2026-01-21T16:48:26-06:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 450280796 Mountrail Bethel Home Inc MOUN 7016282442 PO Box 700 Stanley ND 58784 Eugeniya Griffin CFO 7016282442 2026-01-20 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-01-20 2024 2025-03-06 01:10:19Z Stephanie Everett PO Box 700 Stanley ND 58784 32660399 0 X www.stanleyhealth.org X 1970 ND Dedicated to providing quality care to its residents. 6 5 186 7 0 0 293199 25434843 5790097 6147239 -20069 635662 772714 431345 6835941 32649089 0 0 0 0 8290051 8859558 0 0 0 -2048578 -2434776 6241473 6424782 594468 26224307 10127932 38447808 921155 3032204 9206777 35415604 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 0 4297441 5148980 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 12,064 days of care this year. 823337 807734 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 24-hour staffed call system. Rosen Place has provided 5,314 days of care. 163907 190525 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 1,013 days of care this year. 5284685 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 186 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 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 Ryan Gjellstad President 1.00 X X 0 0 0 Marlin Ranum Vice President (Jul-Nov) 1.00 X X 0 0 0 Jamie Germundson - Director (Jul-Nov)/VP (As of Nov) 1.00 X X 0 0 0 Brian Hysjulien - Secretary Treasurer (As of Nov) 1.00 X X 0 0 0 Elda Titus-SecretaryTreasurer (Jul/Nov)/Director(As of Nov) 1.00 X X 0 0 0 Breann Lund Director 1.00 X 0 0 0 Michael Brewer Director (As of June) 1.00 X 0 0 0 Stephanie Everett CEO/Administrator 20.00 X 230017 0 38011 Eugeniya Griffin CFO 20.00 X 87598 0 3497 Cindy Baer CNA 65.00 X 122313 0 770 Alisha Debilt HR Director 20.00 X 111642 0 9243 Carly Jean Mudderman DON 40.00 X 110732 0 4430 Julie Schweitzer RN 43.00 X 106018 0 18447 Taina Karow RN 0.00 X 122974 0 23670 891294 0 98068 6 0 0 0 McGough Construction Co LLC 2737 Fairview Ave N StPaul MN 55113 Construction management 4572665 EAPC 3100 DeMers Ave Grand Forks ND 58201 Engineering services 807905 DTN Staffing Inc 1200 Collins Ave Mandan ND 58554 Outsourced medical staffing 335277 Prairie Travelers Inc 41 1st ST N Glasgow MT 59230 Outsourced medical staffing 110711 4 25250000 184843 25434843 Resident Service Revenue 623000 5968527 5968527 Facility lease-MCMC 531120 151589 151589 27123 27123 6147239 646972 646972 431345 431345 11310 -11310 -11310 -11310 32649089 6147239 0 1067007 X 386474 386474 84474 84474 6895498 5991941 903557 220166 188768 31398 755471 624494 130977 517475 419093 98382 2600 2600 60863 60863 860919 726285 134634 2482 2482 178175 108351 69824 56924 4872 52052 273030 251958 21072 9476 6021 3455 47852 23068 24784 1569 1569 429410 410830 18580 15868 15868 Food 215322 215322 Medical Expenses 67499 67499 Bad debt expense 16561 16561 Medical Ctr exp alloc. -4703672 -3881331 -822341 30346 9042 21304 6424782 5284685 1140097 0 3039185 3843873 165645 256711 10808 10880 39668 108450 31666828 9032139 6490716 22634689 13691 11589779 3426 3426 364793 0 10127932 38447808 839511 653375 49784 48598 31860 17700 0 2312531 921155 3032204 X 9204431 10142592 2346 25273012 9206777 35415604 10127932 38447808 X 26224307 -15480 X 0 1 X 1 0 X 1352003 915500 112246 293199 25434843 28107791 4442764 4910734 5253007 5790097 6147239 26543841 5794767 5826234 5365253 6083296 31582082 54651632 0 1624269 1719444 1872350 1942072 7158135 1624269 1719444 1872350 1942072 7158135 47493497 96716 116276 256668 833672 1078317 2381649 96716 116276 256668 833672 1078317 2381649 5891483 5942510 5621921 6916968 32660399 57033281 0.83270 0.67070 0.04180 0.04870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 41376 22231 6751 56856 1 X 31910 35783 67693 11864946 7549399 4315547 1479940 1195617 284323 18254249 287123 17967126 22634689 Related party payable 68831 Construction AP 2243700 2312531 X 32638168 0 32638168 10921 10921 32649089 6429341 11310 11310 6418031 6751 6751 6424782 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 $48,598 and $49,784 at June 30, 2025 and 2024. 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 -11,310. Auxiliary revenue not included in audited financial statements 22,231. Part XII, Line 2d - Other Adjustments: Loss on sale of equipment reported in revenue for Form 990 11,310. Part XII, Line 4b - Other Adjustments: Auxiliary expense not included in audited financial statements 6,751. X X 0 0 0 0 0 0 0 0 0 Stephanie Everett CEO/Administrator 227878 0 1000 0 1139 0 9419 0 28592 0 268028 0 0 0 Beth Gjellstad Wife of Ryan Gjellstad, board President 71306 Compensation and benefits as an employee 0 Mackenzie Ranum Grandaughter of Marlin Ranum, board Director 13168 Compensation and benefits as an employee 0 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 through the annually policy review and when there is a potential conflict. 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 2024. 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 2024. 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, and HR 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 VII: The compensation reported in Part VII for Taina Karow, RN, is compensation and benefits paid by Mountrail Bethel Home for services provided to 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 7,817. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,817. Consultant: Program service expenses 36,147. Management and general expenses 0. Fundraising expenses 0. Total expenses 36,147. Contracted Services: Program service expenses 682,321. Management and general expenses 134,634. Fundraising expenses 0. Total expenses 816,955. Form 990, Part XI, line 9: Net change in Auxiliary activity -15,480.