SAMARITAN BETHANY INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SAMARITAN BETHANY INC (EIN 41-1373420)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-06-07
- IRS object ID
- 202221589349300412
- Schema version
- 2020v4.2
- 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 | 2022-06-07T08:45:52-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N RIVERFRONT DR SUITE 300 | AddressLine1Txt |
| City | MANKATO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411373420 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN BETHANY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAMA | BusinessNameControlTxt |
| Phone | 5072895042 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5947 | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 559035947 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN KNUTSON | PersonNm |
| Person Title | CEO/MISSION LEADER | PersonTitleTxt |
| Phone | 5072895042 | PhoneNum |
| Signature | 2022-03-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SUSAN | PersonFirstNm |
| Person Last | KNUTSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSH SHERBURNE | PreparerPersonNm |
| PTIN | P02039400 | PTIN |
| Phone | 5073868800 | PhoneNum |
| Preparation | 2022-03-23 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUSAN KNUTSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5947 | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 559035947 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,361,488 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAMARITANBETHANY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 461 | TotalEmployeeCnt |
| Total Volunteers | 275 | TotalVolunteersCnt |
| Total Gross UBI | $121,517 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $193,103 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,156,717 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,359,499 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,040,176 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,805 | PYInvestmentIncomeAmt |
| CY Investment Income | $267,530 | CYInvestmentIncomeAmt |
| PY Other Revenue | $214,330 | PYOtherRevenueAmt |
| CY Other Revenue | $215,620 | CYOtherRevenueAmt |
| PY Total Revenue | $19,862,737 | PYTotalRevenueAmt |
| CY Total Revenue | $19,680,043 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | 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 | $11,555,981 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,344,312 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,062,312 | PYOtherExpensesAmt |
| CY Other Expenses | $8,654,370 | CYOtherExpensesAmt |
| PY Total Expenses | $20,618,293 | PYTotalExpensesAmt |
| CY Total Expenses | $18,998,682 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$755,556 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $681,361 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,215,066 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,223,208 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,232,556 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,514,300 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$17,490 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $708,908 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES TO RESIDENTS OF A NURSING HOME AND AN APARTMENT COMPLEX COMPLETE WITH ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,472,836 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,040,176 | RevenueAmt |
| Desc | PROVIDING HOUSING, NURSING CARE AND RELATED SERVICES TO RESIDENTS OF A NURSING HOME AND AN APARTMENT COMPLEX COMPLETE WITH ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY IN THE ROCHESTER, MINNESOTA AREA. THE HOME IS LICENSED FOR 182 NURSING HOME BEDS WITH 155 ACTIVE AND ARBOR TERRACE HAS 83 APARTMENT UNITS. | Desc |
| Total Program Service Expenses | $16,472,836 | 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 | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | 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 | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 461 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRANDON MILLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5072895042 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 7TH STREET NW | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 |
|---|---|---|---|---|---|---|---|
| SCOTT DAVIS | |||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RAE DUNN | |||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KAREN HARTMAN | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BONNIE LENZ | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GARY ZANDER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PAM SCHULZE | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR JERRY SWANSON | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TERRY BIRD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LAURIE DEYOUNG | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN HAUG | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KIRBY BAKKEN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JERAD FAUDI | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BOB BEAULIEU | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LOU HERMANSEN | |||||||
| DIRECTOR (LEFT DURING YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOAN ROSE | |||||||
| DIRECTOR (LEFT DURING YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STEVE KLOEMPKEN | |||||||
| DIRECTOR (LEFT DURING YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DUSTIN JONES | |||||||
| DIRECTOR (LEFT DURING YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PETER OETLIKER | |||||||
| DIRECTOR (LEFT DURING YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN KNUTSON | |||||||
| CEO | 40.00 | 1.00 | Yes (X) | $130,414 | $0 | $27,958 | |
| KYLA BERG | |||||||
| ADMINISTRATOR | 40.00 | 0.00 | Yes (X) | $86,636 | $0 | $24,831 | |
| BRANDON MILLER | |||||||
| CFO | 40.00 | 1.00 | Yes (X) | $93,416 | $0 | $6,169 | |
| RACHAEL PADDOCK | |||||||
| HOUSING MGR | 40.00 | 0.00 | Yes (X) | $53,985 | $0 | $180 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $364,451 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $59,138 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION LLC | |||||
| PO BOX 71985 | CHICAGO | IL | 606941985 | CONTRACTED THERAPY | $871,210 |
| ANNLEO INC | |||||
| 2501 BOJI BEND DRIVE | MILFORD | IA | 51351 | CONTRACTED TEMPORARY LABOR | $590,342 |
| REHABCARE GROUP INC | |||||
| 7733 FORSYTH BLVD | ST LOUIS | MO | 63105 | CONTRACTED THERAPY | $310,811 |
| TEXTILE CARE SERVICES | |||||
| 225 WOOD LAKE DRIVE SE | ROCHESTER | MN | 55904 | CONTRACTED LAUNDRY | $107,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $121,588 | RelatedOrganizationsAmt |
| Government Grants | $3,035,129 | GovernmentGrantsAmt |
| Total Contributions | $3,156,717 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT REVENUE | 623000 | $15,991,013 | $15,991,013 |
| TELEVISION REVENUE | 623000 | $43,075 | $43,075 |
| THERAPY RENTAL INCOME | 623000 | $4,888 | $4,888 |
| A.T. RENTAL INCOME | 623000 | $1,200 | $1,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,040,176 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,412 | TotalRevenueColumnAmt |
| Exclusion | $79,412 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $262,555 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $126,907 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $135,648 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,648 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $121,517 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,131 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,742,656 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,554,538 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $188,118 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,118 | TotalRevenueColumnAmt |
| Exclusion | $188,118 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEAL INCOME | 900099 | $56,876 | $56,876 |
| MISCELLANEOUS REVENUE | 900099 | $23,080 | $23,080 |
| FINANCE CHARGES | 900099 | $16 | $16 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $79,972 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,680,043 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,040,176 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $121,517 | UnrelatedBusinessRevenueAmt |
| Exclusion | $361,633 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,120 | TotalAmt |
| Program Services | $43,732 | ProgramServicesAmt |
| Management And General | $363,388 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,304,514 | TotalAmt |
| Program Services | $8,249,481 | ProgramServicesAmt |
| Management And General | $55,033 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,927 | TotalAmt |
| Program Services | $156,431 | ProgramServicesAmt |
| Management And General | $25,496 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $821,441 | TotalAmt |
| Program Services | $706,319 | ProgramServicesAmt |
| Management And General | $115,122 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,310 | TotalAmt |
| Program Services | $541,115 | ProgramServicesAmt |
| Management And General | $88,195 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,560 | TotalAmt |
| Management And General | $869,560 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,223 | TotalAmt |
| Management And General | $33,223 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,772 | TotalAmt |
| Management And General | $35,772 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,783 | TotalAmt |
| Management And General | $12,783 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,092,398 | TotalAmt |
| Program Services | $806,039 | ProgramServicesAmt |
| Management And General | $286,359 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,771 | TotalAmt |
| Management And General | $40,771 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,055 | TotalAmt |
| Program Services | $22,255 | ProgramServicesAmt |
| Management And General | $37,800 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,612 | TotalAmt |
| Management And General | $5,612 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,846 | TotalAmt |
| Program Services | $548,379 | ProgramServicesAmt |
| Management And General | $43,467 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,565 | TotalAmt |
| Program Services | $185 | ProgramServicesAmt |
| Management And General | $9,380 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,912 | TotalAmt |
| Program Services | $16,511 | ProgramServicesAmt |
| Management And General | $3,401 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,514,910 | TotalAmt |
| Program Services | $1,514,910 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,217,946 | TotalAmt |
| Program Services | $1,217,946 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,923 | TotalAmt |
| Management And General | $168,923 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| THERAPY EXPENSE | $1,158,264 | $1,158,264 | |
| FOOD COSTS | $519,277 | $519,277 | |
| MEDICAL CARE SURCHARGE | $436,325 | $436,325 | |
| COVID EXPENSES | $236,599 | $236,599 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,629 | TotalAmt |
| Program Services | $535,667 | ProgramServicesAmt |
| Management And General | $94,962 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,998,682 | TotalAmt |
| Program Services | $16,472,836 | ProgramServicesAmt |
| Management And General | $2,525,846 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,817,685 | BOYAmt |
| EOY | $1,511,524 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,153 | BOYAmt |
| EOY | $1,824,356 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,190,852 | BOYAmt |
| EOY | $1,103,984 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,974 | BOYAmt |
| EOY | $64,285 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,633 | BOYAmt |
| EOY | $198,412 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $42,832,025 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,624,002 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,958,736 | BOYAmt |
| EOY | $25,208,023 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,710,189 | BOYAmt |
| EOY | $1,986,192 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $258,198 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,919,844 | BOYAmt |
| EOY | $3,068,234 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,215,066 | BOYAmt |
| EOY | $35,223,208 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,645 | BOYAmt |
| EOY | $1,312,183 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $400,315 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,946,670 | BOYAmt |
| EOY | $32,047,855 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $679,422 | BOYAmt |
| EOY | $580,268 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,819 | BOYAmt |
| EOY | $173,679 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,232,556 | BOYAmt |
| EOY | $34,514,300 | 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 | -$17,490 | BOYAmt |
| EOY | $708,908 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,490 | BOYAmt |
| EOY | $708,908 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,215,066 | BOYAmt |
| EOY | $35,223,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $681,361 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $45,037 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $175,496 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $95,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $169,610 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,156,717 | CurrentTaxYearAmt |
| Total | $3,654,928 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,059,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,413,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,281,655 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,359,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,040,176 | CurrentTaxYearAmt |
| Total | $93,154,962 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,235,438 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,471,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,377,448 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,529,109 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,196,893 | CurrentTaxYearAmt |
| Total | $96,809,890 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $95,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,588 | CurrentTaxYearAmt |
| Total | $487,310 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $95,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,588 | CurrentTaxYearAmt |
| Total | $487,310 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $96,322,580 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,101 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316,947 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $257,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,060 | CurrentTaxYearAmt |
| Total | $932,286 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,101 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316,947 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $257,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,060 | CurrentTaxYearAmt |
| Total | $932,286 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $72,353 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,849 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,637 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,134 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,972 | CurrentTaxYearAmt |
| Total | $369,945 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,359,892 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,860,798 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,709,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,689,679 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,491,925 | CurrentTaxYearAmt |
| Total | $98,112,121 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98180 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98260 | PublicSupportPY509Pct |
| Investment Income CY | 0.00950 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00940 | 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) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $509,172 | OtherCostOrOtherBasisAmt |
| Book Value | $509,172 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,831,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,626,088 | DepreciationAmt |
| Book Value | $23,205,035 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,392,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,210,672 | DepreciationAmt |
| Book Value | $182,049 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,099,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $787,242 | DepreciationAmt |
| Book Value | $1,311,767 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,208,023 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESIDENT TRUST | $15,820 |
| SECURITY DEPOSITS | $119,397 |
| TRUST FUND | $2,523,578 |
| DUE FROM FOUNDATION | $409,439 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,068,234 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT'S CASH | $15,820 |
| SECURITY DEPOSITS | $119,397 |
| FIN 47 RETIREMENT OBLIGATION | $38,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $173,679 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | SAMARITAN BETHANY'S MISSION IS TO CREATE A CARING ENVIRONMENT THAT ENHANCES THE QUALITY OF LIFE OF THOSE WE SERVE. RESEARCH CLEARLY SHOWS THAT ART PRODUCES A POSITIVE EMOTIONAL BENEFIT AND INCREASES SENSE OF WELL-BEING WHEN DISPLAYED IN A HEALTHCARE ENVIRONMENT. SBI WANTS TO STIMULATE THE MIND AND INSPIRE PEOPLE TO USE THEIR IMAGINATION BY DISPLAYING A DIVERSITY OF ART FORMS FROM LOCAL ARTISANS. MOST RESIDENTS ARE NOT ABLE TO EXPERIENCE ART ON A REGULAR BASIS DUE TO MULTIPLE PHYSICAL AND SOCIO-ECONOMIC ISSUES. SBI IS EXPOSING ALL WHO ENTER OUR PUBLIC AREAS TO PROFESSIONAL QUALITY ART. INDIVIDUALS EXPERIENCE THE ART AS THEY GO THROUGH THE VARIOUS BUILDINGS IN OUR FACILITY. NO ONE NEEDS TO MAKE A SPECIAL TRIP TO AN ART GALLERY OR MUSEUM. THERE ARE NO BARRIERS REGARDING AGE, ETHNICITY, GENDER OR PHYSICAL LIMITATIONS FOR VIEWERS OR ARTISTS. THE ARTWORK DISPLAYED STIMULATES INTEREST IN THIS REGION'S ARTISTS AND PROMOTES A HEALTHY LIVING ENVIRONMENT FOR EVERYONE. THROUGH A SURVEY OF OUR RESIDENTS, WE HAVE LEARNED THAT THE ARTWORK HAS CREATED AN ENVIRONMENT THAT IS PLEASING AND STIMUILATING TO THE RESIDENTS. THE ART BRINGS BACK MEANINGFUL AND POSITIVE MEMORIES FOR THEM AND IN MANY CASES LEAD TO STORIES ABOUT THE SUBJECT MATTER AND THEIR EXPERIENCES WITH THE SUBJECT MATTER. |
| PART X, LINE 2: | BOTH SAMARITAN BETHANY, INC. AND SAMARITAN BETHANY FOUNDATION HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. BOTH ORGANIZATIONS FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY EITHER AS A RESULT OF THIS STANDARD. BOTH ORGANIZATIONS FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN KNUTSON | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $128,242 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $1,824 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $348 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $7,563 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $20,395 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $158,372 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF ROCHESTER MN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005494 | BondIssuerEIN |
| CUSIP | 771906DR2 | CUSIPNum |
| Bond Issued | 2017-08-28 | BondIssuedDt |
| Issue Price | $34,775,000 | IssuePriceAmt |
| Purpose | REFINANCE 2009 BOND ISSUE - 2017 BONDS PAYABLE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,210,000 | RetiredAmt |
| Total Proceeds | $34,775,000 | TotalProceedsAmt |
| In Reserve Fund | $2,167,813 | InReserveFundAmt |
| Refunding Escrow | $31,830,131 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $719,844 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $57,212 | OtherSpentProceedsAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Concerning UBI | 1.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 1.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | FINANCE COMMITTEE REVIEWS FORM 990 AND PRESENTS TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE OR AS A MEMBER OF THE BOARD OF DIRECTORS. THESE POSITIONS ARE DEFINED AS A RESPONSIBLE PERSONS WITHIN THE ORGANIZATION. A CONFLICT OF INTEREST CAN BE DEFINED BY THE FOLLOWING CIRCUMSTANCES: A AN OUTSIDE INTEREST OR ACTIVITY BETWEEN A RESPONSIBLE PERSON OR THEIR FAMILY MEMBER. THIS CAN ARISE FROM A CONTRACT, TRANSACTION, OR A MATERIAL FINANCIAL INTEREST BETWEEN SAMARITAN BETHANY, INC. AND AN ENTITY A RESPONSIBLE PERSON HAS AN INTEREST IN. B. ANY GIFTS, GRATUITIES AND ENTERTAINMENT A RESPONSIBLE PERSON ACCEPT FROM AN ENTITY THAT DOES BUSINESS OR IS SEEKING TO DO BUSINESS WITH SAMARITAN BETHANY, INC. IF A POTENTIAL CONFLICT ARISES, RESPONSIBLE PERSON MUST REPORT IT TO THE CHAIR OR THE CHAIR'S DESIGNEE, AND THEY SHALL REVIEW THE SITUATION AND DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED, THE RESPONSIBLE PERSON WILL REFRAIN FROM ANY ACTIONS THAT MAY AFFECT SAMARITAN BETHANY, INC.'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST AND THE RESPONSIBLE PERSON IS A BOARD MEMBER, THEY SHALL NOT PARTICIPATE IN COMMITTEE DISCUSSIONS OF THE MATTER. THEY WILL ALSO BE INELIGIBLE TO VOTE ON MATTERS INVOLVING THE CONTRACT OR TRANSACTION WITH THE CONFLICT OF INTEREST. ANY OF CONFLICT OF INTEREST DISCLOSED BY A BOARD MEMBER WILL BE DISCLOSED BY THE CHAIR AND REFLECTED IN THE MINUTES OF THE BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS USED TO SET THE ADMINISTRATOR'S, CEO'S AND CFO'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF OUR TRADE ORGANIZATIONS ANNUAL COMPENSATION SURVEY AND ATTAINMENT IN THE CURRENT YEAR OF PREDEFINED PERFORMANCE OBJECTIVES SET FOR THE ADMINISTRATOR, CEO, AND CFO PERSONALLY AND THE ORGANIZATION. ALSO, THE STATE OF MINNESOTA HAS IN MOST YEARS DETERMINED AN AMOUNT OF PAY INCREASE, IF ANY, THAT CAN BE GIVEN TO EMPLOYEES AND WE HAVE ALSO CONSIDERED THIS AMOUNT IN DETERMINING TOP MANAGEMENT COMPENSATION. THIS PROCESS IS NORMALLY DONE PRIOR TO THE FISCAL YEAR START OF OCTOBER 1ST EACH YEAR. THS MOST RECENT YEAR THIS PROCESS WAS HELD WAS 2021. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. |
| 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 XII, LINE 2C | THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN BETHANY FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 7TH STREET NW | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411463499 | EIN |
| Primary Activities | SOLICIT DONATIONS TO FURTHER THE EXEMPT PURPOSE OF SAMARITAN BETHANY, INC. | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(A)(3) TYPE I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN BETHANY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN BETHANY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $121,588 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |