2025-04-30T11:08:41-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 450277390 Beulah Community Nursing Home BEUL 7018733175 118 22nd St NE Beulah ND 58523 Blake Kragnes Administrator 7018733175 2025-04-28 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-03-29 2023 2025-03-06 01:10:19Z Knife River Care Center Blake Kragnes 118 22nd St NE Beulah ND 58523 12087967 0 X www.krcc-nd.net X 1960 ND To provide family centered compassionate care in a therapeutic and safe environment. 7 6 167 37 0 0 8673 267608 10484648 11746156 48648 74203 2666197 0 13208166 12087967 0 0 0 0 5177626 5592526 0 0 0 6379898 6207727 11557524 11800253 1650642 287714 11083631 10945272 7278489 6829633 3805142 4115639 X To provide family-centered compassionate care in a therapeutic and safe environment, where the goal is quality of life. Knife River Care Center is dedicated to the preservation of dignity and respect to those we serve and employ. With great compassion, we strive to make excellence our standard. 0 0 10954448 11746156 Beulah Community Nursing Home, d/b/a Knife River Care Center, is a licensed 86-bed Long Term Care Nursing Facility, which provides skilled nursing care to the elderly in the Beulah, North Dakota area. The facility also provides a variety of services, which include, but are not limited to, I.V. therapy, physical therapy, occupational therapy, speech therapy, and wound care. The facility provides 24-hour services of a Social Worker in order to meet the varying psychosocial needs of all residents. Knife River Care Center is a participant in the State and Federal Medicare and Medicaid programs. All costs incurred for the fiscal year were related to providing the necessary services to those individuals who required the support of a long term care facility. 10954448 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 16 0 1 167 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X Anna Wiest 7018733174 118 22nd St NE Beulah ND 58523 Darrold Bertsch President 1.50 X X 0 0 0 Bruce Mohl Vice President 1.00 X X 0 0 0 Leanne Stiefel Secretary 1.00 X X 0 0 0 Bonnie Knell Director 1.00 X 0 0 0 Bonnie Krause Director 1.00 X 0 0 0 Gary Emter Director 1.00 X 0 0 0 Jessica Unruh Bell Director 1.00 X 0 0 0 Blake Kragnes Administrator 40.00 X 132439 0 23656 Amos Byamungu Certified Nurse Assistant 76.20 X 110939 0 0 Christina Kuntz Director of Nurses 40.00 X 105228 0 4209 Kareen Kim Chiu Sia Tan MDS Coordinator/RN 44.60 X 104129 0 14315 452735 0 42180 4 0 0 0 Prime Time Healthcare LLC American National Bank Omaha NE 681030544 Staffing 951842 Onestaff Medical LLC 10802 Farnam Dr Omaha NE 68154 Staffing 236576 2 218415 49193 267608 Resident Service Revenue 623000 11725810 11725810 Other Program Service Revenue 623000 20346 20346 11746156 74203 74203 12087967 11746156 0 74203 X 170045 170045 38190 38190 4623821 4311726 312095 161991 161991 247878 247878 350601 350601 5126 5126 42900 42900 3345546 3307953 37593 10250 10250 419676 408612 11064 163560 163560 427656 404021 23635 5881 5881 38911 38911 201685 187592 14093 655122 609653 45469 115876 115876 Food/Supplement Expense 361096 361096 Repairs & Maintenance 151875 151875 Bad Debt 75768 75768 Pharmacy Expense 67459 67459 119340 51089 68251 11800253 10954448 845805 0 200 200 1184362 1187175 984867 900963 73933 64486 23418 54547 15419177 9881317 5853788 5537860 2963063 3200041 11083631 10945272 1099801 988511 28119 14819 6106967 5789491 31469 35215 4381 7752 1597 7278489 6829633 X 3515230 3801601 289912 314038 3805142 4115639 11083631 10945272 X 287714 22783 X 0 1 X 0 0 X 199214 2112115 868825 8673 267608 3456435 199214 2112115 868825 8673 267608 3456435 3456435 1069 13628 37295 48648 74203 174843 3631278 49907267 0.95190 0.96960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 49707 49707 7073814 3623239 3450575 7560212 5864852 1695360 735444 393226 342218 5537860 Interest in NA of Fdtn 314038 Finance Lease Right of Use Asset 1391 ERC Receivable 2884612 3200041 Lease Liability 1597 1597 X 12103240 24126 24126 12079114 8853 8853 12087967 11792743 0 11792743 7510 7510 11800253 Part IV, Line 2b: The Care Center acts as custodian for the funds of the residents. These funds are included in cash and cash equivalents and accounts payable in the financial statements. Resident trust funds totaled $23,448 and $21,046 at June 30, 2024 and 2023. The Care Center also acts as custodian for funds of the Friends Club. Funds held for the Friends Club totaled $11,767 and $10,423 at June 30, 2024 and 2023. Part X, Line 2: The Care 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 Care 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 Interest in Net Assets of Knife River Care Center Foundation 24,126. Part XI, Line 4b - Other Adjustments: Friends Club Revenue 8,853. Part XII, Line 4b - Other Adjustments: Friends Club expenses 7,510. X X 0 0 0 0 0 0 0 0 0 Blake Kragnes Administrator 132439 0 0 0 0 0 6904 0 17971 0 157314 0 0 0 A City of Beulah North Dakota 450276796 000000000 2015-12-11 2459040 To refund bonds issued 04/06/2006 0 0 0 A 2795048 8705000 174100 636718 7894182 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 A 0 Date Rebate Computation Performed Issuer Name: City of Beulah, North Dakota Date the Rebate Computation was Performed: 03/02/2022 Renee Mozga Sister to Board Member Bruce Mohl 38190 Employee of KRCC 0 Form 990, Part VI, Section A, line 6 Membership: The membership of Knife River Care Center (KRCC) shall be all persons over the age of 18 who are residing within Mercer county and adjacent counties in North Dakota, and family members of residents who are willing to assist the board of directors and officers of KRCC in the operation of KRCC. Form 990, Part VI, Section A, line 7a Member Voting Rights: The members of the organization vote yearly to elect the board of directors. Form 990, Part VI, Section A, line 8b Committees: There are no committees in place that may act on behalf of the board. Form 990, Part VI, Section B, line 11b Form 990 Review: Upon receipt of the draft Form 990, the organization will forward the draft to the board members for their review and comment prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Procedures for addressing the conflict of interest: The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether Knife River Care Center can obtain a more advantageous transaction with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by majority vote of the disinterested directors whether the transaction or arrangement is in Knife River Care Center's best interest and for its own benefit, and whether the transaction is fair and reasonable to Knife River Care Center, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the Conflicts of Interest Policy: If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Form 990, Part VI, Section B, line 15a Compensation for the Administrator was determined by looking at comparable administrator wages using data from the Long Term Care Association salary surveys. The Board of Directors reviewed the data and based the starting wage for the new administrator on experience and market. The Administrator salary will be reviewed by the Board on a yearly basis. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy and financial statements are available if specifically requested. Form 990, Part IX, line 11g Contracted Services: Program service expenses 3,178,297. Management and general expenses 37,593. Fundraising expenses 0. Total expenses 3,215,890. Consultants: Program service expenses 129,656. Management and general expenses 0. Fundraising expenses 0. Total expenses 129,656. Form 990, Part XI, line 9: Net Change in Interest in Foundation 24,126. Friends Club Net Income -1,343. Knife River Care Center Friends Club 118 22nd St NE Beulah ND 58523 450277390 Staff Special Events ND 8853 12440 N/A