2024-05-01T16:38:34-05:00 2023-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-07-01 450280796 Mountrail Bethel Home Inc MOUN 7016282442 PO Box 700 Stanley ND 58784 Eugeniya Griffin CFO 7016282442 2024-04-26 1 Eugeniya Griffin 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2024-04-24 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Stephanie Everett PO Box 700 Stanley ND 58784 5621921 0 X www.stanleyhealth.org X 1970 ND Dedicated to providing quality care to its residents. 6 6 175 7 0 0 915500 112246 4910734 5253007 13546 6722 103130 242997 5942910 5614972 0 0 0 0 7349154 7651018 0 0 0 -1983642 -1826165 5365512 5824853 577398 -209881 9665896 9560833 843263 948081 8822633 8612752 X The Mountrail Bethel Home is an ELCA social ministry organization which provides skilled nursing care to chronically ill individuals of all religions. In doing so, the home realizes it has a mandate from our Lord Jesus, Himself, to minister his people by providing a 24 hour a day, 7 day a week skilled nursing facility. It is the goal of Mountrail Bethel Home to create an environment, which seeks to satisfy the physical, mental, emotional, and spiritual needs of each resident and their family. To this end, the home is dedicated to employ such professional and non-professional personnel to best serve its residents. In addition, the home will draw upon church, staff, family, community, and friends to carry out this mission. By command and example of Christ, Mountrail Bethel Home is here to serve you. 1 0 3849663 4556628 Mountrail Bethel Home, Inc.is a 36-bed skilled nursing facility located in Stanley, North Dakota. It prides itself in 24-hour skilled care with a high staff to resident ratio. Nursing facility has provided 11,320 days of care this year. 790958 680999 Mountrail Bethel Home operates an assisted living facility, Rosen Place on 8th. Rosen Place on 8th Assisted Living provides a much-needed additional service to the residents of Stanley and Mountrail County. It offers 14 apartments with a 24 hour staffed call system. Rosen Place has provided 6,331 days of care. 81531 15380 Mountrail Bethel Home, Inc. includes a 12-unit congregate housing facility, Centennial Court Apartments. This was a much needed service for residents who are in need of a lower level of care from a skilled nursing facility. We welcomed our first resident to our Basic Care unit during this year. 4722152 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 8 0 1 175 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Eugeniya Griffin 7016282424 615 6th Street SE Stanley ND 58784 X Heath Hetzel President until Nov 22 1.00 X X 0 0 0 Ryan Gjellstad - Director until Nov 22 then President 1.00 X 0 0 0 John Anderson Vice Presidnet 1.00 X 0 0 0 Elda Titus Secretary/Treasurer 1.00 X X 0 0 0 Marlin Ranum Director 1.00 X 0 0 0 Whitney Nordloef Director 1.00 X 0 0 0 Taryn Lumley Director as of Nov 22 1.00 X 0 0 0 Stephanie Everett CEO/Administrator 20.00 X 220271 0 30127 Megan Buee CFO 20.00 X 85664 0 3427 Taina Karow RN 0.00 X 103326 0 26863 Ladi Kuedituka CNA 62.00 X 110161 0 14672 519422 0 75089 3 0 0 0 DTN Staffing 1200 Collins Ave Mandan ND 58554 Nursing Services 162303 EAPC 3100 Demers Ave Grand Forks ND 58201 Architect Fees 109331 2 112246 112246 Resident Service Reven 623000 4994788 4994788 Facility lease-MCMC 531120 149677 149677 108542 108542 5253007 13671 13671 242997 242997 6949 -6949 -6949 -6949 5614972 5253007 0 249719 X 354570 354570 151936 151936 5790918 4992245 798673 202658 175488 27170 715289 592643 122646 435647 356205 79442 9601 9601 33070 33070 782340 646466 135874 9177 1260 7917 206900 129003 77897 70789 2210 68579 379344 355918 23426 21888 4381 17507 47729 30652 17077 1454 1454 450644 430608 20036 11998 11998 Food 200599 200599 Bad Debt Expense 79496 79496 Medical Expenses 77466 77466 Medical Ctr exp alloc. -4271700 -3554979 -716721 63040 37103 25937 5824853 4722152 1102701 0 2145860 2172377 293434 302282 12552 10260 120303 136640 15643651 8819177 7090321 6824474 15600 3426 3426 0 95774 9665896 9560833 712526 849879 44616 52182 60180 46020 25941 0 843263 948081 X 8812940 8590144 9693 22608 8822633 8612752 9665896 9560833 -209881 0 X 0 1 X 1 0 X 1799477 1839012 1352003 915500 112246 6018238 3348748 3895485 4442764 4910734 5253007 21850738 5148225 5734497 5794767 5826234 5365253 27868976 0 1035512 1338071 1624269 1719444 1872350 7589646 1035512 1338071 1624269 1719444 1872350 7589646 20279330 120096 172065 96716 116276 256668 761821 120096 172065 96716 116276 256668 761821 5268321 5906562 5891483 5942510 5621921 28630797 0.70830 0.70210 0.02660 0.02040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 39730 15004 13801 40933 1 X 31910 35783 67693 12529643 7384681 5144962 1586434 1176498 409936 1459881 257998 1201883 6824474 X 5621921 0 5621921 -6949 -6949 5614972 5831802 6949 6949 5824853 0 5824853 Part IV, Line 1b: The organization holds the funds of the Mountrail Bethel Home Auxiliary. Part IV, Line 2b: Mountrail Bethel Home has a custodial account, a resident trust fund, reported as a liability on its balance sheet. Mountrail Bethel Home will make deposits on behalf of the resident and keep track of their available balance. Residents are able to withdraw funds up to their available balance to make purchases. Mountrail Bethel Home will make payments on bills on behalf of the resident if the resident or resident's family member requests it. The resident's POA signs an authorization form to determine how funds are spent and what level of authorization is needed prior to any payments being made from the resident's trust fund account. Residents earn interest from the bank each month. Resident trust funds and tenant security deposits totaled $52,182 and $44,616 at June 30, 2023 and 2022. Part X, Line 2: The Home believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Home would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Loss on sale of equipment reported in revenue for Form 990 -6,949. Part XII, Line 2d - Other Adjustments: Loss on sale of equipment reported in revenue for Form 990 6,949. X X 0 0 0 0 0 0 0 0 0 Stephanie Everett CEO/Administrator 218430 0 800 0 1041 0 8811 0 21596 0 250678 0 0 0 Beth Gjellstad Wife of Ryan Gjellstad, board President 59340 Compensation and benefits as an employee 0 Lauren Hysjulien Daughter of Taryn Lumley, Board Director 92595 Compensation and benefits as an employee 0 Form 990, Part III, line 2 10-bed Basic Care unit Form 990, Part VI, Section A, line 6 The membership of Mountrail Bethel Home, Inc. consists of the voting members of the congregations of the Evangelical Lutheran Church in America or its successor, in the event that the successor votes to participate. Other congregations may become members by invitation only. Membership of this corporation shall be made up of at least 51% Lutheran congregations. Current membership includes: American Lutheran Church, Stanley; Our Saviors Free Lutheran Church, Stanley; First English Free Church, Lostwood; Zion Lutheran Church, Berthold; Faith Lutheran Church, Palermo; Bethlehem Lutheran Church, Ross; Knife River Lutheran Church, Stanley; Holy Cross Lutheran Church, Powers Lake. The voting membership of the annual corporation meeting and of any specially called meeting shall consist of at least 2 lay delegates and one pastor for each congregation which was voted to participate. Congregations having more than 200 confirmed members may have one additional delegate for each (100) confirmed members or major fraction thereof over the first 200. Form 990, Part VI, Section A, line 7a Members/delegates of the church vote on board members. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The governing body receives a copy of the 990 by e-mail before the 990 is filed. The 990 is also reviewed by the CEO and CFO. Form 990, Part VI, Section B, line 12c The board members and officers sign a conflict of interest policy annually. The board members and officers are responsible for disclosing potential conflicts of interest. Board members will abstain from voting on issues where there might be a conflict. Form 990, Part VI, Section B, line 15a The CEO/Administrator's compensation is reviewed and approved by the Board of Directors on an annual basis. Comparability data is used and the determination is documented in the board minutes and personnel file. The CFO's compensation is reviewed and approved by the CEO/Administrator. Comparability data is used and the determination is documented in the personnel file. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VII: The compensation reported in Part VII for the CEO/Administrator and CFO is total compensation for services provided to Mountrail Bethel Home and Mountrail County Medical Center. Mountrail County Medical Center is not considered a related organization, therefore hours for services to the Medical Center are not included on Part VII. Form 990, Part VII: Taina Karow is an RN at Mountrail County Medical Center, an unrelated organization. Mountrail County Medical Center and Mountrail Bethel Home have officer overlap and a close working relationship. Taina is compensated by Mountrail Bethel Home for services provided to Mountrail County Medical Center. Form 990, Part IX, line 11g Purchased Services: Program service expenses 8,786. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,786. Consultant: Program service expenses 23,100. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,100. Contracted Services: Program service expenses 614,580. Management and general expenses 135,874. Fundraising expenses 0. Total expenses 750,454.