Bethany on 42ND

Managing / control

Organization PAC 0648324038 Enrollment ID O20090819000795

Linked facilitiesFacilities

StatesStates

18 parties: 5 organizations · 13 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Bethany on 42ND	0648324038	Organization	Operational/Managerial Control; ADP of the SNF	100
Bell Bank Arrowhead Office	4688040587	Organization	5% or Greater Mortgage Interest; Operational/Managerial Control; ADP of the SNF	62
Kaye Angus	1355727819	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
Shawn A Stuhaug	3274443320	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
Parul Gupta	6608048186	Individual	Operational/Managerial Control; ADP of the SNF	—
Blue Stone Therapy Inc	1850707787	Organization	Operational/Managerial Control; ADP of the SNF	—
Bethany Homes, Inc	1153544754	Organization	Operational/Managerial Control; ADP of the SNF	—
Eide Bailly LLP	7618885013	Organization	Operational/Managerial Control; ADP of the SNF	—
Bruce L Davidson	9931144086	Individual	Corporate Director	0
Jack Rydell	6608130539	Individual	Corporate Director	0
John Hertsgaard	5294955852	Individual	Corporate Director	0
Laura Ness Owens	3375983364	Individual	Corporate Director	0
Lianne Rockstad	4880958719	Individual	Corporate Director	0
Rick Steen	2466892450	Individual	Corporate Director	0
Beth Renner	6608231287	Individual	Corporate Director	0
Cheryl Anderson	5799140372	Individual	Corporate Director	0
Jerilynn Brantner-adams	8820218480	Individual	Corporate Director	0
Roger Olson	6103046768	Individual	Corporate Director	0

Bethany on 42NDPAC 0648324038
Organization100Operational/Managerial Control; ADP of the SNF
Bell Bank Arrowhead OfficePAC 4688040587
Organization625% or Greater Mortgage Interest; Operational/Managerial Control
Kaye AngusPAC 1355727819
Individual0Corporate Officer; Operational/Managerial Control
Shawn A StuhaugPAC 3274443320
Individual0Corporate Officer; Operational/Managerial Control
Parul GuptaPAC 6608048186
IndividualOperational/Managerial Control; ADP of the SNF
Blue Stone Therapy IncPAC 1850707787
OrganizationOperational/Managerial Control; ADP of the SNF
Bethany Homes, IncPAC 1153544754
OrganizationOperational/Managerial Control; ADP of the SNF
Eide Bailly LLPPAC 7618885013
OrganizationOperational/Managerial Control; ADP of the SNF
Bruce L DavidsonPAC 9931144086
Individual0Corporate Director
Jack RydellPAC 6608130539
Individual0Corporate Director
John HertsgaardPAC 5294955852
Individual0Corporate Director
Laura Ness OwensPAC 3375983364
Individual0Corporate Director
Lianne RockstadPAC 4880958719
Individual0Corporate Director
Rick SteenPAC 2466892450
Individual0Corporate Director
Beth RennerPAC 6608231287
Individual0Corporate Director
Cheryl AndersonPAC 5799140372
Individual0Corporate Director
Jerilynn Brantner-adamsPAC 8820218480
Individual0Corporate Director
Roger OlsonPAC 6103046768
Individual0Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Bethany on 42ND 114 residents			5.19	Ovr★★★★★Stf★★★★☆Ins★★★★★QM★★★☆☆	114

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Bethany on 42ND 114 residents	O20090819000795		FARGO

Name match to Bethany on 42ND in FEC filings. Similar names may appear—confirm on FEC.gov.