BETHEL LUTHERAN NURSING & REHABILITATION CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN NURSING & REHABILITATION CENTER (EIN 45-0230141)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-09
IRS object ID
201140419349301409
Schema version
2009v1.2
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)
Timestamp2011-02-09T12:46:32-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

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 Signed2010-02-07DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts12071398GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees455TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1104178ContributionsGrantsPriorYear
Contributions Grants Current Year204961ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10455401ProgramServiceRevenuePriorYear
Program Service Revenue CY11784066ProgramServiceRevenueCY
Investment Income Prior Year119259InvestmentIncomePriorYear
Investment Income Current Year47827InvestmentIncomeCurrentYear
Other Revenue Prior Year13691OtherRevenuePriorYear
Other Revenue Current Year7778OtherRevenueCurrentYear
Total Revenue Prior Year11692529TotalRevenuePriorYear
Total Revenue Current Year12044632TotalRevenueCurrentYear
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 Year7660170SalariesEtcPriorYear
Salaries Etc Current Year8790851SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2932044OtherExpensePriorYear
Other Expenses Current Year3282481OtherExpensesCurrentYear
Total Expenses Prior Year10592214TotalExpensesPriorYear
Total Expenses Current Year12073332TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1100315RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-28700RevenuesLessExpensesCY
Total Assets BOY14411374TotalAssetsBOY
Total Assets EOY17163789TotalAssetsEOY
Total Liabilities BOY2742702TotalLiabilitiesBOY
Total Liabilities EOY5523817TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11668672NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11639972NetAssetsOrFundBalancesEOY
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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense11077482Expense
Grants0Grants
Revenue11878631Revenue
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 69,385 days of resident and tenant care in the year ended June 30, 2010. 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 Expense11077482TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Required0ScheduleJRequired
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees455NumberOfEmployees
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
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
Ken Penn
Chairman2XX000
Maureen Laqua
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
Kurt Stoner
Administrator40X13605900
Cindy Sorenson
Director of Finance40X6269400
FieldValueIRS element (for citing)
Total Reportable Comp From Org198753TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Applied Medical Inc
PO Box 1834BismarckND58502Therapy services128548
Tooz Construction
4068 3rd Ave WDickinsonND58601Construction of assisted living building1402863
Selid Plumbing & Heating
2219 2nd Ave WWillistonND58801Construction of assisted living building400698
Triangle Electric
PO Box 789WillistonND58802Construction of assisted living building540704
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations166001RelatedOrganizations
Government Grants38960GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions204961TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Skilled care revenue62300010741478107414780$0
Basic care revenue6230006097136097130$0
Therapy62300090844908440$0
Other skilled and basic revenue62300016435164350$0
Assisted Living revenue6230003255963255960$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 Revenue11784066TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48941TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$48,941ExclusionAmount

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)
Real7950Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real25152Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-17202Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-17202TotalRevenueColumn
Related Or Exempt Function Income-17202RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other1614Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-1114Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1114TotalRevenueColumn
Related Or Exempt Function Income-1114RelatedOrExemptFunctionIncome
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, ice cream parlor,9000996146140$0
Employee and guest meals90009920945209450$0
Rebates and Miscellaneous900099342134210$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 Revenue24980TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12044632TotalRevenueColumn
Related Or Exempt Function Income11790730RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$48,941ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total252171Total
Program Services0ProgramServices
Management And General252171ManagementAndGeneral
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)
Total6978047Total
Program Services6671386ProgramServices
Management And General306661ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total190748Total
Program Services185071ProgramServices
Management And General5677ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total858908Total
Program Services833348ProgramServices
Management And General25560ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total510977Total
Program Services495771ProgramServices
Management And General15206ManagementAndGeneral
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)
Total769Total
Program Services0ProgramServices
Management And General769ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13447Total
Program Services0ProgramServices
Management And General13447ManagementAndGeneral
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)
Total328954Total
Program Services310372ProgramServices
Management And General18582ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2627Total
Program Services0ProgramServices
Management And General2627ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61776Total
Program Services0ProgramServices
Management And General61776ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22209Total
Program Services14493ProgramServices
Management And General7716ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total596011Total
Program Services574632ProgramServices
Management And General21379ManagementAndGeneral
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)
Total42410Total
Program Services26728ProgramServices
Management And General15682ManagementAndGeneral
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)
Total868381Total
Program Services837418ProgramServices
Management And General30963ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total98902Total
Program Services0ProgramServices
Management And General98902ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Food and supplements52168552168500
Supplies60657860657800
Bad debt expense249710249710

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total93761Total
Program Services0ProgramServices
Management And General93761ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12073332Total
Program Services11077482ProgramServices
Management And General995850ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY850BOY
EOY920EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3367141BOY
EOY3863535EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY629699BOY
EOY769316EOY

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)
BOY89598BOY
EOY91821EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY104059BOY
EOY129225EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21329509LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9506826LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10185270BOY
EOY11822683EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY34757BOY
EOY486289EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14411374BOY
EOY17163789EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1302148BOY
EOY1180861EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1440554BOY
EOY4342956EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2742702BOY
EOY5523817EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11668672BOY
EOY11639972EOY

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)
BOY11668672BOY
EOY11639972EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14411374BOY
EOY17163789EOY
FieldValueIRS element (for citing)
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 Years259883CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1059593CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4291CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1104178CurrentTaxYearMinus1Year
Current Tax Year204961CurrentTaxYear
Total2632906Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8984624CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9191647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9571651CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10478917CurrentTaxYearMinus1Year
Current Tax Year11786630CurrentTaxYear
Total50013469Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34277CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31796CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27403CurrentTaxYearMinus1Year
Current Tax Year21302CurrentTaxYear
Total143738Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9278784CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10280200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9607738CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11610498CurrentTaxYearMinus1Year
Current Tax Year12012893CurrentTaxYear
Total52790113Total
FieldValueIRS element (for citing)
Public Support Total50952790113PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74122CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124410CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62259CurrentTaxYearMinus1Year
Current Tax Year48941CurrentTaxYear
Total428195Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74122CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124410CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62259CurrentTaxYearMinus1Year
Current Tax Year48941CurrentTaxYear
Total428195Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-14596CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-15981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-13701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-13712CurrentTaxYearMinus1Year
Current Tax Year-17202CurrentTaxYear
Total-75192Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9338310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10382682CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9718447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11659045CurrentTaxYearMinus1Year
Current Tax Year12044632CurrentTaxYear
Total53143116Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99336PublicSupportPercentage509
Prior Year Support Percentage0.99319PriorYearSupportPercentage
Investment Income Percentage0.00806InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00826PriorYrInvestIncomePercentage
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 Basis19345176OtherCostOrOtherBasis
Depreciation8593561Depreciation
Book Value10751615BookValue

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 Basis1829816OtherCostOrOtherBasis
Depreciation913265Depreciation
Book Value916551BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis13538OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value13538BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11822683TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Designated Cash-resident trust fund, bond proceeds, security deposits456642
Unamortized bond issue costs29647
FieldValueIRS element (for citing)
Total Book Value Other Assets486289TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue12044632TotalRevenue
Total Expenses12073332TotalExpenses
Excess Or Deficit For Year-28700ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-28700ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12044632TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12044632RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012044632TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12073332TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12073332ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012073332TotalExpensesPerForm990

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds4438000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent411511AmountUnspent
Capital Expenditures4026489CapitalExpenditures
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 O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2Bethel Assisted Living Center opened on January 12, 2010. The Center is owned and operated by Bethel Lutheran Nursing & Rehabilitation Center. Bethel Assisted Living Center has 22 one bedroom and 11 two bedrooms apartments and provides three meals per day, medication administration, nursing services, activities and other services.
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 the 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_L11Form 990, Part VI, Section B, Line 11The Board of Directors reviewed the 2009 Form 990 at the January 2011 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 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 & Rehabiliation 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
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 Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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