentTaxYearMinus1YearAmt
Current Tax Year$13,716,913CurrentTaxYearAmt
Total$73,820,757TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,964CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,692CurrentTaxYearMinus1YearAmt
Total$115,622TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,686,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,821,928CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,647,539CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,543,817CurrentTaxYearMinus1YearAmt
Current Tax Year$13,881,745CurrentTaxYearAmt
Total$77,581,384TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$77,581,384PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,413CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,610CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,036CurrentTaxYearMinus1YearAmt
Current Tax Year$115,617CurrentTaxYearAmt
Total$551,663TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,413CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,610CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,036CurrentTaxYearMinus1YearAmt
Current Tax Year$115,617CurrentTaxYearAmt
Total$551,663TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,769,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,939,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,779,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,646,853CurrentTaxYearMinus1YearAmt
Current Tax Year$13,997,362CurrentTaxYearAmt
Total$78,133,047TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99290PublicSupportCY509Pct
Public Support PY5090.99420PublicSupportPY509Pct
Investment Income CY0.00710InvestmentIncomeCYPct
Investment Income PY0.00610InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,074,423OtherCostOrOtherBasisAmt
Book Value$1,074,423BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$459,407InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$21,322,361OtherCostOrOtherBasisAmt
Depreciation$17,705,619DepreciationAmt
Book Value$4,076,149BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,832,997OtherCostOrOtherBasisAmt
Depreciation$2,386,770DepreciationAmt
Book Value$446,227BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,596,799TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLease PayableDesc
Amt$10,321Amt
FieldValueIRS element (for citing)
Total Liability$10,321TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,698,424TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,698,424RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,698,424TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,346,971TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$16,346,971ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,346,971TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $36,891 and $56,388 at June 30, 2022 and 2021. Security Deposits totaled $21,375 and $20,561 at June 30, 2022 and 2021.
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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTammra PetersonPersonNm
TitleAdministrator (Left Jan 2022)TitleTxt
Base Compensation Filing Org$145,185BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$2,116BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$15,511OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$25,244DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$5,989NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$194,045TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6At 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 7aThe 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 7bThe 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 8bCommittees 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 11bThe 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 12cAnnually 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 15aThe 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 19Audited 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 IX, line 11gConsultants: Program service expenses 10,015. Management and general expenses 54,359. Fundraising expenses 0. Total expenses 64,374. Contracted Services: Program service expenses 3,485,831. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,485,831. Purchased Services: Program service expenses 84,523. Management and general expenses 0. Fundraising expenses 0. Total expenses 84,523.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Bethel Lutheran FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11705 3rd Ave WAddressLine1Txt
CityWillistonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58801ZIPCd
FieldValueIRS element (for citing)
EIN450390238EIN
Primary ActivitiesProvide support to Bethel Lutheran Nursing & Rehabilitation CenterPrimaryActivitiesTxt
Legal Domicile StateNDLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12c, III-FIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.