2022-04-29T10:12:52-07:00 2021-06-30 990 2020-07-01 450230141 BETHEL LUTHERAN NURSING & REHABILITATION CENTER BETH 7015726766 1515 2nd Ave W Williston ND 58801 Tiffany Sickinger DOF 7015726766 2022-04-30 1 11 1 AAL2 2020 2022-09-23 18:48:47Z Belinda Moen 1515 2nd Ave W Williston ND 58801 16671878 0 X www.blnrc.com X 1948 ND Bethel Lutheran Nursing & Rehabilitation Center exists for the primary purpose of providing Christian care in its truest meaning-ministering to the physical, spiritual, and emotional needs of each person, not merely as a professional service, but as a work of love an mercy. Thus, we minister to people in the name of Christ by recognizing each individual as a child of God. 9 9 283 20 0 0 975355 2470635 14641789 14053496 112770 103036 25243 26770 15755157 16653937 0 0 0 0 10088425 8549596 0 0 0 5310804 6412475 15399229 14962071 355928 1691866 16124477 16209444 2731434 1124540 13393043 15084904 Bethel Lutheran Nursing & Rehabilitation Center exists for the primary purpose of providing Christian care in its truest meaning-ministering to the physical, spiritual, and emotional needs of each person, not merely as a professional service, but as a work of love and mercy. Thus, we minister to people in the name of Christ by recognizing each individual as a child of God. 0 0 13526480 2448588 16499078 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 50,767 days of resident and tenant care in the year ended June 30, 2021. Bethel Lutheran Nursing & Rehabilitation Center provides short-term rehabilitative care, respite care, adult daycare, and a memory care neighborhood. 0 0 0 13526480 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1 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 5 0 283 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 0 0 0 1 0 1 1 1 1 0 X Tiffany Sickinger 7015726766 1515 2nd Ave W Williston ND 58801 Tammra Peterson Administrator 40 40 X 157800 0 0 Edith Cha-Ong Registered Nurse 46 0 X 124169 0 0 Sheila Johnson LPN 57 0 X 104932 0 0 Andrew Downer Director of Finance 40 0 X 57380 0 0 Aaron Schmit Chairman 2 0 X 0 0 0 Grant Carns Vice-Chairman 1 0 X 0 0 0 Peggy Sundet Secretary-Treasurer 1 0 X 0 0 0 Ruth Carlson Director 1 0 X 0 0 0 Alvina Skogen Director 1 0 X 0 0 0 Arlis Haug Director 1 0 X 0 0 0 Joel Wilt Director 1 0 X 0 0 0 Patti Stewart Director 1 0 X 0 0 0 Lyle Kuester Director 1 0 X 0 0 0 444281 0 0 3 0 1 0 RehabVisions 11623 Arbor St Suite 201 Omaha NE 68144 Therapy services 522779 Titan Nurse Staffing LLC 2110 S 169th Plaza Omaha NE 68130 contracted nursing staff 1247189 Avant Healthcare Professionals LLC PO Box 744554 Atanta GA 30374 contracted nursing staff 364568 Prime Time Healthcare LLC 15380 Weir St Omaha NE 68137 contracted nursing staff 117609 4 0 0 0 25047 2445588 0 0 2470635 Skilled nursing care 623000 12564775 12564775 0 0 Basic nursing care 623000 344141 344141 0 0 Assisted Living 623990 1038184 1038184 0 0 Therapy Services 623000 99660 99660 0 0 Other skilled and basic revenue 623000 6736 6736 0 0 0 0 0 0 14053496 103036 0 0 103036 0 0 0 0 0 0 0 0 22860 0 17941 0 4919 0 4919 4919 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 Employee and guest meals 623000 19059 19059 0 0 2792 2792 0 0 21851 16653937 14080266 0 103036 X 0 0 0 0 0 0 0 0 302477 0 302477 0 0 0 0 0 6925405 6424307 501098 0 227887 212003 15884 0 574151 534131 40020 0 519676 483453 36223 0 0 0 0 0 24641 0 24641 0 44695 0 44695 0 0 0 0 0 0 0 0 0 0 0 3476590 3432221 44369 0 422 0 422 0 36743 0 36743 0 142082 0 142082 0 0 0 0 0 494902 476651 18251 0 0 0 0 0 0 0 0 0 14523 9806 4717 0 0 0 0 0 0 0 0 0 669969 647022 22947 0 116365 0 116365 0 Food and Supplements 449168 449168 0 0 Bad Debt Expense 265945 265945 0 0 Supplies 578738 578738 0 0 Other expenses 97692 13035 84657 0 14962071 13526480 1435591 0 0 0 8155580 8332432 0 0 1539420 1871827 0 0 0 0 0 0 93545 151360 34265 63693 25234138 19492005 6254667 5742133 47000 47999 16124477 16209444 924775 1028539 66824 77086 0 0 0 0 0 0 1739835 18915 2731434 1124540 X 13393043 15084904 0 0 13393043 15084904 16124477 16209444 X 1691866 0 0 0 0 -5 X 0 1 X 0 0 X 49885 19846 14337 975355 2470635 3530058 15370245 15630545 15778019 14641790 14053490 75474089 24256 35964 29572 30394 19692 139878 15444386 15686355 15821928 15647539 16543817 79144025 79144025 48330 83413 117987 131610 103036 484376 48330 83413 117987 131610 103036 484376 15492716 15769768 15939915 15779149 16646853 79628401 0.99392 0.99423 0.00608 0.00577 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 0 183783 183783 0 22246556 17229417 5017139 0 0 0 0 0 2803799 2262588 541211 0 0 0 0 5742133 0 Capital Lease Obligation 18915 18915 X 16653937 0 0 0 0 0 16653937 0 0 0 16653937 14962070 0 0 0 -1 -1 14962071 0 0 0 14962071 Schedule D, 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 $56,388 and $41,258 at June 30, 2021 and 2020. Security Deposits totaled $20,561 and $26,068 at June 30, 2021 and 2020. Schedule D, Part X, Line 2 The Center is organized as a North Dakota nonprofit organization and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990)T with the IRS. In addition, the Center is subject to income tax on net income derived from business activities unrelated to its exempt purpose. The Center has determined it is not subject unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Center believes 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 have related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The Center's federal Form 990T filings are no longer subject for federal tax examinations by tax authorities for years before 2014. Schedule D, Part XII, Line 2d Rounding 0 0 0 0 0 0 0 0 0 Tammra Peterson Administrator 136414 0 0 0 21386 0 0 0 0 0 157800 0 0 0 Form 990, Part VI, Section A, Line 6 Bethel Lutheran Nursing & Rehabilitation Center is owned by 25 Williston area Lutheran congregations. 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. Form 990, Part VI, Section A, Line 7b The Lutheran congregations/owners elect delegates from their congregations to vote on corporate matters at the Bethel 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 Board of Directors reviewed 2020 Form 990 at the April 2022 board meeting. Form 990, Part VI, Section B, Line 15 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 uses comparability data to review and approve the compensation for the Director of Finance. Form 990, Part VI, Section C, Line 19 Audited year-end financial statements are available at the Bethel Lutheran Nursing & Rehabilitation Center annual meeting. Form 990, Part IX, Line 11g Contract services and consulting Form 990, Part XI, Line 9 Rounding Bethel Lutheran Foundation 1705 3rd Ave W Williston ND 58801 450390238 Provide support to Bethel Lutheran Nursing & Rehabilitation Center ND 501(c)(3) Line 11c, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0