VALLEY SENIOR LIVING: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY SENIOR LIVING (EIN 45-0448164)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2022-11-10
- IRS object ID
- 202233149349305283
- Schema version
- 2021v4.0
- 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 | 2022-11-10T14:27:48-07:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450448164 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY SENIOR LIVING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 7017877912 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 14th Ave S | AddressLine1Txt |
| City | Grand Forks | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Garth Rydland | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 7017877905 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 1 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Senior Living | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Garth Rydland | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 14th Ave S | AddressLine1Txt |
| City | Grand Forks | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,496,436 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.valleyseniorliving.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | To provide management, nursing, chaplaincy and other support services to related healthcare entities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 32 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 31 | VotingMembersIndependentCnt |
| Total Employee | 1286 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,629,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $128,860 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,047,930 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,367,576 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,677,830 | PYTotalRevenueAmt |
| CY Total Revenue | $3,496,436 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,629,900 | 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 | $2,500,003 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,644,499 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $547,927 | PYOtherExpensesAmt |
| CY Other Expenses | $851,937 | CYOtherExpensesAmt |
| PY Total Expenses | $8,677,830 | PYTotalExpensesAmt |
| CY Total Expenses | $3,496,436 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $874,016 | TotalAssetsBOYAmt |
| Total Assets EOY | $804,854 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $856,586 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $787,424 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,430 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,430 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Valley Senior Living provides compassionate care and service from a Christian perspective to enhance the quality of life for those we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,047,785 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Management support services including the following: Administration, Finance, IT, and Human Resources. Providing services to related organizations, who combined serve up to 523 residents and tenants on a daily basis and employs over 800 employees. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,091 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Skilled Nursing Facility Support Services including Nursing-Admissions, and Medical Records for up to 334 skilled residents a day. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $321,560 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Transportation services are provided to Valley Homes and Services and 4000 Valley Square Inc residents for medical appointments, activity outing and other transportation needs on regular basis. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $3,496,436 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1286 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| 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 | 32 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 31 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lorilee Bott | PersonNm |
| Phone | 7017877912 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 14th Ave S | AddressLine1Txt |
| City | Grand Forks | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|---|---|
| Garth Rydland | |||||||||
| President/CEO | 40 | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | $236,170 | $0 | $23,898 |
| Gina Roller | |||||||||
| Valley Senior Living on 42nd Administrator | 0 | 40 | Yes (X) | Yes (X) | $0 | $168,946 | $19,621 | ||
| Lorilee Bott | |||||||||
| CFO | 40 | 0 | Yes (X) | Yes (X) | $158,376 | $0 | $26,455 | ||
| Jessica Baumgarten | |||||||||
| Director of Nursing Valley Senior Living on Columbia | 0 | 40 | Yes (X) | Yes (X) | $0 | $127,423 | $31,633 | ||
| Jennifer Schultz | |||||||||
| Director of Nursing Woodside Village | 0 | 40 | Yes (X) | Yes (X) | $0 | $121,812 | $22,642 | ||
| Angela Goulet | |||||||||
| Tufte Manor Administrator/Director of PCS | 0 | 40 | Yes (X) | Yes (X) | $0 | $110,232 | $31,565 | ||
| LeeAnn Novak | |||||||||
| LPN Float | 0 | 85.00 | Yes (X) | Yes (X) | $0 | $119,367 | $17,241 | ||
| Sarah Sharpe | |||||||||
| RN Care Coordinator | 0 | 48.00 | Yes (X) | $0 | $109,454 | $25,679 | |||
| Barb Barta | |||||||||
| Director of Human Resources | 40 | 0 | Yes (X) | Yes (X) | $112,641 | $0 | $16,372 | ||
| Angie Praska | |||||||||
| Assistant Director of Nursing | 0 | 40 | Yes (X) | $0 | $101,469 | $6,647 | |||
| Dave Molmen | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Margaret Reed | |||||||||
| Chair | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Peter Hoistad | |||||||||
| Treasurer | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Karen Brekke | |||||||||
| Secretary | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Susan Kuster | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jacky Jones | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Marilyn Nyberg | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Moore | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Tara O'Hearn | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sue Moe | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Wendy Waller | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Betty Bloomquist | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Robin Thompson | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ken Miller | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jim Lancaster | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Linda Simmons | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Hahn | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Bakke | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sara Munson | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Marilyn Lee | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Paulette Novak | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Marcia Wehe | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Brown | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Roger Stadstad | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Loretta Prather | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| George Davis | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sarah Raymond | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Kristi Adam | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Kim Cariveau | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| John Snustad | |||||||||
| Vice Chair | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $507,187 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $858,703 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $221,753 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Altru Health Systems | |||||
| PO Box 13780 | Grand Forks | ND | 58201 | Contracted Therapies and Chaplaincy Service for Valley Homes and Services and 4000 Valley Square Inc | $1,208,143 |
| Industrial Contract Services | |||||
| PO Box 13158 | Grand Forks | ND | 582083158 | General Contractor - Construction | $969,274 |
| C&R Cleaners and Laundry | |||||
| 1010 N 5th Street | Grand Forks | ND | 58203 | Laundry Purchased Services | $347,890 |
| Networking Specialists | |||||
| 2397 Demers Ave | Grand Forks | ND | 58201 | IT Managed Services | $396,686 |
| Tim Shea's Nursery | |||||
| 3515 S Washington Street | Grand Forks | ND | 58201 | Landscraping | $216,630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $128,860 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $128,860 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Management Fee | Desc |
| Business | 623110 | BusinessCd |
| Total Revenue Column | $3,367,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,367,576 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,367,576 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,496,436 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,367,576 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,546 | TotalAmt |
| Program Services | $394,546 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,661,718 | TotalAmt |
| Program Services | $1,661,718 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,591 | TotalAmt |
| Program Services | $109,591 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,414 | TotalAmt |
| Program Services | $331,414 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,230 | TotalAmt |
| Program Services | $147,230 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,326 | TotalAmt |
| Program Services | $11,326 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,387 | TotalAmt |
| Program Services | $43,387 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,052 | TotalAmt |
| Program Services | $43,052 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,632 | TotalAmt |
| Program Services | $37,632 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,077 | TotalAmt |
| Program Services | $57,077 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,060 | TotalAmt |
| Program Services | $5,060 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,015 | TotalAmt |
| Program Services | $14,015 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,628 | TotalAmt |
| Program Services | $83,628 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,199 | TotalAmt |
| Program Services | $44,199 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Employee Expense | $184,790 | $184,790 | $0 | $0 |
| Purchased Services Admin, Chaplain, IT, HR | $88,509 | $88,509 | $0 | $0 |
| Direct Supplies, Repairs & Maintenance | $66,299 | $66,299 | $0 | $0 |
| Other Rental Administration | $30,310 | $30,310 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,653 | TotalAmt |
| Program Services | $142,653 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,496,436 | TotalAmt |
| Program Services | $3,496,436 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,324 | BOYAmt |
| EOY | $169,763 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,892 | BOYAmt |
| EOY | $3,160 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,194 | BOYAmt |
| EOY | $58,937 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,282,021 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,138,522 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,729 | BOYAmt |
| EOY | $143,499 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,877 | BOYAmt |
| EOY | $429,495 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,016 | BOYAmt |
| EOY | $804,854 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,235 | BOYAmt |
| EOY | $404,989 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,351 | BOYAmt |
| EOY | $382,435 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $856,586 | BOYAmt |
| EOY | $787,424 | 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 | $17,430 | BOYAmt |
| EOY | $17,430 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,430 | BOYAmt |
| EOY | $17,430 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,016 | BOYAmt |
| EOY | $804,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Valley Senior Living Foundation | ||||
| 450392710 | 7 | Yes (1) | $0 | $0 |
| Valley Homes and Services | ||||
| 450229071 | 7 | Yes (1) | $1,963,511 | $0 |
| 4000 Valley Square Inc | ||||
| 311558826 | 9 | Yes (1) | $1,205,334 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $3,168,845 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part I, Line 1 | Valley Senior Living's bylaws indicate that a part of its corporate purpose is to promote the interest of other organizations formally affiliated with it which fall within the category of 501 (c) (3) of the Code. Valley Senior Living is the sole corporate member of both Valley Homes and Services and 4000 Valley Square Inc. |
| Schedule A, Part IV, Section A, Line 1 | Supporting organizations are referred to indirectly in bylaws which start part of Valley Senior Living's corporate mission is to support organizations with which is formally affiliated. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,282,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,138,522 | DepreciationAmt |
| Book Value | $143,499 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $143,499 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 457B PLAN | Desc |
| Book Value | $429,495 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $429,495 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| 457 B PLAN | $429,480 |
| Intercompany Due To/Due From | -$47,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $382,435 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (1) | 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 Rltd OrgsCompReportPrior990RltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Garth Rydland | ||||||||||||||
| President/CEO | $234,470 | $0 | $1,700 | $0 | $9,439 | $0 | $14,459 | $0 | $0 | $0 | $260,068 | $0 | $0 | |
| Lorilee Bott | ||||||||||||||
| CFO | $150,426 | $0 | $7,950 | $0 | $16,792 | $0 | $9,663 | $0 | $0 | $0 | $184,831 | $0 | ||
| Gina Roller | ||||||||||||||
| Valley Senior Living on 42nd Administrator | $0 | $158,749 | $0 | $10,197 | $0 | $9,356 | $0 | $10,265 | $0 | $0 | $0 | $188,567 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4 | FormAndLineReferenceDesc |
| Explanation | Valley Senior Living participates in a 457B Plan | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 9 | John Snustad, PO Box 13318, Grand Forks, ND 58208; Patrick Moore, 611 Terrace Drive, Grand Forks, ND 58201; Maragaret Reed, 297 Circle Hills Dr, Grand Forks, ND 58201; Karen Brekke, 1413 Central Ave NW, East Grand Forks, MN 56721; Michael Brown, 601 Desiree Dr, Grand Forks, ND 58201; Marilyn Nyberg, 697 Mighty Acres Dr, Grand Forks, ND 58201; Loretta Prather, 417 S 5th St, Grand Forks, ND 58201; Sue Moe, 618 5th St SE, East Grand Forks, MN 56721; George Davis, 722 Dauman Ave N, Thief River Falls, MN 56701; Wendy Waller, 21067 420th Ave SW, East Grand Forks, MN 56721; Pete Hoistad, 118 Breezy Hills Cove, Grand Forks, ND 58201; Sarah Raymond, PO Box 326, Thompson ND, 58278-0326; Kristie Adam, 1827 7th Ave NE, Thompson, ND 58278; Tara O'Hearn, 1095 17th St NE, Grand Forks, ND 58201; Kim Cariveau, 2574 Sara Lyn Dr, Grand Forks, ND 5820; Ken Miller, 202 Thompson Ave, Fisher, MN 56723; Roger Stadstad, 2742 18th St NE, Manvel, ND 58256; Sharon Bakke, 2321 25th St NE, Mekinock, ND 58258; Robin Thompson, 1209 23 St S, Grand Forks, ND 58201; Jim Lancaster, 806 25th Ave S, Grand Forks, ND 58201; Susan Kuster, 313 7th Ave, Reynolds, ND 58275; Dave Molmenm 665 Desiree Dr, Grand Forks, ND 58201; Linda Simmons, 1015 N 39th St #J40, Grand Forks, ND 58201; Sara Munson, 543 Crescent Dr, Grand Forks, ND 58201; Marilyn Lee, 1852 1st Ave NE, Reynolds, ND 47275; Paulette Novak, 1612 N 6th St, Grand Forks, ND 58203; Marcie Wehe, 3396 69th St S, Grand Forks, ND 58202; Betty Bloomquist, 1119 Sunset Dr, Grand Forks, ND 58201; Susan Hahn, 9 Goodwin Ave, Thompson, ND 58278; Jacky Jones, PO Box 203, Oslo, MN 56744 |
| Form 990, Part VI, Section B, Line 11b | The CFO with the assistance of the President/CO prepares the Form 990. A draft of the Form 990 and all applicable schedules are sent to the Board of Directors' Executive Committee for review prior to a meeting held the second Thursday in November. The CFO explains any changes, specifically reviews Part VI and answer any questions. The Form 990 is filed after Executive Committee approval electronically. |
| Form 990, Part VI, Section B, Line 12c | The conflict of interest policy is stated in Article 8 of the bylaws. It is reviewed with board members at Board Orientation. Board members are presented the policy and sign off annually. |
| Form 990, Part VI, Section B, Line 15 | The President/CEO's compensation is determined as follows: The compensation committee reviews the ND Long Term Care Association's state compensation survey each year and Form 990's of similar organizations to assess how Valley Senior Living's CEO's salary compares with others of similar size and function. The survey provides the committee with a gauge when it considers base compensation. The committee then reviews the organization's performance and strategic plan goals to develop an incentive compensation plan in addition to base salary. Compensation for executive management includes performance appraisal completed by the President/CEO or employee's direct supervisor. Employees are eligible for annual inflationary increase to their base salary. The percentage is based upon approved annual budget or other board approved changes. The ND Long Term Care salary surveys are reviewed and adjustments are made to the base salaries and identified positions if the survey demonstrates underpayment compared to like sized organization. |
| Form 990, Part VI, Section C, Line 19 | Valley Senior Living's governing documents, conflict of interest policy and financial statements are available upon request. Requests should be made to the CFO at Valley Senior Living's corporate office, located at Valley Senior Living on Columbia, 2900 14th Ave S., Grand Forks, ND 58201 between the hours of 8:30-4:30 Monday through Friday. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Valley Homes and Services | ||||||||||
| 2900 14th Ave S | Grand Forks | ND | 58201 | 450229071 | Skilled Nursing & Basic Care Fac | ND | 501 (c) 3 | Line 9 | N/A | 0 |
| 4000 Valley Square Inc | ||||||||||
| 4000 24th Ave S | Grand Forks | ND | 58201 | 311558826 | Sk Nursing Fac, Asst Liv, & Housing | ND | 501 (c) 3 | Line 9 | N/A | 0 |
| Valley Senior Living Foundation | ||||||||||
| 2900 14th Ave S | Grand Forks | ND | 58201 | 450392710 | Seek and accept gifts to support LTC facilities | ND | 501 (c) 3 | Line 7 | N/A | 0 |
| Cherrywood Village | ||||||||||
| 2900 14th Ave S | Grand Forks | ND | 58201 | 454276187 | Low Income Senior Apartments | ND | 501 (c) 3 | Line 9 | N/A | 0 |
| 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Valley Homes and Services | ||
| q | $1,205,334 | Direct costed or allocated. |
| 4000 Valley Square Inc | ||
| q | $1,963,511 | Direct costed or allocated. |
| Valley Senior Living Foundation | ||
| c | $128,860 | Actual contribution. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 | FormAndLineReferenceDesc |
| Explanation | The amounts involved in transactions "m", "n", "o", "r" and "s" are included in transaction "q". Valley Senior Living expenses are direct costed or allocated to Valley Homes and Services and 4000 Valley Square Inc. based on allocation methodologies prescribed by the ND Department of Human Services. | ExplanationTxt |
Comments