BETHANY ON 42ND: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BETHANY ON 42ND (EIN 26-1087740)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-08-16
- IRS object ID
- 202322289349300622
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-16T09:06:53-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1730 Burnt Boat Loop Ste 100 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585030886 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261087740 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bethany on 42nd | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETH | BusinessNameControlTxt |
| Phone | 7012393000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 South University Drive | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Shawn Stuhaug | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 7012393000 | PhoneNum |
| Signature | 2023-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Shawn | PersonFirstNm |
| Person Last | Stuhaug | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2023-08-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Shawn Stuhaug | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 South University Drive | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,954,782 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bethanynd.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | Provide long term care services | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $598,149 | PYContributionsGrantsAmt |
| CY Contributions Grants | $54,004 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,933,417 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,565,514 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,677 | PYInvestmentIncomeAmt |
| CY Investment Income | -$16,054 | CYInvestmentIncomeAmt |
| PY Other Revenue | $31,473 | PYOtherRevenueAmt |
| CY Other Revenue | $3,351,150 | CYOtherRevenueAmt |
| PY Total Revenue | $19,570,716 | PYTotalRevenueAmt |
| CY Total Revenue | $22,954,614 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $118,450 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,327,726 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,423,597 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,763,094 | PYOtherExpensesAmt |
| CY Other Expenses | $8,549,896 | CYOtherExpensesAmt |
| PY Total Expenses | $18,209,270 | PYTotalExpensesAmt |
| CY Total Expenses | $19,973,493 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,361,446 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,981,121 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,982,371 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,131,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,577,209 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,941,330 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,405,162 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,189,776 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide living opportunities in a senior community shaped by Christian values. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,949,778 | ExpenseAmt |
| Revenue | $19,565,514 | RevenueAmt |
| Desc | Bethany on 42nd operates as a charitable organization consistent with the requirements of Internal Revenue Code Section 501(c)(3). Bethany on 42nd provides long term care services including skilled nursing care, transitional care, assisted living, and senior housing. Bethany on 42nd does not discriminate against individuals in the admissions process or in the delivery of care with regard to ability to pay for services. The organization's cash reserves are generally applied to expansion and replacement of existing facilities and equipment, amortization of mortgages, improvements in resident care, training and education, and community benefit activities.Continued on Schedule O...The governing board of Bethany on 42nd is made up of leaders in the Fargo-Moorhead business community. Consistent with its charitable mission, ALH provides community benefit to the area served. In 2022, community benefit activities included:*Speaker's Bureau Services - free educational sessions to agencies and individuals in the community on topics such as:o Bethany on the Growo Advance Directive Educationo Careers in Long Term Careo Early Dementia Careo Activities with a Purposeo The A, B, C & Ds of Medicareo Facing our Later Days in Faitho Managing Your Resources Estate Planning o Volunteerism The Rewards of Giving Yourself*Groups to which our Speaker's Bureau presented information included service clubs, churches, and senior centers. No sessions were scheduled in 2022 due to the COVID-19 pandemic.*Volunteerism - coordinates a volunteers program that included 140 volunteers giving over 9,500 hours of service, providing mental stimulation and emotional support to Bethany on 42nd's 214 elderly residents. Volunteers included members of sponsoring churches, Experience Works program volunteers, Mom's Teach, business groups, and many student volunteers from the community's schools elementary, middle, high schools, and colleges.*Scholarship programs and student loan repayment bonus opportunities - Bethany on 42nd recognizes that to continuously improve the organization's value to our community and our residents, to encourage life-long learning among employees, and to achieve an "employer of choice" status, it is in our best interest to provide opportunities to assist eligible employees in pursuing formal, healthcare-related education.*School partnerships - Bethany on 42nd works with area nursing and other healthcare-related programs to provide on-site training opportunities for students. In 2022, we had 98 nursing students complete clinical experiences at our facility. We provide a CNA training program for individuals in the Fargo-Moorhead community interested in pursuing a career as a nursing assistant. We also provide clinical site experience for an outside CNA training program, CPR training, and CNA testing and "test-out" classes. Other school partnerships include learning opportunities for dietetic students, and internship opportunities for students in social work, dietetics, activities, and LTC administration programs. *Assessment and referral services - our staff help to refer individuals needing long term care services to the appropriate agency in the community. Bethany on 42nd's licensed social workers provide guidance with medical assistance applications for residents/families.*Community Support - generalo Bethany on 42nd provides meeting room space and accommodations for non-profit organizations and community groups. o Facility space is open to use by outside groups for meetings, performances, activities, funeral/memorial services, music recitals and other programs.o Bethany on 42nd organizes employee participation in fundraising activities for Cass-Clay United Way and the Alzheimer's Association.o Recognizes the contributions to and the impact senior have had on the community by sponsoring the annual Senior of the Year awards program.*Community Support - leadership representatives from Bethany on 42nd serve on non-profit boards and civic organizations that work to improve the quality of life in the Fargo-Moorhead area:o President/CEO - serves on the BEK Care (dba Ethos) board of directors, and various committees of the North Dakota Long Term Care Association (NDLTCA). Also serves on the board of ShareHouse, Fargo.o Chief Financial Officer - serves on the BEK Care board of directors, and the Funding and Reimbursement Committee of the NDLTCAo Senior Executive of Resident Care - serves on the FM Clinical & Academic Collaborative, Great Plains & Lake Superior Quality Innovation Network, Resident Issues Committee of the NDLTCA, the Ethos Advisory Committee, and as a NCLEX test reviewer/item reviewer for the National Board of Nursing. She also serves as an interviewer for the NDSU BSN nursing program/application process.o Senior Executive of Human Resources - serves on a panel for the MState New American program, the Ethos Advisory Committee, and the Find the Good Life recruiter network (a collaborative group working to recruit future workers to North Dakota)o Senior Executive of Housing/Assisted Living - serves as a board member of the Fargo West Rotary service club, Basic Care Director at Large for the NDLTCA, and serves on the National Center for Assisted Living (NCAL) Not-For-Profit Committee.o Senior Executive of Development & Community Relations - serves on the Public Affairs Committee of the Fargo- Moorhead-West Fargo Chamber of Commerce. He also serves on the Ethos Advisory Committee, and with the Coalition of Service Providers for the Elderly.*Bethany on 42nd's care provided:o Bethany on 42nd Skilled - 116 skilled beds, with 42,222 days of care. Total Skilled employee hours 346,367. Total expenses including management and general: $17,176,224.o Bethany Gables, senior housing with services - 40 apartments, 13,614 days of care, and 14,992 employee hours. Total expenses including management and general: $1,242,306.o Bethany Grace Pointe - 58 senior housing apartments. Days of service totaled 20,642, employee hours totaled 1,694, and total expenses including management and general were $1,401,683. | Desc |
| Total Program Service Expenses | $17,949,778 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kaye Angus | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7014788906 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 South University Drive | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Charlotte Rusch | ||||||||
| Chair | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jack Rydell | ||||||||
| Vice Chair | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Mary Johnson | ||||||||
| Treasurer (thru March) | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Paulette Amundson | ||||||||
| Treasurer (as of April) | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Lianne Rockstad | ||||||||
| Secretary | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Bruce Davidson | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Neal Eriksmoen | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Martha Leclerc | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Dan Beauchamp | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Ben Carlsrud | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| David Glatt | ||||||||
| Trustee (thru August) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Shawn Stuhaug | ||||||||
| President/CEO | 18.00 | 32.00 | Yes (X) | $0 | $323,894 | $18,128 | ||
| Jane Kelly | ||||||||
| CFO (thru September) | 18.00 | 32.00 | Yes (X) | $0 | $175,053 | $15,119 | ||
| Kaye Angus | ||||||||
| CFO (as of August) | 18.00 | 32.00 | Yes (X) | $0 | $82,593 | $16,064 | ||
| Dawn Hummel | ||||||||
| Sr. Executive of Resident | 22.00 | 28.00 | $0 | $155,050 | $6,202 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $736,590 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $55,513 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Blue Stone Therapy | |||||
| 4319 NW Urbandale Dr | Urbandale | IA | 50322 | Contracted Therapy | $719,939 |
| Prime Time Healthcare LLC | |||||
| 15380 Weir St | Omaha | NE | 68137 | Contracted Nursing | $123,587 |
| Eide Bailly LLP | |||||
| PO Box 2545 | Fargo | ND | 58108 | Accounting Services | $115,613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,360 | RelatedOrganizationsAmt |
| Government Grants | $42,644 | GovernmentGrantsAmt |
| All Other Contributions | $10,000 | AllOtherContributionsAmt |
| Total Contributions | $54,004 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Resident Service Revenue | 623000 | $19,404,104 | $19,404,104 |
| Supporting Revenue | 900099 | $161,410 | $161,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,565,514 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,886 | TotalRevenueColumnAmt |
| Exclusion | -$15,886 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,268 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,268 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,268 | TotalRevenueColumnAmt |
| Exclusion | $33,268 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $168 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$168 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$168 | TotalRevenueColumnAmt |
| Exclusion | -$168 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Employee Retention Credit | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,317,882 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,317,882 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,317,882 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,954,614 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,883,396 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,214 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,617,131 | TotalAmt |
| Program Services | $8,899,967 | ProgramServicesAmt |
| Management And General | $717,164 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,829 | TotalAmt |
| Program Services | $149,501 | ProgramServicesAmt |
| Management And General | $23,328 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,136 | TotalAmt |
| Program Services | $844,431 | ProgramServicesAmt |
| Management And General | $86,705 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,501 | TotalAmt |
| Program Services | $649,949 | ProgramServicesAmt |
| Management And General | $52,552 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,358 | TotalAmt |
| Management And General | $19,358 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,950 | TotalAmt |
| Management And General | $11,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,541,969 | TotalAmt |
| Program Services | $1,541,969 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,012 | TotalAmt |
| Management And General | $15,012 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,928 | TotalAmt |
| Program Services | $898,579 | ProgramServicesAmt |
| Management And General | $707,349 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,379 | TotalAmt |
| Management And General | $7,379 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,299 | TotalAmt |
| Program Services | $1,061,299 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,013 | TotalAmt |
| Program Services | $92,013 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,264 | TotalAmt |
| Program Services | $25,550 | ProgramServicesAmt |
| Management And General | $3,714 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,691 | TotalAmt |
| Program Services | $922,184 | ProgramServicesAmt |
| Management And General | $11,507 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,205,661 | TotalAmt |
| Program Services | $2,179,869 | ProgramServicesAmt |
| Management And General | $25,792 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,869 | TotalAmt |
| Management And General | $201,869 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $540,090 | $540,090 | |
| Recruitment | $148,337 | $143,928 | $4,409 |
| Bad Debt Expense | $121,029 | $121,029 | |
| Memberships | $14,598 | $14,598 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449 | TotalAmt |
| Program Services | $449 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,973,493 | TotalAmt |
| Program Services | $17,949,778 | ProgramServicesAmt |
| Management And General | $2,023,715 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,780,562 | BOYAmt |
| EOY | $5,390,691 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,563 | BOYAmt |
| EOY | $4,928,412 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,668 | BOYAmt |
| EOY | $168,719 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,928 | BOYAmt |
| EOY | $302,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,904,869 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,423,540 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,192,982 | BOYAmt |
| EOY | $31,481,329 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,668 | BOYAmt |
| EOY | $1,421,028 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,385,000 | BOYAmt |
| EOY | $1,438,311 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,982,371 | BOYAmt |
| EOY | $45,131,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,720 | BOYAmt |
| EOY | $1,468,997 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,346,494 | BOYAmt |
| EOY | $24,168,474 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,683 | BOYAmt |
| EOY | $122,352 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,133 | BOYAmt |
| EOY | $393,497 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,566,179 | BOYAmt |
| EOY | $5,788,010 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,577,209 | BOYAmt |
| EOY | $31,941,330 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,405,162 | BOYAmt |
| EOY | $13,189,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,405,162 | BOYAmt |
| EOY | $13,189,776 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,982,371 | BOYAmt |
| EOY | $45,131,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,981,121 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$196,507 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,834 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $879,069 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $598,149 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,004 | CurrentTaxYearAmt |
| Total | $1,537,611 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,585,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,095,351 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,695,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,933,417 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,565,514 | CurrentTaxYearAmt |
| Total | $92,875,807 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,588,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,098,906 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,575,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,531,566 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,619,518 | CurrentTaxYearAmt |
| Total | $94,413,418 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $94,413,418 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $77,206 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,963 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,382 | CurrentTaxYearAmt |
| Total | $256,014 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $77,206 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,963 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,382 | CurrentTaxYearAmt |
| Total | $256,014 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,317,882 | CurrentTaxYearAmt |
| Total | $3,317,882 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,638,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,176,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,649,216 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,568,529 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,954,782 | CurrentTaxYearAmt |
| Total | $97,987,314 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96350 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99690 | PublicSupportPY509Pct |
| Investment Income CY | 0.00260 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00310 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $392,624 | BeginningYearBalanceAmt |
| Contributions | $12,620 | ContributionsAmt |
| Investment Earnings Or Losses | -$275 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $404,969 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $324,339 | BeginningYearBalanceAmt |
| Contributions | $33,070 | ContributionsAmt |
| Investment Earnings Or Losses | $35,215 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $392,624 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.53820 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.46180 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,452,898 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,038,193 | OtherCostOrOtherBasisAmt |
| Book Value | $3,491,091 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,691,040 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,494,587 | DepreciationAmt |
| Book Value | $25,196,453 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,229,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,583,366 | DepreciationAmt |
| Book Value | $1,645,658 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,493,714 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,345,587 | DepreciationAmt |
| Book Value | $1,148,127 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,481,329 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Related Party Payable | $1,799,477 |
| Related Entity Note Payable | $3,935,222 |
| Right of Use Liability | $53,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,788,010 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,801,340 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,801,340 | RevenueSubtotalAmt |
| Other Revenues Not Included | $153,274 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $153,274 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,954,614 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,820,219 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,820,219 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $153,274 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $153,274 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,973,493 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The Organization acts as custodian for the funds of the residents, as well as apartment security deposits. These funds are included in cash and cash equivalents and a corresponding liability is included in accounts payable-trade in the financial statements. Resident trust funds totaled $23,240 and $23,092 at December 31, 2022 and 2021. Apartment security deposits totaled $99,112 and $92,591 at December 31, 2022 and 2021. |
| Part V, Line 4: | A related organization, Bethany Homes, Inc., holds and administers the endowments. The endowments are used to benefit Bethany on 42nd. |
| Part X, Line 2: | Bethany on 42nd 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 consolidated financial statements. Bethany 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: | Dining Services Revenue Recorded in Expenses for Financial Statement 153,274. |
| Part XII, Line 4b - Other Adjustments: | Dining Services Revenue Recorded in Revenue on Form 990 153,274. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Shawn Stuhaug | ||||||||||||||
| President/CEO | $0 | $282,373 | $0 | $41,521 | $0 | $0 | $0 | $11,628 | $0 | $6,620 | $0 | $342,142 | $0 | $0 |
| Jane Kelly | ||||||||||||||
| CFO (thru September) | $0 | $156,591 | $0 | $18,462 | $0 | $0 | $0 | $7,272 | $0 | $7,927 | $0 | $190,252 | $0 | $0 |
| Dawn Hummel | ||||||||||||||
| Sr. Executive of Resident | $0 | $145,050 | $0 | $10,000 | $0 | $0 | $0 | $6,202 | $0 | $96 | $0 | $161,348 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The CEO is paid by a related exempt organization using comparability data; however, the Board of the related exempt organization also serves as the Board of the filing organization. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Cass County North Dakota | ||||||||
| A | 456002205 | 000000000 | 2010-10-01 | $16,000,000 | Construct & Equip Retirement Living Campus | 0 | 0 | 0 |
| Cass County North Dakota | ||||||||
| B | 456002205 | 000000000 | 2012-08-28 | $3,000,000 | Construct & Equip 38 Skilled Nursing Bed Addition & Small Kitchen Facility | 0 | 0 | 0 |
| City of Harwood North Dakota | ||||||||
| C | 450371534 | 000000000 | 2015-05-18 | $7,410,000 | Construction of independent living addition | 0 | 0 | 0 |
| City of Argusville North Dakota | ||||||||
| D | 450310938 | 000000000 | 2015-05-18 | $7,410,000 | Refinance 2012 mortgage note payable and special assessments | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,665,590 | $16,000,000 | $137,143 | $15,862,857 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $805,523 | $3,000,000 | $59,755 | $2,940,245 | 2013 | 0 | 0 | Yes (1) | Yes (1) | |
| C | $1,256,680 | $7,410,000 | $32,000 | $7,378,000 | 2016 | 0 | 0 | Yes (1) | Yes (1) | |
| D | $1,620,247 | $7,410,000 | $32,000 | $3,309,589 | 2016 | 0 | 0 | Yes (1) | Yes (1) | $4,068,411 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a: | Individuals working for Bethany on 42nd are employed by a related organization, American Lutheran Homes, Inc. |
| Form 990, Part VI, Section A, line 2 | The CEO and CFO both have a business relationship with each other and all of the Board Members, as the CEO and CFO are employed by another related nonprofit of which the board members serve as well. The Board serves all of the related nonprofit organizations listed on Schedule R. |
| Form 990, Part VI, Section A, line 6 | Bethany Homes, Inc. is the sole member of the Corporation. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors is elected at the annual meeting of the Board of Trustees of the Member. The Member has the right to fill any vacancies that occur during the year. The Member may also remove any directors with or without cause. |
| Form 990, Part VI, Section A, line 7b | The following actions by the Board of Directors require the approval of the Board of Trustees of the Member: - Establishment of annual operating budget - Sale, lease or encumbrance of any corporation real property - Unbudgeted capital expenditures exceeding amounts for which the President/CEO is specifically authorized to approve |
| Form 990, Part VI, Section A, line 8b | There are no committees with the broad authority to act on behalf of the governing board. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is reviewed by the CFO and CEO and then provided to the Board for review prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Board officers and directors, as well as officers of the Organization, complete a conflict of interest questionnaire on an annual basis. The Board reviews the conflicts to determine if a conflict exists. The individual with the conflict is required to abstain from voting if the conflict comes up in the board meeting where a decision needs to be made. This is a standing agenda item at each board meeting. |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO is paid by a related organization. The related organization has a process for determining compensation that includes review by the independent board using comparability data and substantiation of the deliberation and decision. The CFO compensation is paid by a related organization. The related organization has a process that includes review by the CEO and Executive Committee using comparability data. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are available upon request. |
| Form 990, Part XI, line 9: | Intercompany Transfers -196,507. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| American Lutheran Homes Inc | |||||||||||
| 201 S University Drive | Fargo | ND | 58103 | 450274012 | Long-term care services, assisted living, basic care | ND | 501(c)(3) | Line 11 | Bethany Homes Inc | Yes (1) | |
| Bethany Home Health Care | |||||||||||
| 201 S University Drive | Fargo | ND | 58103 | 450433045 | Promotion of health | ND | 501(c)(3) | Line 11 | Bethany Homes Inc | Yes (1) | |
| Bethany Homes Inc | |||||||||||
| 201 S University Drive | Fargo | ND | 58103 | 450394181 | Fundraising | ND | 501(c)(3) | Line 11 | Yes (1) | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Bethany Homes Inc | ||
| R | $196,507 | General Ledger |
| American Lutheran Homes Inc | ||
| P | $15,010,702 | General Ledger |
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