2025-03-20T09:12:16-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 450280796 Mountrail Bethel Home Inc MOUN 7016282442 PO Box 700 Stanley ND 58784 Eugeniya Griffin CFO 7016282442 2025-03-20 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-03-20 2023 2025-03-06 01:10:19Z Stephanie Everett PO Box 700 Stanley ND 58784 6925798 0 X www.stanleyhealth.org X 1970 ND Dedicated to providing quality care to its residents. 5 3 170 5 0 0 112246 293199 5253007 5790097 6722 -20069 242997 772714 5614972 6835941 0 0 0 0 7651018 8290051 0 0 0 -1826165 -2048578 5824853 6241473 -209881 594468 9560833 10127932 948081 921155 8612752 9206777 X At Mountrail Bethel Home we strive to create an environment which encourages all individuals to attain their highest level of physical, emotional, and spiritual health. 0 1 4078719 4837409 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 11,870 days of care this year. 801444 706850 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 5,411 days of care. 77583 166837 Mountrail Bethel Home, Inc. includes a 10-bed Basic Care unit, a much-needed service for residents who need a lower level of care from a skilled nursing facility. Basic Care facility has provided 1,140 days of care this year. 77732 79001 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. Centennial Court closed in June of 2024. The building will be replaced with a new skilled nursing facility and basic care. 77732 79001 5035478 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 11 0 1 170 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 1 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 Ryan Gjellstad President 1.00 X X 0 0 0 John Anderson Vice President (Jul-Nov) 1.00 X X 0 0 0 Marlin Ranum - Director (Jul-Nov)/Vice Pres. as of Nov 1.00 X X 0 0 0 Elda Titus Secretary/Treasurer 1.00 X X 0 0 0 Whitney Nordloef Director (Jul-May) 1.00 X 0 0 0 Taryn Lumley Director (Jul-May) 1.00 X 0 0 0 Jamie Germundson Director as of Nov 1.00 X 0 0 0 Breann Lund Director as of May 1.00 X 0 0 0 Stephanie Everett CEO/Administrator 20.00 X 234530 0 32747 Megan Buee CFO (Jul-Oct) 20.00 X 87548 0 3497 Eugeniya Griffin - Accounting Clerk (Jul-Sept)/CFO as of Oct 20.00 X 35167 0 1407 Julie Schweitzer RN 42.00 X 107401 0 17057 Alisha Debilt HR Director 20.00 X 105897 0 7735 Cindy Baer CNA 60.00 X 105520 0 4722 Heidi Nielsen PT Director 20.00 X 101353 0 4896 777416 0 72061 5 0 0 0 Homestead Recruiters Inc 821 Senior Ave Dickinson ND 58601 Nursing Services 214002 1 293199 293199 Resident Service Reven 623000 5622345 5622345 Facility lease-MCMC 531120 150559 150559 17193 17193 5790097 60958 60958 772714 772714 8830 89857 -81027 -81027 -81027 6835941 5790097 0 752645 X 386074 386074 193710 193710 6266237 5462809 803428 193864 169703 24161 778053 658444 119609 472113 391911 80202 10893 10893 54430 54430 979842 814724 165118 4999 4999 203510 121385 82125 91168 4872 86296 354751 337415 17336 11197 2852 8345 48725 21232 27493 1501 1501 464351 443729 20622 10593 10593 Food 184644 184644 Medical Expenses 64587 64587 Bad Debt Expense -19670 -19670 Medical Ctr exp alloc. -4573993 -3845106 -728887 59894 16143 43751 6241473 5035478 1205995 0 2172377 3039185 302282 165645 10260 10808 136640 39668 15209143 8718427 6824474 6490716 15600 13691 3426 3426 95774 364793 9560833 10127932 849879 839511 52182 49784 46020 31860 948081 921155 X 8590144 9204431 22608 2346 8612752 9206777 9560833 10127932 X 594468 -443 X 0 1 X 1 0 X 1839012 1352003 915500 112246 293199 4511960 3895485 4442764 4910734 5253007 5790097 24292087 5734497 5794767 5826234 5365253 6083296 28804047 0 1338071 1624269 1719444 1872350 1942072 8496206 1338071 1624269 1719444 1872350 1942072 8496206 20307841 172065 96716 116276 256668 833672 1475397 172065 96716 116276 256668 833672 1475397 5906562 5891483 5942510 5621921 6916968 30279444 0.67070 0.70830 0.04870 0.02660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 40933 14920 14477 41376 1 X 31910 35783 67693 11915206 7241232 4673974 1553260 1201383 351877 1672984 275812 1397172 6490716 X 6902048 0 6902048 -66107 -66107 6835941 6308023 81027 81027 6226996 14477 14477 6241473 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 residents 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 $49,784 and $52,182 at June 30, 2024 and 2023. 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 -81,027. Auxiliary revenue not included in audited financial statements 14,920. Part XII, Line 2d - Other Adjustments: Loss on sale of equipment reported in revenue for Form 990 81,027. Part XII, Line 4b - Other Adjustments: Auxiliary expense not included in audited financial statements 14,477. X X 0 0 0 0 0 0 0 0 0 Stephanie Everett CEO/Administrator 232676 0 750 0 1104 0 9726 0 23333 0 267589 0 0 0 Beth Gjellstad Wife of Ryan Gjellstad, board President 65255 Compensation and benefits as an employee 0 Lauren Hysjulien Daughter of Taryn Lumley, board Director 80326 Compensation and benefits as an employee 0 Mackenzie Ranum Grandaughter of Marlin Ranum, board Director 48129 Compensation and benefits as an employee 0 Form 990, Part III, line 3 Centennial Court, an independent living facility, closed June of 2024. Form 990, Part VI, Section A, line 4 The board voted and approved a new mission statement. 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. The internal salary review is based on the salary survey from NDLTC Association. The last salary review was completed September 2023. The determination of compensation is documented in the board minutes and personnel file. The CFO's compensation is reviewed and approved by the CEO/Administrator on an annual basis. The internal salary review is based on the salary survey from NDLTC Association. The last salary reveiw was completed September 2023. The determination of compensation 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, CFO, HR Director, and PT Director 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 IX, line 11g Purchased Services: Program service expenses 13,489. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,489. Consultant: Program service expenses 40,183. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,183. Contracted Services: Program service expenses 761,052. Management and general expenses 165,118. Fundraising expenses 0. Total expenses 926,170. Form 990, Part XI, line 9: Net change in Auxiliary activity -443.