BETHEL LUTHERAN NURSING & REHABILITATION CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN NURSING & REHABILITATION CENTER (EIN 45-0230141)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-14
IRS object ID
201220749349300842
Schema version
2010v3.4
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)
Timestamp2012-03-14T17:03:30-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450230141EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHEL LUTHERAN NURSING & REHABILITATION CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone7015726766Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 2nd Ave WAddressLine1
CityWillistonCity
StateNDState
ZIP Code588014108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCindy SorensonName
TitleDirector of FinanceTitle
Phone7015726766Phone
Date Signed2012-03-02DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKurt StonerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11515 2nd Ave WAddressLine1
CityWillistonCity
StateNDState
ZIP Code58801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13527001GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.blnrc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionBethel 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees445TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year204961ContributionsGrantsPriorYear
Contributions Grants Current Year401665ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11784066ProgramServiceRevenuePriorYear
Program Service Revenue CY13035852ProgramServiceRevenueCY
Investment Income Prior Year47827InvestmentIncomePriorYear
Investment Income Current Year54475InvestmentIncomeCurrentYear
Other Revenue Prior Year7778OtherRevenuePriorYear
Other Revenue Current Year14021OtherRevenueCurrentYear
Total Revenue Prior Year12044632TotalRevenuePriorYear
Total Revenue Current Year13506013TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8790851SalariesEtcPriorYear
Salaries Etc Current Year9377061SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3282481OtherExpensePriorYear
Other Expenses Current Year4194566OtherExpensesCurrentYear
Total Expenses Prior Year12073332TotalExpensesPriorYear
Total Expenses Current Year13571627TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-28700RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-65614RevenuesLessExpensesCY
Total Assets BOY17163789TotalAssetsBOY
Total Assets EOY16693923TotalAssetsEOY
Total Liabilities BOY5523817TotalLiabilitiesBOY
Total Liabilities EOY5119565TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11639972NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11574358NetAssetsOrFundBalancesEOY
Mission DescriptionBethel 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12525718Expense
Revenue13104348Revenue
DescriptionBethel Lutheran Nursing & Rehabiliation Center provides resident and tenant services in a long-term care setting (skilled nursing and basic care) and apartment setting (assisted living). Bethel Lutheran Nursing & Rehabilitation Center provided 76,390 days of resident and tenant care in the year ended June 30, 2011. In addition Bethel Lutheran Nursing & Rehabilitation Center provides short-term rehabilitative care, respite care, adult daycare, and an alzheimers neighborhood.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense12525718TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees445NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCindy SorensonNamePerson
Telephone Number7015726766TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Bethel Lutheran Nursing and RehabAddressLine1
Address Line21515 2nd Ave WAddressLine2
CityWillistonCity
StateNDState
ZIP Code58801ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Lois Reierson
Secretary-Treasurer1XX000
Gary Bickel
Board Member1X000
Sharri Cvancara
Board Member1X000
Doug Crosby
Vice-Chairman1XX000
Shirley Larson
Board Member1X000
Alvin Jacobson
Board Member1X000
Ron Lund
Board Member1X000
Lowell Sandvik
Board member1X000
Ken Penn
Chairman2XX000
Kurt Stoner
Administrator40X15383700
Cindy Sorenson
Director of Finance40X6237100
FieldValueIRS element (for citing)
Total Reportable Comp From Org216208TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Applied Medical Inc
PO Box 1834BismarckND58502Therapy services154412
Dakota Travel Nurse
502 W Main StMandanND58554Contracted nurses and CNAs330781
Prairie Travelers Inc
130 3rd St SGlasgowMT59230Contracted nurses and CNAs161125
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations401665RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions42804NoncashContributions
Total Contributions401665TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Skilled care revenue62311011181330111813300$0
Basic care revenue6231106287386287380$0
Therapy62311087832878320$0
Other skilled and basic revenue62311014785147850$0
Assisted Living revenue623000112316711231670$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue13035852TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54475TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54,475ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8350Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real20988Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-12638Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-12638TotalRevenueColumn
Related Or Exempt Function Income-12638RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Gift Shop and Ice Cream Parlor900099188418840$0
Employee and guest meals90009918557185570$0
Rebates and Miscellaneous900099621862180$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue26659TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13506013TotalRevenueColumn
Related Or Exempt Function Income13049873RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54,475ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total334591Total
Program Services0ProgramServices
Management And General334591ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7418118Total
Program Services7094174ProgramServices
Management And General323944ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total202341Total
Program Services194662ProgramServices
Management And General7679ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total871432Total
Program Services838362ProgramServices
Management And General33070ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total550579Total
Program Services529685ProgramServices
Management And General20894ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6584Total
Program Services0ProgramServices
Management And General6584ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14844Total
Program Services0ProgramServices
Management And General14844ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total825837Total
Program Services817008ProgramServices
Management And General8829ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1317Total
Program Services0ProgramServices
Management And General1317ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total58469Total
Program Services0ProgramServices
Management And General58469ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19492Total
Program Services13525ProgramServices
Management And General5967ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total763101Total
Program Services740548ProgramServices
Management And General22553ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total44102Total
Program Services40500ProgramServices
Management And General3602ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1087696Total
Program Services1057010ProgramServices
Management And General30686ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total87301Total
Program Services0ProgramServices
Management And General87301ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Food and Supplements56916856916800
Supplies63107663107600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85579Total
Program Services0ProgramServices
Management And General85579ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13571627Total
Program Services12525718ProgramServices
Management And General1045909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY920BOY
EOY893EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3863535BOY
EOY4455665EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY769316BOY
EOY984404EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY91821BOY
EOY108717EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY129225BOY
EOY120846EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21547743LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10603771LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11822683BOY
EOY10943972EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY486289BOY
EOY79426EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17163789BOY
EOY16693923EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1180861BOY
EOY1176761EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4342956BOY
EOY3942804EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5523817BOY
EOY5119565EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11639972BOY
EOY11574358EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11639972BOY
EOY11574358EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17163789BOY
EOY16693923EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-65614ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1059593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1104178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year204961CurrentTaxYearMinus1Year
Current Tax Year401665CurrentTaxYear
Total2774688Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9191647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9571651CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10478917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11786630CurrentTaxYearMinus1Year
Current Tax Year13035852CurrentTaxYear
Total54064697Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21302CurrentTaxYearMinus1Year
Current Tax Year26159CurrentTaxYear
Total135620Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10280200CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9607738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11610498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12012893CurrentTaxYearMinus1Year
Current Tax Year13463676CurrentTaxYear
Total56975005Total
FieldValueIRS element (for citing)
Public Support Total50956975005PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years124410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62259CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48941CurrentTaxYearMinus1Year
Current Tax Year54475CurrentTaxYear
Total408548Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years124410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62259CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48941CurrentTaxYearMinus1Year
Current Tax Year54475CurrentTaxYear
Total408548Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-15981CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-13701CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-13712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-17202CurrentTaxYearMinus1Year
Current Tax Year-12638CurrentTaxYear
Total-73234Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10382682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9718447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11659045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12044632CurrentTaxYearMinus1Year
Current Tax Year13505513CurrentTaxYear
Total57310319Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99415PublicSupportPercentage509
Prior Year Support Percentage0.99336PriorYearSupportPercentage
Investment Income Percentage0.00713InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00806PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationPart lll Line 12 Daycare rental lossGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis183783OtherCostOrOtherBasis
Book Value183783BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis19440668OtherCostOrOtherBasis
Depreciation9529318Depreciation
Book Value9911350BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1912621OtherCostOrOtherBasis
Depreciation1074453Depreciation
Book Value838168BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10671OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value10671BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10943972TotalOfBookValueLandBuildings
Total Revenue13506013TotalRevenue
Total Expenses13571627TotalExpenses
Excess Or Deficit For Year-65614ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-65614ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13506013TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13506013RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013506013TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13571627TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13571627ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013571627TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKurt StonerNamePerson
Base Compensation Filing Org153837BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org7900DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13605NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org175342TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of WillistonBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN456002186IssuerEIN
Date Issued2008-12-22DateIssued
Issue Price4438000IssuePrice
Description Of PurposeConstruction of Assisted Living facilityDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired495196AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds4438000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Other Spent Proceeds4429617OtherSpentProceeds
Amount Unspent8383AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99042804NoncashContribsRptdF990
Method Of Determining RevenuesbasisMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Bethel Lutheran Nursing & Rehabilitation Center owned by 27 Williston area Lutheran congregations.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aThe Lutheran congregations/owners elect delegates from their congregations. The delegates elect the board members at Bethel Lutheran Nursing & Rehabilitation Center's annual meeting.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bThe Lutheran congregations/owners elect delegates from their congregations to vote on corporate matters at the Bethel Lutheran Nursing & Rehabiliation Center annual meeting.
F990_P06_S0A_L08bForm 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.
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aThe Board of Directors reviewed the 2010 Form 990 at the January 2012 board meeting.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The Personnel Committee of the Board of Direcctors compares the compensation of the administrator with comparable positions. The Personnel Committee bring their recommendations to the Board of Directors for review and approval.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Audited year end financial statements are available at the Bethel Lutheran Nursing & Rehabilitation Center annual meeting.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Bethel Lutheran FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11705 3rd Ave WAddressLine1
CityWillistonCity
StateNDState
ZIP Code58801ZIPCode
FieldValueIRS element (for citing)
EIN450390238EIN
Primary ActivitiesProvide support to Bethel Lutheran Nursing & Rehabilitation CenterPrimaryActivities
Legal Domicile StateNDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status11cPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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