BETHEL LUTHERAN NURSING & REHABILITATION CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN NURSING & REHABILITATION CENTER (EIN 45-0230141)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-02
IRS object ID
201243079349301304
Schema version
2011v1.2
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)
Timestamp2012-11-02T16:17:26-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

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 Signed2012-11-02DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts14034624GrossReceipts
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 Employees463TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year401665ContributionsGrantsPriorYear
Contributions Grants Current Year404194ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13035852ProgramServiceRevenuePriorYear
Program Service Revenue CY13547107ProgramServiceRevenueCY
Investment Income Prior Year54475InvestmentIncomePriorYear
Investment Income Current Year54436InvestmentIncomeCurrentYear
Other Revenue Prior Year14021OtherRevenuePriorYear
Other Revenue Current Year10984OtherRevenueCurrentYear
Total Revenue Prior Year13506013TotalRevenuePriorYear
Total Revenue Current Year14016721TotalRevenueCurrentYear
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 Year9377061SalariesEtcPriorYear
Salaries Etc Current Year9511447SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4194566OtherExpensePriorYear
Other Expenses Current Year5134815OtherExpensesCurrentYear
Total Expenses Prior Year13571627TotalExpensesPriorYear
Total Expenses Current Year14646262TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-65614RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-629541RevenuesLessExpensesCY
Total Assets BOY16693923TotalAssetsBOY
Total Assets EOY16171318TotalAssetsEOY
Total Liabilities BOY5119565TotalLiabilitiesBOY
Total Liabilities EOY5226505TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11574358NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10944813NetAssetsOrFundBalancesEOY
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
Expense13484132Expense
Grants0Grants
Revenue13547107Revenue
DescriptionBethel Lutheran Nursing & Rehabilitation 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 76,004 days of resident and tenant care in the year ended June 30, 2012. 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 Expense13484132TotalProgramServiceExpense
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 Contributions0DeductibleNonCashContributions
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 With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees463NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
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 Policy1WhistleblowerPolicy
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
Cindy Hansen
Board Member1X000
Doug Crosby
Chairman2XX000
Shirley Larson
Board Member1X000
Paula Jarland
Board Member1X000
Roni Gravgaard
Board Member1X000
Lowell Sandvik
Vice-chairman1XX000
Lyjean Smith
Board Member1X000
Kurt Stoner
Administrator40X16433600
Cindy Sorenson
Director of Finance40X6352000
FieldValueIRS element (for citing)
Total Reportable Comp From Org227856TotalReportableCompFromOrg
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
Montana Health Network
11 SOUTH 7TH ST SUITE 241Miles CityMT59301Contracted nurses and CNAs139541
Dakota Travel Nurse
502 W Main StMandanND58554Contracted nurses and CNAs829729
Prairie Travelers Inc
130 3rd St SGlasgowMT59230Contracted nurses and CNAs345398
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations404194RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions404194TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Skilled care revenue62311011643650116436500$0
Basic care revenue6231105928525928520$0
Therapy revenue6231101180131180130$0
Other skilled and basic care revenue62311016012160120$0
Assisted living revenue623000117658011765800$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 Revenue13547107TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54436TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54,436ExclusionAmount

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)
Real8400Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real17903Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-9503Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-9503TotalRevenueColumn
Related Or Exempt Function Income-9503RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
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 Parlor9000991181180$0
Employee and guest meals90009917231172310$0
Miscellaneous900099313831380$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 Revenue20487TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14016721TotalRevenueColumn
Related Or Exempt Function Income13558091RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54,436ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total271359Total
Program Services0ProgramServices
Management And General271359ManagementAndGeneral
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)
Total7630130Total
Program Services7235766ProgramServices
Management And General394364ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total231732Total
Program Services224574ProgramServices
Management And General7158ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total813628Total
Program Services788495ProgramServices
Management And General25133ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total564598Total
Program Services547158ProgramServices
Management And General17440ManagementAndGeneral
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)
Total15467Total
Program Services0ProgramServices
Management And General15467ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15177Total
Program Services0ProgramServices
Management And General15177ManagementAndGeneral
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)
Total1624100Total
Program Services1615130ProgramServices
Management And General8970ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1004Total
Program Services0ProgramServices
Management And General1004ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total64054Total
Program Services0ProgramServices
Management And General64054ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19761Total
Program Services16594ProgramServices
Management And General3167ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total729552Total
Program Services708779ProgramServices
Management And General20773ManagementAndGeneral
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)
Total41172Total
Program Services35698ProgramServices
Management And General5474ManagementAndGeneral
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)
Total1088571Total
Program Services1057920ProgramServices
Management And General30651ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total83423Total
Program Services0ProgramServices
Management And General83423ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Food and supplements59927059927000
Supplies65474865474800
Other expenses900170900170
Bad debt expense10849901084990

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14646262Total
Program Services13484132ProgramServices
Management And General1162130ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY893BOY
EOY1232EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4455665BOY
EOY4874009EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY984404BOY
EOY845874EOY

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)
BOY108717BOY
EOY106122EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY120846BOY
EOY28981EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21889881LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11701188LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10943972BOY
EOY10188693EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY79426BOY
EOY126407EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16693923BOY
EOY16171318EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1176761BOY
EOY1388610EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3942804BOY
EOY3837895EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5119565BOY
EOY5226505EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11574358BOY
EOY10944813EOY

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)
BOY11574358BOY
EOY10944813EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16693923BOY
EOY16171318EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-629541ReconcilationRevenueExpenses
Reconcilation Other Changes-4ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
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 Years4291CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1104178CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years204961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year401665CurrentTaxYearMinus1Year
Current Tax Year404194CurrentTaxYear
Total2119289Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9571651CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10478917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11786630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13035852CurrentTaxYearMinus1Year
Current Tax Year13547107CurrentTaxYear
Total58420157Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31796CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27403CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21302CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26159CurrentTaxYearMinus1Year
Current Tax Year20487CurrentTaxYear
Total127147Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9607738CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11610498CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12012893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13463676CurrentTaxYearMinus1Year
Current Tax Year13971788CurrentTaxYear
Total60666593Total
FieldValueIRS element (for citing)
Public Support Total50960666593PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years124410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54475CurrentTaxYearMinus1Year
Current Tax Year54436CurrentTaxYear
Total344521Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years124410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54475CurrentTaxYearMinus1Year
Current Tax Year54436CurrentTaxYear
Total344521Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-13701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-13712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-17202CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-12638CurrentTaxYearMinus1Year
Current Tax Year-9503CurrentTaxYear
Total-66756Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9718447CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11659045CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12044632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13505513CurrentTaxYearMinus1Year
Current Tax Year14016721CurrentTaxYear
Total60944358Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99544PublicSupportPercentage509
Prior Year Support Percentage0.99415PriorYearSupportPercentage
Investment Income Percentage0.00565InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00713PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationPart III 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 Basis140979OtherCostOrOtherBasis
Book Value140979BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis19765373OtherCostOrOtherBasis
Depreciation10463655Depreciation
Book Value9301718BookValue

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 Basis1949806OtherCostOrOtherBasis
Depreciation1237533Depreciation
Book Value712273BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis33723OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value33723BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10188693TotalOfBookValueLandBuildings
Total Revenue14016721TotalRevenue
Total Expenses14646262TotalExpenses
Excess Or Deficit For Year-629541ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$4OtherAmount
Total Adjustments-4TotalAdjustments
Excess Or Deficit Per FS-629545ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14016721TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14016721RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014016721TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14646266TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included4OtherExpensesIncluded
Expenses Not Rptd F9904ExpensesNotRptdF990
Expenses Subtotal14646262ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014646262TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P11_S00_L08Schedule D, Part XI, Line 8Rounding
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dRounding

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 Org164336BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org15608DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16248NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org196192TotalCompensationFilingOrg
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
Capital Expenditures4429617CapitalExpenditures
Other Spent Proceeds8383OtherSpentProceeds
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
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 O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Bethel Lutheran Nursing & Rehabilitation Center is 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 & Rehabilitation 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_L11bForm 990, Part VI, Section B, Line 11bThe Board of Directors reviewed the 2011 Form 990 at the October 2012 board meeting.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The Personnel Committee of the Board of Directors compares the compensation of the administrator with comparable positions. The Personnel Committee brings 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.
F990_P11_S00_L05Form 990, Part XI, Line 5Rounding

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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