2019-11-15T09:23:28-07:00 2019-06-30 990 2018-07-01 450448164 VALLEY MEMORIAL HOMES VALL 7017877912 2900 14th Ave S Grand Forks ND 58201 Garth Rydland President/CEO 7017877905 2019-11-15 66.97.254.209 2018 2020-03-31 21:24:44Z Valley Senior Living Garth Rydland 2900 14th Ave S Grand Forks ND 58201 2478963 0 X www.valleyseniorliving.org X 1997 ND To provide management, nursing, chaplaincy and other support services to related healthcare entities. 32 31 1161 50 0 0 0 0 2560391 2478963 0 0 0 0 2560391 2478963 0 0 0 0 1929044 1999616 0 0 0 631347 479347 2560391 2478963 0 0 963248 889178 945818 871748 17430 17430 Valley Memorial Homes (DBA: Valley Senior Living) provides compassionate care and service from a Christian perspective to enhance the quality of life for those we serve. 0 0 2343904 0 0 Management support services including the following: Administration, Finance, IT, Human Resources and Transportation. Providing services to related organizations, who combined serve up to 523 residents and tenants on a daily basis and employs approximately 800 employees. 123232 0 0 Skilled Nursing Facility Support Services including Nursing-Admissions, and Medical Records for up to 334 skilled residents a day. 11827 0 0 Chaplaincy services provided to related long term care facilities: skilled nursing, assisted living and basic care. 0 0 0 2478963 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 1161 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 32 31 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X Lorilee Bott 7017877912 2900 14th Ave S Grand Forks ND 58201 Bruce Newhouse Chair 0 0 X X 0 0 0 John Snustad Vice Chair 0 0 X X 0 0 0 Charles Johnson Board Secretary 0 0 X X 0 0 0 Peter Hoistad Treasurer 0 0 X X 0 0 0 Olive Weber Director 0 0 X 0 0 0 Eunice Vold Director 0 0 X 0 0 0 Gary Masilko Director 0 0 X 0 0 0 Milt Kinzler Director 0 0 X 0 0 0 Roger Stadstad Director 0 0 X 0 0 0 Sharon Bakke Director 0 0 X 0 0 0 Sharon Gustafson Director 0 0 X 0 0 0 Carol Snortland Director 0 0 X 0 0 0 Lawrence Heuchert Director 0 0 X 0 0 0 Duane Hanson Director 0 0 X 0 0 0 Ellis Larson Director 0 0 X 0 0 0 JoAnn Miller Director 0 0 X 0 0 0 Lisa Piche Director 0 0 X 0 0 0 JoAnn Becker Director 0 0 X 0 0 0 David Loer Director 0 0 X 0 0 0 Susan Kuster Director 0 0 X 0 0 0 Ron Holte Director 0 0 X 0 0 0 Clark Piepkorn Director 0 0 X 0 0 0 Jacky Jones Director 0 0 X 0 0 0 Marilyn Nyberg Director 0 0 X 0 0 0 Margaret Reed Director 0 0 X 0 0 0 Patrick Moore Director 0 0 X 0 0 0 Tara O'Hearn Director 0 0 X 0 0 0 Sue Moe Director 0 0 X 0 0 0 Larissa Campbell Director 0 0 X 0 0 0 Wendy Waller Director 0 0 X 0 0 0 Garth Rydland President/CEO 40 0 X X 214588 0 0 Betty Bloomquist Director 0 0 X 0 0 0 Lorilee Bott CFO 40 0 X 139016 0 0 Mindy Marcus Executive Director of Housing 0 40 X 0 152536 0 Jessica Baumgarten Director of Nursing Valley Eldercare Center 0 40 X 0 107695 0 353604 260231 0 3 0 1 0 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 1295084 Industrial Contract Services PO Box 13158 Grand Forks ND 582083158 General Contractor - Construction 632565 2 0 2478963 2478963 0 0 2478963 0 0 0 0 0 2478963 2478963 0 0 353604 353604 0 0 1179145 1179145 0 0 83616 83616 0 0 269771 269771 0 0 113480 113480 0 0 4349 4349 0 0 30805 30805 0 0 43127 43127 0 0 9147 9147 0 0 32401 32401 0 0 11672 11672 0 0 14427 14427 0 0 346 346 0 0 74170 74170 0 0 30107 30107 0 0 Purchased Services-Chapl, IT, Adm 115717 115717 0 0 Repairs Maint-Transportation 12461 12461 0 0 Direct Supplies Chap, Med Rec, Tran 30223 30223 0 0 Dues Subscriptions, Employee Exp 18462 18462 0 0 51933 51933 0 0 2478963 2478963 0 0 503367 311423 399 399 34073 86777 1086740 875544 234176 211196 191233 279383 963248 889178 228130 201302 717688 670446 945818 871748 X 17430 17430 0 0 0 0 17430 17430 963248 889178 0 0 0 0 0 0 X 0 0 0 X X 3 Valley Memorial Foundation 450392710 7 1 0 0 Valley Homes and Services 450229071 9 1 1573663 0 4000 Valley Square Inc 311558826 9 1 905300 0 3 2478963 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, Line 1 Valley Memorial Homes 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 Section 501 (c ) (3) of the Code. Valley Memorial Homes is the sole corporate member of both Valley Homes and Services and 4000 Valley Square Inc. Schedule A, Part IV, Section A, Line 1 Valley Memorial Homes bylaws indicate as part of its corporate purpose to promote the interest of other organizations formally affiliated with it which fall within the category of Section 501(c)3 of the Code. Valley Memorial Homes is the sole corporate member of both Valley Homes and Services and 4000 Valley Square. 0 0 0 0 0 0 0 0 0 0 0 0 1086740 875544 211196 0 0 0 0 211196 457B 279383 279383 0 Inter company Due to/Due From 386689 457B 279368 Note Payable 4389 670446 X X X X 0 1 0 0 0 0 0 0 0 Garth Rydland President/CEO 202854 0 11734 0 0 0 13044 0 7455 0 235087 0 0 0 Mindy Marcus Executive Director of Housing 0 148402 0 4134 0 0 0 9589 0 11613 0 173738 0 0 Schedule J, Part I, Line 3 Compensation 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 Memorial Homes participates in a 457 B plan. Form 990, Part VI, Section A, Line 9 Bruce Newhouse, 27093 350th Ave SW, Fischer, MN, 56723; John Snustad, PO Box 13318, Grand Forks, ND 58208-3318; Charles JOhnson, 3008 Legend Lane, Grand Forks, ND 58201; Clark Piepkorn, 3021 Olson Drive, Grand Forks, ND 58201; David Loer, 2250 Sunnyside Ct NW, East Grand Forks, MN 56721; Peter Hoistad, 118 Breezy Hills Cove, Grand Forks, ND 58201; Margaret Reed, 297 Circle Hills Dr, Grand Forks, ND 58201; Patrick Moore, 611 Terrace Dr, Grand Forks, ND 58201; Marilyn Nyberg, 697 Mighty Acres Dr, Grand Forks, ND 58201; Carol Snortland, 3802 Cherry St K-43, Grand Forks, ND 58201; Ellis Larson, 1034 10th Ave SE, East Grand Forks, MN 56721; Roger Stadstad, 2742 18th St NE, Manvel, ND 58256; Sharon Bakke, 2331 25th St NE, Mikinock, ND 58258; Lawrence Heuchert, 2230 7th Ave N, Grand Forks, ND 58203; Olive Weber, 4634 Belmont Road, Grand Forks, ND 58201; Sharon Gustafson, 510 Woodland Dr, Thompson, ND 58278; Susan Kuster, 313 7th Ave, Reynolds, ND 58275; Milt Kinzler, 2725 Knight Dr, Grand Forks, ND 58201; JoAnn Miller, 748 Great Plains Court, Grand Forks, ND 58201; Lisa Piche, 1307 Trunsdale Dr, Manvel, ND 58256; Garty Masilko, 210 Circle Hills Dr, Grand Forks, ND 58201; Ron Holte, PO Box 293, Thompson, ND 58278; Jacky JOnes, PO Box 203, Oslo, MN 56744; Eunice Vold, 411 22nd Ave S, Grand Forks, ND 58201; Joann Becker, 3633 Lynwood Circle, Grand Forks, ND 58203; Sue Moe, 618 5th St SE, East Grand Forks, MN 56721, Larissa Campbell, PO Box 115, Reynolds, ND 58275; Wendy Waller, 21067 420th Ave SW, East Grand Forks, MN 56721; Tara O'Hearn, 1095 17th St NE, Grand Forks, ND 58201; Betty Bloomquist, 1119 Sunset Dr, 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 help the second Thursday in November. The CFO explains any changes, specifically reviews Part VI and answers any questions. The Form 990 is electronically filed after Executive Committee approval. 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 the 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 to assess how Valley Memorial Home's CEO's salary compares with others of similar size and function. The survey provides the committee with a gauge when in 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 the employee's direct supervisor. Employees are eligible for annual inflationary increase to their base salary. The percentage is based upon an approved annual budget or other board approved changes. The ND Long Term Care salary surveys are reviewed and adjustments are made to base salaries if survey demonstrates underpayment compared to like sized organizations. Form 990, Part VI, Section C, Line 19 Valley Memorial Homes' governing documents, conflict of interest policy and financial statements are available upon request. Requests should be made to the CFO at Valley Memorial Homes' corporate office, located at Valley Eldercare Center, 2900 14th Ave S, Grand Forks, ND 58201 between the hours of 8:30-4:30 Monday through Friday. 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 Memorial 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 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 Valley Memorial Foundation c 28814 Actual contributions made to the organization. Valley Homes and Services q 1573663 Actual expense-Direct costs or allocated. 4000 Valley Square Inc q 905300 Actual costs. Direct costs or allocated. Schedule R, Part V, Line 2 The amounts involved in transactions "m", "n", and "o" are included in transaction "q". Valley Memorial Homes' 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. Issues with submission on 11/14. Submitted morning of 11/15.