BAPTIST HOME INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST HOME INC (EIN 45-0232943)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-27
- IRS object ID
- 202033029349301783
- Schema version
- 2019v5.0
- 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 | 2020-10-27T18:24:57-07:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450232943 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 9528555000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 Ohms Lane | AddressLine1Txt |
| City | Edina | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kathy Youngquist | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 9528555000 | PhoneNum |
| Signature | 2020-10-27 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.209.15.97 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Dahl | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 Ohms Lane | AddressLine1Txt |
| City | Edina | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,227,618 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cassialife.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | To provide nursing home care for the elderly. This includes programs and services specifically designed to meet residents' primary needs for housing, healthcare, nourishment and financial security. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 412 | TotalEmployeeCnt |
| Total Volunteers | 128 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,870,463 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,113,866 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,144 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,661 | CYInvestmentIncomeAmt |
| PY Other Revenue | $79,976 | PYOtherRevenueAmt |
| CY Other Revenue | $47,091 | CYOtherRevenueAmt |
| PY Total Revenue | $16,004,583 | PYTotalRevenueAmt |
| CY Total Revenue | $16,227,618 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,306,687 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,530,996 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,867,264 | PYOtherExpensesAmt |
| CY Other Expenses | $5,840,147 | CYOtherExpensesAmt |
| PY Total Expenses | $16,173,951 | PYTotalExpensesAmt |
| CY Total Expenses | $16,371,143 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$169,368 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$143,525 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,114,688 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,326,095 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,557,678 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,546,022 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,557,010 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,780,073 | NetAssetsOrFundBalancesEOYAmt |
| Mission | See Part I, Line 1 | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,476,955 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,227,618 | RevenueAmt |
| Desc | Baptist Home, Inc. was organized for the purpose of providing nursing care for the elderly. It has 140 beds and is located in Bismarck, ND. For the year ended December 31, 2019, Baptist Home had 50,383 resident days (98.6% occupancy). Utilization by payor source was as follows: 53.85% Medicaid, 34.51% Private, 9.20% Medicare and 2.45% HMO. | Desc |
| 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 | $14,476,955 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 412 | 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 |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | 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 | 0 | 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 | Kathy L Youngquist | PersonNm |
| Phone | 9528555000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 Ohms Lane | AddressLine1Txt |
| City | Edina | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert Dahl | |||||||||
| President/CEO | 2.30 | 17.70 | Yes (X) | $0 | $739,877 | $127,818 | |||
| Kathy Youngquist | |||||||||
| Chief Financial Officer | 2.3 | 17.7 | Yes (X) | $0 | $374,518 | $106,354 | |||
| Ronald Sanford | |||||||||
| Chief Operating Officer (Jan-March) | 4.60 | 35.40 | Yes (X) | $0 | $319,965 | $36,713 | |||
| Angela Brown | |||||||||
| VP of Human Resources | 2.3 | 17.7 | $0 | $224,420 | $72,587 | Yes (X) | |||
| Deanna Berg | |||||||||
| Director of Nursing | 40 | 0 | $133,811 | $0 | $33,768 | Yes (X) | |||
| Dr Guy Tangedahl | |||||||||
| Director | 0.15 | 0.27 | $0 | $0 | $0 | Yes (X) | |||
| Gerald Grosz | |||||||||
| Chair | 0.15 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Pastor James Grupp | |||||||||
| Director | 0.12 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Maysil Malard | |||||||||
| Vice Chair | 0.15 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Dana Rivinius | |||||||||
| Director | 0.08 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Duane Grubb | |||||||||
| Director | 0.12 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Dennis Soteberr | |||||||||
| Director | 0.08 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Daryl Thompson | |||||||||
| Director | 0.15 | 0.12 | $0 | $0 | $0 | Yes (X) | |||
| Mike Just | |||||||||
| Director | 0.04 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Matthew Kern | |||||||||
| Chief Operating Officer (April - Dec) | 0.15 | 14.85 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Wilson | |||||||||
| Chief Clinical and Compliance Officer | 0.20 | 19.80 | Yes (X) | $0 | $0 | $0 | |||
| Kathy Kopp | |||||||||
| Chief Strategic Officer | 0.20 | 19.80 | Yes (X) | $0 | $0 | $0 | |||
| Dave Miller | |||||||||
| Secretary | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $133,811 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,658,780 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $377,240 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| A&E Care Services | |||||
| 7171 Ohms Lane | Edina | MN | 55439 | Management Services | $446,647 |
| Progressive Rehabilitation Options | |||||
| 7171 Ohms Lane | Edina | MN | 55439 | Therapy Services | $411,257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Nursing Home Services | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $16,113,866 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,113,866 | 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 | $16,113,866 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,461 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,461 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| 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 |
Royalties Revenue RoyaltiesRevenueGrp
| 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| 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 |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $4,200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $4,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,200 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cable TB | 900099 | $33,164 | $33,164 | $0 | $0 |
| Telephone | 900099 | $11,386 | $11,386 | $0 | $0 |
| Miscellaneous | 900099 | $2,541 | $2,541 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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) |
|---|---|---|
| Other Revenue Total | $47,091 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,227,618 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,227,618 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,884,158 | TotalAmt |
| Program Services | $8,328,375 | ProgramServicesAmt |
| Management And General | $555,783 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,342 | TotalAmt |
| Program Services | $115,626 | ProgramServicesAmt |
| Management And General | $7,716 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,096 | TotalAmt |
| Program Services | $805,352 | ProgramServicesAmt |
| Management And General | $53,744 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,400 | TotalAmt |
| Program Services | $622,836 | ProgramServicesAmt |
| Management And General | $41,564 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,438 | TotalAmt |
| Management And General | $646,438 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,636 | TotalAmt |
| Management And General | $17,636 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,447 | TotalAmt |
| Management And General | $19,447 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $698,360 | TotalAmt |
| Program Services | $692,141 | ProgramServicesAmt |
| Management And General | $6,219 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,282 | TotalAmt |
| Management And General | $81,282 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,505 | TotalAmt |
| Program Services | $31,187 | ProgramServicesAmt |
| Management And General | $72,318 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,838 | TotalAmt |
| Program Services | $12,647 | ProgramServicesAmt |
| Management And General | $20,191 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,329 | TotalAmt |
| Program Services | $272,311 | ProgramServicesAmt |
| Management And General | $8,018 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,941 | TotalAmt |
| Management And General | $24,941 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,359 | TotalAmt |
| Management And General | $20,359 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,964 | TotalAmt |
| Program Services | $642,360 | ProgramServicesAmt |
| Management And General | $41,604 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396,318 | TotalAmt |
| Program Services | $1,312,843 | ProgramServicesAmt |
| Management And General | $83,475 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,318 | TotalAmt |
| Program Services | $45,722 | ProgramServicesAmt |
| Management And General | $1,596 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $943,192 | $937,821 | $5,371 | $0 |
| Food | $292,549 | $292,549 | $0 | $0 |
| Nursing Pool | $144,183 | $144,183 | $0 | $0 |
| Maintenance Contracts & Purchased Services | $156,288 | $151,017 | $5,271 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,200 | TotalAmt |
| Program Services | $69,985 | ProgramServicesAmt |
| Management And General | $181,215 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,371,143 | TotalAmt |
| Program Services | $14,476,955 | ProgramServicesAmt |
| Management And General | $1,894,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $826,679 | BOYAmt |
| EOY | $923,076 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,175,741 | BOYAmt |
| EOY | $1,211,976 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,223 | BOYAmt |
| EOY | $41,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,929,133 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,496,087 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,429,675 | BOYAmt |
| EOY | $18,433,046 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,251,019 | BOYAmt |
| EOY | $2,372,163 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,960 | BOYAmt |
| EOY | $516,819 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,391 | BOYAmt |
| EOY | $827,436 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,114,688 | BOYAmt |
| EOY | $24,326,095 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,282,198 | BOYAmt |
| EOY | $1,336,426 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,213,712 | BOYAmt |
| EOY | $18,138,986 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,768 | BOYAmt |
| EOY | $70,610 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,557,678 | BOYAmt |
| EOY | $19,546,022 | 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 | $4,141,907 | BOYAmt |
| EOY | $4,429,656 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,103 | BOYAmt |
| EOY | $350,417 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,557,010 | BOYAmt |
| EOY | $4,780,073 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,114,688 | BOYAmt |
| EOY | $24,326,095 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$143,525 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $279,263 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $87,325 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,125,585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,962,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,458,928 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,909,814 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,158,416 | CurrentTaxYearAmt |
| Total | $77,615,588 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,125,585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,962,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,458,928 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,909,814 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,158,416 | CurrentTaxYearAmt |
| Total | $77,615,588 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $77,615,588 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,004 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,144 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,461 | CurrentTaxYearAmt |
| Total | $205,379 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,004 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,144 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,461 | CurrentTaxYearAmt |
| Total | $205,379 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,473 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,741 | CurrentTaxYearAmt |
| Total | $202,682 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,174,198 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,034,123 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,539,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,048,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,227,618 | CurrentTaxYearAmt |
| Total | $78,023,649 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99477 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99486 | PublicSupportPY509Pct |
| Investment Income CY | 0.00263 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00207 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 | FormAndLineReferenceDesc |
| Explanation | Vending/Management Fee/Misc. Income 2015: $36,476 2016: $36,476 2017: $37,388 2018: $84,432 2019: $6,741 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,800 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $259,800 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,800 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $259,800 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,800 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $259,800 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,800 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $259,800 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,800 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $259,800 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $712,908 | OtherCostOrOtherBasisAmt |
| Book Value | $712,908 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,227,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,427,061 | DepreciationAmt |
| Book Value | $14,800,847 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,071,192 | OtherCostOrOtherBasisAmt |
| Depreciation | $457,399 | DepreciationAmt |
| Book Value | $613,793 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,729,998 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,493,274 | DepreciationAmt |
| Book Value | $2,236,724 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $187,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $118,353 | DepreciationAmt |
| Book Value | $68,774 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,433,046 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Resident Trust | $12,039 |
| Miscellaneous Payable | $26,247 |
| Due to Affiliates | $32,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,610 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part V, Line 4 - Interest earned on some of the endowment funds must be used for educational purposes. The other interest is not restricted as to use. The principal of the endowment funds cannot be used. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Dahl | ||||||||||||||
| President/CEO | $0 | $437,567 | $0 | $287,186 | $0 | $15,124 | $0 | $111,553 | $0 | $16,265 | $0 | $867,695 | $0 | $235,726 |
| Ronald Sanford | ||||||||||||||
| Chief Operating Officer | $0 | $230,739 | $0 | $86,966 | $0 | $2,260 | $0 | $31,909 | $0 | $4,804 | $0 | $356,678 | $0 | $57,023 |
| Kathy Youngquist | ||||||||||||||
| Chief Financial Officer | $0 | $302,671 | $0 | $61,757 | $0 | $10,090 | $0 | $84,392 | $0 | $21,962 | $0 | $480,872 | $0 | $59,933 |
| Angela Brown | ||||||||||||||
| VP of Human Resources | $0 | $183,057 | $0 | $33,333 | $0 | $8,030 | $0 | $52,759 | $0 | $19,828 | $0 | $297,007 | $0 | $33,333 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | A SET PERCENTAGE IS PAID TO THE OFFICERS OF THE ORGANIZATION TO HELP COVER THE TAXES ON PERSONAL AUTO USAGE, THE AMOUNT IS TREATED AS A TAXABLE BENEFIT. |
| Schedule J, Part I, Line 4 | CERTAIN OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN A 457(F) DEFERRED COMPENSATION PLAN, FOR 2019. THE AMOUNT OF DEFERRED COMPENSATION WAS AS FOLLOWS: ROBERT DAHL: $52,463 KATHY YOUNGQUIST: $52,086 ANGELA BROWN: $30,867 |
| Schedule J, Part I, Line 6 | THE OFFICERS OF THE ORGANIZATION AND ANGELA BROWN ACCRUED INCENTIVE BONUSES AT 12/31/2019 THAT WERE CONTINGENT ON THE COMBINED NET INCOME OF THE ORGANIZATION AND ALL RELATED ORGANIZATIONS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Burleigh County North Dakota | ||||||||
| A | 456002204 | 000000000 | 2012-07-31 | $6,000,000 | To finance construction of a new nursing facility | 0 | 0 | 0 |
| City of Wilton North Dakota | ||||||||
| B | 456002188 | 000000000 | 2016-07-01 | $10,000,000 | To pay down a portion of the 2012 bonds | 0 | 0 | 0 |
| City of Lincoln North Dakota | ||||||||
| C | 450345241 | 000000000 | 2016-07-01 | $9,000,000 | To pay down a portion of the 2012 bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,410,000 | $0 | $6,000,000 | $490,230 | $0 | $0 | $120,000 | $0 | $0 | $5,389,770 | $0 | $0 | 2013 | 0 | 0 | Yes (1) | Yes (1) |
| B | $370,042 | $0 | $10,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $10,000,000 | $0 | $0 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $333,038 | $0 | $9,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $9,000,000 | $0 | $0 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 2c-07/31/2012 6,000,000 Burleigh County North Dakota | No amount was due. |
| Schedule K, Part IV, Line 2c-07/01/2016 10,000,000 City of Wilton North Dakota | 5 year anniversary has not occurred yet. |
| Schedule K, Part IV, Line 2c-07/01/2016 9,000,000 City of Lincoln North Dakota | 5 year anniversary has not yet occurred. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3 | The purpose of A&E Care Services is to manage Elim Care, Inc. and its related organization and Augustana Care and its related organizations. Services provided include financial accounting, operational oversight, human resources, information technology, clinical nursing consultation, corporate compliance, coordinated advertising and marketing, philanthropy and new business development. The following individuals were compensated in 2019 by A&E Care Services for providing management services to Elim Care,Inc. and its related organizations: Matthew Kern - $0, Sharon Wilson - $120,252 and Kathy Kopp - $0. |
| Form 990, Part VI, Section A, Line 6 | ELIM CARE, INC. IS THE SOLE MEMBER OF BAPTIST HOMES, INC. |
| Form 990, Part VI, Section A, Line 7a | BOARD MEMBERS OF BAPTIST HOMES, INC ARE APPROVED BY THE ELIM CARE, INC. BOARD. |
| Form 990, Part VI, Section A, Line 7b | DECISIONS OF BAPTIST HOME, INC. BOARD ARE SUBJECT TO APPROVAL BY THE ELIM CARE, INC. BOARD. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 tax return was prepared by the Director of finance. The CFO reviewed the return prior to signing. The return is placed on a portal for board members to review prior to filing. |
| Form 990, Part VI, Section B, Line 12c | THE ORGANIZATION ANNUALLY REQUIRES A CONFLICT OF INTEREST DISCLOSURE FORM FROM EACH BOARD MEMBER AND OFFICER. ALSO, ANNUAL QUESTIONNAIRES ARE SENT OUT TO GET UPDATES ON NEW SITUATIONS THAT MAY HAVE ARISEN DURING THE YEAR. |
| Form 990, Part VI, Section B, Line 15 | THE BOARD OF DIRECTORS ROUTINELY RETAINS THE SERVICES OF A COMPENSATION CONSULTANT TO REVIEW THE CURRENT WAGE AND BENEFIT LEVELS OF SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE USES THIS INFORMATION TO MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section C, Line 19 | GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part XI, Line 9 | Realized Gain on Investments: $10,640 Restricted Contributions: $73,414 Transfer of Endowment Fund Earnings: $3,271 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Elim Homes Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411539761 | Nursing Home Senior Housing Therapy | MN | 501(c)3 | 10 | N/A | 0 |
| New Harmony Care Center | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411821882 | Nursing Home | MN | 501(c)3 | 10 | N/A | 0 |
| Park Terrace Assisted Living | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 204063752 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Redeemer Residence | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410711597 | Nursing Home | MN | 501(c)3 | 10 | N/A | 0 |
| Cornerstone Assisted Living of Plymouth | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 412013927 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Park Lane Apartments | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410972384 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Elim Children's Center Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411974507 | Child Daycare | MN | 501(c)3 | 10 | N/A | 0 |
| Elim Care Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694818 | Parent Company/Fundraising | MN | 501(c)3 | 7 | N/A | 0 |
| Lake Ridge Care Center | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 200507069 | Nursing Home and Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Evangelical Retirement Homes Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 420868449 | Nursing Home and Senior Housing | IA | 501(c)3 | 10 | N/A | 0 |
| Elim Shores Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411625095 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Newton Village Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 200044030 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Country Meadows of Milaca Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 201723948 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Pioneer House Assisted Living Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411927112 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Village Assisted Living | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 262086933 | Senior Housing | MN | 501(c)3 | 10 | N/A | 0 |
| Elim Care Foundation | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694817 | Longterm Investing | MN | 501(c)3 | 12 | N/A | 0 |
| Community Health Foundation of Wright County | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 363546789 | Fund Raising | MN | 501(c)3 | PF | N/A | 0 |
| Park View Care Center | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410855707 | Nursing Home | MN | 501(c)3 | 10 | N/A | 0 |
| Baptist Apartments Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 450359794 | Senior Housing | ND | 501(c)3 | PF | N/A | 0 |
| Haven Homes Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 416045816 | Nursing Home and Senior Living | MN | 501(c)3 | 10 | N/A | 0 |
| Elim Senior Housing Inc | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 810754064 | Senior Housing | FL | 501(c)3 | 10 | N/A | 0 |
| A&E CARE SERVICES | ||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411806946 | MANAGEMENT SERVICES | MN | 501(C)(3) | 12 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Elim Preferred Services | ||||||||||
| 7485 Office Ridge Circle | Eden Prairie | MN | 55344 | 411681856 | Medical Equipment and Supplies | MN | N/A | C | 0 | 0 |
| Preferred Senior Services Inc | ||||||||||
| 7485 Office Ridge Circle | Eden Prairie | MN | 55344 | 411942480 | Management Services | MN | N/A | C | 0 | 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 | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 | 0 | TransferFromOtherOrgInd |
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