VALLEY SENIOR LIVING: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY SENIOR LIVING (EIN 45-0448164)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2021-11-11
- IRS object ID
- 202133159349308068
- Schema version
- 2020v4.0
- 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 | 2021-11-11T14:08:46-07:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | 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 | 2021-11-11 | 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 | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $8,677,830 | 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 | 1263 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,373 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,629,900 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,735,769 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,047,930 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,761,142 | PYTotalRevenueAmt |
| CY Total Revenue | $8,677,830 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,629,900 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,148,975 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,500,003 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $612,167 | PYOtherExpensesAmt |
| CY Other Expenses | $547,927 | CYOtherExpensesAmt |
| PY Total Expenses | $2,761,142 | PYTotalExpensesAmt |
| CY Total Expenses | $8,677,830 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,228,350 | TotalAssetsBOYAmt |
| Total Assets EOY | $874,016 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,210,920 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $856,586 | 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 | $2,635,696 | 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 | $125,106 | 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 | $287,128 | 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 |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,629,900 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Valley Senior Living received SBA Paycheck Protection Program funds and loan was forgiven. Allocations were made to related organization based on eligible salaries claimed on the loan forgiveness application that are direct costed to Valley Homes and Services and 4000 Valley Square Inc. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,629,900 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $8,677,830 | 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 | Yes (1) | 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1263 | 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 (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Garth Rydland | |||||||||
| President/CEO | 40 | 0 | Yes (X) | Yes (X) | Yes (X) | $265,237 | $0 | $25,261 | |
| Lorilee Bott | |||||||||
| CFO | 40 | 0 | Yes (X) | $180,328 | $0 | $11,309 | |||
| Jessica Baumgarten | |||||||||
| Director of Nursing Valley Senior Living on Columbia | 40 | 0 | $145,969 | $0 | $32,430 | Yes (X) | |||
| Angela Goulet | |||||||||
| Tufte Manor Administrator/Director of PCS | 40 | 0 | $116,314 | $0 | $32,267 | Yes (X) | |||
| Jennifer Schultz | |||||||||
| Director of Nursing Woodside Village | 40 | 0 | $117,658 | $0 | $30,100 | Yes (X) | |||
| Gina Roller | |||||||||
| Valley Senior Living on 42nd Administrator | 40 | 0 | Yes (X) | $127,252 | $0 | $7,764 | |||
| John Snustad | |||||||||
| Chair | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Charles Johnson | |||||||||
| Board Secretary | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Peter Hoistad | |||||||||
| Treasurer | 0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Gary Masilko | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Roger Stadstad | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Bakke | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Gustafson | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Carol Snortland | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Duane Hanson | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ellis Larson | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JoAnn Miller | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Lisa Piche | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Kuster | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Clark Piepkorn | |||||||||
| 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 | |||
| Margaret Reed | |||||||||
| Vice Chair | 0 | 0 | Yes (X) | 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 | |||
| Luther Frette | |||||||||
| 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 | |||
| Karen Brekke | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Dave Molmen | |||||||||
| Director | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $952,758 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $139,131 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | 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 | $1,187,136 |
| Industrial Contract Services | |||||
| PO Box 13158 | Grand Forks | ND | 582083158 | General Contractor - Construction | $701,825 |
| C&R Cleaners and Laundry | |||||
| 1010 N 5th Street | Grand Forks | ND | 58203 | Laundry Purchased Services | $260,096 |
| Networking Specialists | |||||
| 2397 Demers Ave | Grand Forks | ND | 58201 | IT Managed Services | $512,101 |
| Widseth Smith Nolting | |||||
| PO Box 459 | Crookston | MN | 56716 | Architectural and construction management | $147,229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $5,629,900 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $5,629,900 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Management Fee | Desc |
| Business | 623110 | BusinessCd |
| Total Revenue Column | $3,047,930 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,047,930 | 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 | $3,047,930 | 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 | $8,677,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,047,930 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,629,900 | TotalAmt |
| Program Services | $5,629,900 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,565 | TotalAmt |
| Program Services | $445,565 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500,878 | TotalAmt |
| Program Services | $1,500,878 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,493 | TotalAmt |
| Program Services | $104,493 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,939 | TotalAmt |
| Program Services | $316,939 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,128 | TotalAmt |
| Program Services | $132,128 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,306 | TotalAmt |
| Program Services | $6,306 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,580 | TotalAmt |
| Program Services | $33,580 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,815 | TotalAmt |
| Program Services | $31,815 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,365 | TotalAmt |
| Program Services | $35,365 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,075 | TotalAmt |
| Program Services | $39,075 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710 | TotalAmt |
| Program Services | $710 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,556 | TotalAmt |
| Program Services | $11,556 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,603 | TotalAmt |
| Program Services | $92,603 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,375 | TotalAmt |
| Program Services | $42,375 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services-IT, Chaplain, Adm | $107,555 | $107,555 | $0 | $0 |
| Direct Supplies, Minor Equip, R&M | $64,841 | $64,841 | $0 | $0 |
| Employee Expense | $20,085 | $20,085 | $0 | $0 |
| Dues, Subscription | $4,612 | $4,612 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,449 | TotalAmt |
| Program Services | $57,449 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,677,830 | TotalAmt |
| Program Services | $8,677,830 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,702 | BOYAmt |
| EOY | $40,324 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,992 | BOYAmt |
| EOY | $1,892 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,838 | BOYAmt |
| EOY | $109,194 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,275,623 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,054,894 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,814 | BOYAmt |
| EOY | $220,729 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,338,605 | BOYAmt |
| EOY | $501,877 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,228,350 | BOYAmt |
| EOY | $874,016 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,090 | BOYAmt |
| EOY | $290,235 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,934,830 | BOYAmt |
| EOY | $566,351 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,210,920 | BOYAmt |
| EOY | $856,586 | 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 | $6,228,350 | BOYAmt |
| EOY | $874,016 | 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) | $5,239,738 | $0 |
| 4000 Valley Square Inc | ||||
| 311558826 | 9 | Yes (1) | $3,438,092 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $8,677,830 | 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 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 organization are referred to indirectly in bylaws which state part of Valley Senior Living's corporate 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 | $1,275,623 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,054,894 | DepreciationAmt |
| Book Value | $220,729 | 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 | $220,729 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 457B Plan | Desc |
| Book Value | $501,877 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $501,877 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| 457 B Plan | $501,862 |
| Intercompany Due to/from | $64,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $566,351 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Valley Homes and Services | ||||||||||
| DBA Valley Senior Living on Columbia and Tufte Manor | 2900 14th Ave S | Grand Forks | ND | 58201 | 450229071 | 501 (c) 3 | $3,349,722 | $0 | Eligible salaries submitted on loan forgiveness application | To cover salary expenses during covered period on SBA PPP Forgiveness Application |
| 4000 Valley Square Inc | ||||||||||
| 4000 24th Ave S | Grand Forks | ND | 58201 | 311558826 | 501 (c) 3 | $2,280,180 | $0 | Eligible salaries submitted on loan forgiveness application | To cover salary expenses during covered period on SBA PPP Forgiveness Application. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Valley Senior Living received SBA Paycheck Protection Funds and received notification of loan forgiveness/grant conversion. These funds were then allocated to related organizations based on direct costing of eligible salaries applied claimed on loan forgiveness application. | ExplanationTxt |
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 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Garth Rydland | ||||||||||||||
| President/CEO | $245,074 | $0 | $20,163 | $0 | $9,439 | $0 | $15,822 | $0 | $0 | $0 | $290,498 | $0 | $0 | $0 |
| Lorilee Bott | ||||||||||||||
| CFO | $171,128 | $0 | $9,200 | $0 | $489 | $0 | $10,820 | $0 | $0 | $0 | $191,637 | $0 | $0 | $0 |
| Gina Roller | ||||||||||||||
| Valley Senior Living on 42nd Administrator | $121,592 | $0 | $5,660 | $0 | $9,356 | $0 | $7,764 | $0 | $0 | $0 | $144,372 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | Compensation of President/CEO is determined by compensation committee. Base salary is evaluated by comparison to other organizations of similar size and function. |
| Schedule J, Part I, Line 4 | Valley Senior Living participates in a 457B plan. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 9 | Marilyn Nyberg, 697 Mighty Acres Dr, Grand Forks, ND 58201 ; Carol Snortland, 3802 Cherry St K-43, Grand Forks, ND 58201; Sue Moe,618 5th St SE, East Grand Forks, MN 56721; Wendy Waller, 21067 420th Ave SW, East Grand Forks, MN 56721 Pete Hoistad,118 Breezy Hills Cove, Grand Forks, ND 58201 Duane Hanson, 710 Goodwin Ave, Thompson, ND 58278; Tara O'Hearn, 1095 17th St NE, Grand Forks, ND 58201; Ellis Larson, 1034 10th Ave SE, East Grand Forks, MN 56721; 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 Thomspon, 1209 23 St S, Grand Forks, ND 58201; Jim Lancaster, 806 25th Ave S, Grand Forks, ND 58201; Linda Simmons, 1015 N 39th St #J40, Grand Forks, ND 58201; Sharon Gustafson, 510 Woodland Dr, Thompson, ND 58278; Susan Kuster, 313 7th Ave, Reynolds, ND 58275; Dave Molmen, 665 Desiree Dr, Grand Forks, ND 58201; JoAnn Miller, 748 Great Plains Ct, Grand Forks, ND 58201; Lisa Piche, 1307 Truesdale Dr, Manvel, ND 58256; Gary Masilko, 210 Circle Hills Dr, Grand Forks, ND 58201; 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; Bud Johnson, 3008 Legend Land, Grand Forks, ND 58201; John Snustad, PO Box 13318, Grand Forks, ND 58208; Clark Piepkorn, 3021 Olson Dr, Grand Forks, ND 58201; Patrick Moore, 611 Terrace Dr, Grand Forks, ND 58201; Margaret Reed, 297 Circle Hills Dr, Grand Forks, ND 58201 Karen Brekke, 1413 Central Ave NW, East Grand Forks, MN 56721, Luther Frette, 4002 24th Ave S #334, Grand Forks, ND 58201. |
| Form 990, Part VI, Section B, Line 11b | The CFO with the assistance of the President/CEO 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 answers 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 of identified positions if the survey demonstrates underpayment compared to like sized organizations. |
| 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Valley Homes and Services | ||
| b | $3,349,722 | Transfer of SBA Paycheck Protection program forgiven loan/grant funds based on eligible salaries of employees who worked for Valley Homes and Services entities: Valley Senior Living on Columbia and Tufte Manor. |
| Valley Homes and Services | ||
| q | $1,890,018 | Actual expense-Direct costs or allocated. |
| 4000 Valley Square Inc | ||
| b | $2,280,181 | Transfer of SBA Paycheck Protection program forgiven loan/grant funds based on eligible salaries of employees who worked for 4000 Valley Square entities: Woodside Village, Wheatland Terrace, and Country Estates. |
| 4000 Valley Square Inc | ||
| q | $1,065,524 | Actual costs - Direct costs or allocated. |
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 in "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 |
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