2020-07-21T11:20:38-05:00 2019-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-10-01 464681716 BEK Care LLC BEKC 7013563803 3361 45th St S No 100 Fargo ND 58104 Marnie Gugisberg Treasurer 7013563803 2020-07-15 1 Deb Nelson CPA P01264758 6122536500 2020-07-13 216.147.181.49 2020-07-15 12:00:59 CD P 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D 2018 2020-11-19 02:30:22Z Ethos Home Care & Hospice Marnie Gugisberg 3361 45th St S No 100 Fargo ND 58104 4132231 0 X www.ethoscare.org X LLC 2014 ND Providing quality home care and hospice services. 9 9 32 12 0 0 2655 16456 826755 4115775 0 0 0 0 829410 4132231 400 0 0 0 390090 1992223 0 0 0 237724 1250467 628214 3242690 201196 889541 1246508 1806271 867016 687238 379492 1119033 X The mission of Ethos Home Care and Hospice is to enrich the quality of living for those we serve. 0 0 2053126 4115775 BEK Care, LLC, dba Ethos Home Care and Hospice began in 2014 to serve the Fargo-Moorhead area with quality home care services. Recognizing the additional need for hospice services in the area, Ethos began offering hospice services in 2018. Ethos Home Care and Hospice was recognized as a 501c3 nonprofit organization in July 2018. In Fiscal Year 2019, Ethos Home Care and Hospice served nearly 900 individuals. BEK Care was formed as a partnership among Bethany Retirement Living (Fargo, ND), Eventide Senior Living (Moorhead, MN), and Knute Nelson (Alexandria, MN). Each partner organization, on its own, is widely recognized for providing innovative services to aging adults throughout a continuum of care. Additionally, and most importantly, each partner possesses similar values and is committed to achieving the highest quality of care for their organizations to successfully accomplish their nonprofit missions.The goal of the Home Care program is to help individuals stay in their own home as long as possible. Home care helps individuals of any age with skilled nursing services, physical, speech and occupational therapies, IV therapy, wound care, home health aide, or assessment and management of their medical needs. Hospice cares for people with life-limiting illnesses utilizing a holistic approach, including medical, physical, emotional, social and spiritual care for patients and families. Hospice provides a wide range of services from skilled nursing, medication and pain management, home health aides, physical therapy, occupational therapy, social workers and Chaplain. Hospice is provided wherever the patient calls home--in their own homes, nursing facilities, or other housing locations. Bereavement services and follow-up care are also a part of the hospice program. Ethos Home Care and Hospice has approximately 40 staff and nearly 20 volunteers and serves a growing number of individuals with home care and hospice services. Their service area includes individuals living throughout a 35-mile radius in the Fargo-Moorhead area. Ethos Home Care and Hospice is an accredited home care and hospice agency with the Accreditation Commission for Health Care (ACHC). Achieving accreditation is a process where healthcare organizations demonstrate compliance with national standards. This accomplishment reflects an organization's dedication and commitment to meeting standards that facilitate a higher level of performance and patient care. 2053126 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 32 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X Marnie Gugisberg 3207631164 420 12th Avenue East Alexandria MN 56308 Thomas J Anderson Chair (as of June) 1.00 X X 0 0 0 Linda J O'Halloran Chair (thru May) 1.00 X X 0 0 0 Rob Bye Vice Chair (as of June) 1.00 X X 0 0 0 Peter J Seljevold Vice Chair (thru May) 1.00 X X 0 0 0 Mark R Anderson Vice President 1.00 X X 0 0 0 Marnie M Gugisberg Treasurer 1.00 X X 0 0 0 Jane McChesney Kelly Secretary 1.00 X X 0 0 0 Shawn A Stuhaug Director 1.00 X 0 0 0 Jon M Riewer Director 1.00 X 0 0 0 Jack Rydell Director 1.00 X 0 0 0 Melissa Heesch Director 1.00 X 0 0 0 Wade E Stubson Director (thru Dec) 1.00 X 0 0 0 Cassandra Ziekle President/Administrator 40.00 X 85275 0 1811 85275 0 1811 0 0 0 0 Knute Nelson 420 12th Ave E Alexandria MN 56308 Management/ Professional Fees 305200 1 16456 16456 Patient Service Revenu 621610 4098408 4098408 17367 17367 4115775 4132231 4115775 0 0 93728 93728 1674625 1369917 304708 15458 13365 2093 78514 29289 49225 129898 100731 29167 220000 220000 126228 21952 104276 8550 8550 242002 170668 71334 100755 100755 22377 1923 20454 64052 64052 8212 4836 3376 96751 96751 67192 3423 63769 6006 6006 35449 31904 3545 23597 23597 Medical Supplies 152857 139409 13448 Leases 55821 55821 Licenses and Permits 11694 6537 5157 Dues and Subscriptions 3838 0 3838 5086 594 4492 3242690 2053126 1189564 0 80270 432087 950725 1152452 47122 50879 250775 79922 168391 170853 1246508 1806271 384068 524808 75913 74199 107035 88231 300000 0 867016 687238 X 379492 1119033 379492 1119033 1246508 1806271 X 889541 -150000 X 0 1 X 1 0 X 2655 16456 19111 826755 4115775 4942530 829410 4132231 4961641 142728 142728 0 142728 142728 4818913 829410 4132231 4961641 X 111410 23874 87536 135615 56048 79567 3750 3750 170853 X 4132231 0 4132231 0 4132231 3392690 150000 150000 3242690 0 3242690 Part X, Line 2: Prior to July 1, 2018, the Organization's taxable income or loss was allocated to members in accordance with their respective percentage ownership. Therefore, no provision for income taxes was included in the financial statements. Effective July 1, 2018, the Organization is organized as a North Dakota limited liability company and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(a) as an organization described in IRC Section 501(c)(3), qualifies for the charitable contribution deduction, and has been determined not to be a private foundation. The Organization is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization determined that it is not subject to unrelated business income tax and has not filed and Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. Management belives the Organization has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalites related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XII, Line 2d - Other Adjustments: Capital Distributions 150,000. Form 990, Part VI, Section A, line 1 The Executive Committee shall include the Chair, Vice Chair, President, Secretary, and Treasurer. The Executive Committee shall have the authority of the board in the management of the business of the organization in the interval between board meetings, and at all times shall be subject to the control and direction of the board. Form 990, Part VI, Section A, line 2 Jon Riewer, Melissa Heesch and Rob Bye have a business relationship. Mark Anderson, Marnie Gugisberg and Thomas Anderson have a business relationship. Shawn Stuhaug, Jane McChesney Kelly and Jack Rydell have a business relationship. Form 990, Part VI, Section A, line 3 The organization has entered into a management agreement with Knute Nelson and Knute Nelson is responsible for the overall management of the organization. For the year ended September 30, 2019, the Organization paid management fees of $220,000 and utilization and intake fees of $85,200 to Knute Nelson. Form 990, Part VI, Section A, line 6 Bethany, Eventide and Knute Nelson are all members of BEK Care LLC. Form 990, Part VI, Section A, line 7a Each member of the organization may appoint three board members. Form 990, Part VI, Section B, line 11b A copy of the Form 990 will be provided to the Board of Directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Each officer, director, and key employee is required to fill out a conflict of interest form annually. The form is reviewed initially by the Board Chair of the Board of Directors and the President/Administrator for potential conflicts. If a conflict exists, it is reviewed by the Board of Directors. Any person with a conflict is restricted from voting on related matters. Form 990, Part VI, Section B, line 15a The Board determines the compensation of the President/Administrator based on comparability data. The President/Administrator is reviewed annually by the Executive Board which then reports back to the full Board of Directors. The decision is noted in the board minutes. There are no other officers or key employees. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part XI, line 9: Capital Distributions -150,000.