2022-07-29T09:45:43-05:00 2021-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-10-01 410919107 BELGRADE NURSING HOME BELG 3202548215 PO BOX 340 BELGRADE MN 56312 STEPHANIE FISCHER ADMINISTRATOR 3202548215 2022-07-27 1 STEPHANIE FISCHER 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-07-20 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEPHANIE FISCHER PO BOX 340 BELGRADE MN 56312 3073292 0 X HTTPS://WWW.NURSINGHOMESITE.COM/BELGRADE_NURSING_ 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. 5 5 81 5 0 0 112318 196403 3109781 2846138 615 0 -6267 4918 3216447 3047459 0 0 0 0 1764874 1715621 0 0 0 1431573 1311838 3196447 3027459 20000 20000 991065 768003 547022 303960 444043 464043 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 2628860 0 2846138 BELGRADE NURSING HOME IS A 5 STAR LICENSED SKILLED NURSING FACILITY. THE FACILITY HAS 44 LICENSED BEDS WITH AN AVERAGE DAILY CENSUS OF 26. 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. 2628860 0 1 0 0 0 0 0 0 0 1 0 0 0 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 1 11 0 81 0 0 0 0 0 0 0 0 0 0 0 X 5 5 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 STEPHANIE FISCHER ADMINISTRATOR 40.00 X 81421 0 5610 SANDRA WESTABY PRESIDENT & CHAIR 1.00 X X 0 0 0 TRUDY LIESER DIRECTOR 0.50 X 0 0 0 LOWELL HOLLEN 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 81421 0 5610 0 0 0 0 PRIME TIME HEALTHCARE LLC 15380 WEIT ST OMAHA NE 68137 NURSING SERVICES 261741 1 196403 196403 RESIDENT REVENUE 623000 2846138 2846138 2846138 27027 25833 1194 1194 1194 3724 3724 3724 3047459 2846138 0 4918 X 86346 16242 70104 1360622 1360622 268653 261213 7440 2017 2017 46413 46413 25512 25512 451670 451670 22352 22352 138149 80476 57673 129206 128149 1057 1564 1564 14439 14439 1089 1089 25561 22849 2712 34243 34243 MEDICAL SUPPLIES 125260 13284 111976 SURCHARGE 123860 123860 FOOD 71148 71148 EQUIPMENT RENTAL 68937 68937 30418 29321 1097 3027459 2628860 398599 0 457120 234716 44852 49146 318629 334073 27171 29539 776626 665925 131448 110701 11845 9828 991065 768003 331269 242927 30999 23279 184754 37754 547022 303960 X 444043 464043 0 0 0 0 444043 464043 991065 768003 20000 0 X 0 1 X 1 0 X 23600 112318 196403 332321 3195003 3361316 3108608 3109781 2846138 15620846 3218603 3361316 3108608 3222099 3042541 15953167 0 382488 370443 397631 385853 406275 1942690 382488 370443 397631 385853 406275 1942690 14010477 38 672 21485 15426 27027 64648 38 672 21485 15426 27027 64648 48566 5895 10916 1635 3724 70736 3267207 3367883 3141009 3239160 3073292 16088551 0.87080 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 158636 102286 56350 560033 505682 54351 57957 57957 0 110701 THIRD PARTY SETTLEMENT 37754 37754 3073292 25833 25833 3047459 0 3047459 3053292 25833 25833 3027459 0 3027459 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 25,833. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 25,833. 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 312,136. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,136. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 122,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,563. DIETICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,453. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,453. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 14,518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,518.