2018-03-06T08:54:55-07:00 2017-06-30 990 2016-07-01 450230141 BETHEL LUTHERAN NURSING & REHABILITATION CENTER BETH 7015726766 1515 2nd Ave W Williston ND 58801 Cindy Sorenson Director of Finance 7015726766 2018-01-18 208.107.125.170 2016 2021-01-29 14:40:06Z Tammra Peterson 1515 2nd Ave W Williston ND 58801 15541215 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 9 411 100 0 0 83341 49885 16610755 15443000 53566 29980 7734 -1974 16755396 15520891 0 0 0 0 12188016 11061698 0 0 0 4532509 4442142 16720525 15503840 34871 17051 15291521 14683652 2566574 1941655 12724947 12741997 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 13975976 0 15370245 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 66,545 days of resident and tenant care in the year ended June 30, 2017. Bethel Lutheran Nursing & Rehabilitation Center provides short-term rehabilitative care, respite care, adult daycare, and a memory care neighborhood. 0 0 0 13975976 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 411 1 0 0 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 Cindy Sorenson 7015726766 1515 2nd Ave W Williston ND 58801 Ken Kjos Chairman 1 1 X 0 0 0 Stuart Langager Vice-Chairman 1 1 X 0 0 0 Lyjean Smith Secretary-Treasurer 1 0 X 0 0 0 Roni Gravgaard Director 1 0 X 0 0 0 Cindy Hansen Director 1 0 X 0 0 0 JoAnne Colebank Director 1 0 X 0 0 0 Joel Wilt Director 1 0 X 0 0 0 Aaron Schmit Director 1 0 X 0 0 0 Peter Furuseth Director 1 0 X 0 0 0 Tammra Peterson Administrator 40 0 X 153068 0 14050 Cindy Sorenson Director of Finance 40 0 X 82338 0 19014 Sampson Wilson CNA 60 0 X 103207 0 5240 338613 0 38304 1 0 1 0 Dakota Travel Nurse Inc 502 W Main St Mandan ND 58554 contracted nurses and CNAs 229914 RehabVisions 11623 Arbor St Suite 201 Omaha NE 68144 Therapy services 609244 Prime Time Healthcare LLC 14811 Shepard St Omaha NE 68138 Contracted CNA and nurses 161304 3 0 0 0 49885 0 0 0 49885 Skilled nursing care 623110 13174426 13174426 0 0 Assisted Living 623000 1288822 1288822 0 0 Basic care 623110 730047 730047 0 0 Therapies 623110 143163 143163 0 0 Other skilled and basic revenue 623110 33787 33787 0 0 72755 72755 0 0 15443000 29980 0 0 29980 0 0 0 0 0 0 0 0 18350 0 20324 0 -1974 0 -1974 -1974 0 0 0 0 0 0 15520891 15441026 0 29980 0 0 0 0 0 0 0 0 290874 0 290874 0 0 0 0 0 8953380 8439068 514312 0 226064 219920 6144 0 915949 891055 24894 0 675431 657074 18357 0 0 0 0 0 19732 0 19732 0 18380 0 18380 0 0 0 0 0 0 0 0 0 0 0 1113575 1044398 69177 0 1062 0 1062 0 49701 0 49701 0 134650 0 134650 0 0 0 0 0 617934 594993 22941 0 0 0 0 0 0 0 0 0 25605 13485 12120 0 0 0 0 0 0 0 0 0 937916 908573 29343 0 89545 0 89545 0 Food and supplements 541174 541174 0 0 Supplies 639278 639278 0 0 Bad Debt Expense 108163 0 108163 0 Other Expenses 145427 26958 118469 0 15503840 13975976 1527864 0 0 0 5323906 5207415 0 0 1700231 1556663 0 0 0 0 0 0 98806 86939 150593 181924 23828002 16234291 7960985 7593711 0 0 0 0 57000 57000 15291521 14683652 1324538 955998 0 0 0 0 1173512 933396 68524 52261 0 0 0 0 0 0 0 0 2566574 1941655 X 12724947 12741997 0 0 0 0 12724947 12741997 15291521 14683652 X 17051 0 0 0 0 -1 X 0 1 X 0 0 X 892549 704878 573232 83341 49885 2303885 14095063 16752062 15624941 16588583 15370245 78430894 14555 18522 30524 29906 24256 117763 15002167 17475462 16228697 16701830 15444386 80852542 80852542 73284 91179 82608 78560 48330 373961 73284 91179 82608 78560 48330 373961 15075451 17566641 16311305 16780390 15492716 81226503 0.99540 0.98903 0.00460 0.01097 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 0 183783 183783 434553 20781523 14568497 6647579 0 0 0 0 0 2428143 1665794 762349 0 0 0 0 7593711 0 0 X 15520891 0 0 0 0 0 15520891 0 0 0 15520891 15503841 0 0 0 1 1 15503840 0 0 0 15503840 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 $39,722 and $43,508 at June 30, 2017 and 2016. Security Deposits totaled $22,539 and $25,017 at June 30, 2017 and 2016. 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 2013. Schedule D, Part XII, Line 2d Rounding X 0 0 0 0 0 0 0 0 0 Tammra Peterson Administrator 153068 0 0 0 0 0 3143 0 10908 0 167119 0 0 0 A City of Williston North Dakota 456002186 2008-12-22 4800000 Construction of Assisted Living facility 0 0 0 A 3481375 0 4438000 0 0 0 600 0 0 4429017 8383 0 2010 0 0 1 1 A 0 0 0 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 Schedule K, Part II, Line 3-12/22/2008 4,800,000 City of Williston North Dakota The difference between the amounts reported on Part I, column (e) and Part II, line 3 is because the Organization did not need to draw the entire issue price to complete the project. Schedule K, Part II, Line 11-12/22/2008 4,800,000 City of Williston North Dakota 12/22/2008 4,800,000 City of Williston North Dakota - The other spent proceeds represent the amounts issued, but not required to complete the project. These funds were returned to the issuer. Form 990, Part VI, Section A, Line 6 Bethel Lutheran Nursing & Rehabilitation Center is owned by 26 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 2016 Form 990 at the February 2018 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 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