2019-04-25T13:12:52-05:00 2018-09-30 450250958 Eide Bailly LLP 4310 17th Ave S PO Box 2545 Fargo ND 581082545 990 2017-10-01 410721640 Eventide EVEN 2182337508 801 Main Avenue No 201 Moorhead MN 56560 Jon Riewer President/CEO 2182337508 2019-04-01 1 LISA CHAFFEE CPA P00193453 7012398500 2019-04-01 199.247.46.142 2019-04-01 16:07:18 CD P 66CC91E6B7F11C4783FFFA5645E675327CB67316 3F1B4C4A1C1F32CA3CD03C05270CE62742EA9E6E 2017 2019-02-21 02:37:17Z X Jon Riewer 801 Main Avenue No 201 Moorhead MN 56560 62327538 0 X www.eventide.org X 1951 MN To sponsor, encourage, promote, and advance the delivery of health care. 13 13 1972 270 0 0 709087 861056 58267184 60748136 135554 -373052 -78973 18083 59032852 61254223 0 0 0 0 38593983 39064876 0 0 33851 21462564 21971649 60056547 61036525 -1023695 217698 102166306 103285844 76963525 77203928 25202781 26081916 X To advance compassionate care and service excellence empowering older adults, families and communities to thrive. 0 0 15699556 19200324 Eventide Lutheran Home of Moorhead operated a 195-bed nursing facility. The occupancy percentage for the year was 91.57%. 9764234 10873589 Eventide Jamestown operated a 115-bed nursing home. The occupancy percentage for the year was 90.77%. 7056290 7548382 Eventide Sheyenne Crossings Care Center operated a 64-bed nursing home. The occupancy percentage for the year was 97.61%. 20313755 23125841 Eventide Linden Tree Circle operated a 119-unit elderly housing facility. The occupancy percentage for the year was 93.96%.Eventide, The Fairmont, operated a 88-unit elderly housing facility. The occupancy percentage for the year was 90.11%.Eventide Fargo AL operated a 76-unit assisted living facility. The occupancy percentage for the year was 97.02%.Eventide Jamestown AL, operated as a 43-unit assisted living facility. The occupancy percentage for this year was 45.18% 20313755 23125841 52833835 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 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 1 1 1 1 0 0 1 71 0 1 1972 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X Darin Ohe 2182912216 801 Main Avenue Suite 201 Moorhead MN 56560 Leann Wright Chair 0.20 0.60 X X 0 0 0 Peter Seljevold Vice Chair 0.20 0.60 X X 0 0 0 Marjorie Matthees Treasurer 0.20 0.60 X X 0 0 0 Lisa Borgen Secretary 0.20 0.60 X X 0 0 0 Anne Blackhurst Director 0.20 0.60 X 0 0 0 John Erickstad Director 0.20 0.60 X 0 0 0 Joseph Halvorson Director 0.20 0.60 X 0 0 0 Luke Hvidston Director 0.20 0.60 X 0 0 0 Cindy Larson-Casseltong Director 0.20 0.60 X 0 0 0 Judy Lee Director 0.20 0.60 X 0 0 0 Vern Nolting Director 0.20 0.60 X 0 0 0 Don Stieha Director 0.20 0.60 X 0 0 0 K Thor Thompson Director 0.20 0.60 X 0 0 0 Jon Riewer President/CEO 10.00 30.00 X 462857 0 18360 Wade Stubson CFO 10.00 30.00 X 252532 0 16250 Janelle Klinke VP of HR 10.00 30.00 X 162775 0 12529 Melissa Heesch VP of Operations 10.00 30.00 X 217340 0 18454 Douglas Panchot Administrator - Jamestown 40.00 0.00 X 138491 0 16936 Nathan Johnson Exec. Director - Senior Living 40.00 0.00 X 127875 0 4032 Maren Gemer Exec. Director - Sheyenne Crossing 0.00 40.00 X 122181 0 2449 1484051 0 89010 8 0 1 0 RehabCare Group Inc PO Box 503534 St Louis MO 631503534 Therapy Services 1818969 Centrex Rehab 8120 Penn Ave S Suite 480 Bloomington MN 55431 Therapy Services 1054511 8th & Main LLC 855 26th Ave E West Fargo ND 58078 Construction 826455 Linson Pharmacy Inc 3175 25th St S Fargo ND 58103 Pharmacy Services 703220 Dakota Travel Nurse Inc 1200 Collins Ave Mandan ND 585542067 Traveling Nurses 368726 13 3760 857296 861056 Resident Services 623000 59333228 59333228 Management Fees 561000 823100 823100 Catering 721000 380051 380051 Supporting Revenue 900099 211757 211757 60748136 197822 197822 98107 393469 132023 930427 -33916 -536958 -570874 -570874 63277 3760 10865 52412 52412 Extraordinary loss on bonds 900099 -34329 -34329 -34329 61254223 60748136 0 -354969 797842 797842 32058656 28521040 3537616 315329 280212 35117 3541006 3163727 377279 2352043 2064020 288023 66613 66613 75173 75173 16393 16393 3200645 3082289 118356 411039 411039 1730212 871330 858882 383714 55423 328291 2070191 1921064 149127 106511 31902 74609 132928 26250 106678 3549195 3549195 3777058 3776462 596 436129 436129 Food Expense 1859623 1859623 Medical Supplies 1854586 1854586 Bad Debt Expense 692460 692460 Licenses & Permits 575289 575289 1033890 648123 352512 33255 61036525 52833835 8168839 33851 3397751 4398904 4772494 4611998 500000 146537 156798 185067 180174 115220364 38839288 78572214 76381076 5440088 6726651 4190264 3442789 2196500 2196500 3265391 4690954 102166306 103285844 4541819 4532798 47698 36474459 35861231 334314 356504 33220955 33308293 2391978 3097404 76963525 77203928 X 23902337 23904918 878819 1127966 421625 1049032 25202781 26081916 102166306 103285844 X 217698 73553 587884 X 0 1 X 1 0 X 128817 296066 143245 709087 861056 2138271 38129281 39651759 45567171 58242218 60811413 242401842 38258098 39947825 45710416 58951305 61672469 244540113 0 0 0 244540113 318912 196516 171163 175928 197822 1060341 318912 196516 171163 175928 197822 1060341 38577010 40144341 45881579 59127233 61870291 245600454 0.99570 0.99500 0.00430 0.00500 X 0 1 X 954007 627407 42307 40438 1583283 646884 275848 71697 40422 954007 618106 70216 41438 646884 653464 2396 37754 618106 604014 20024 66054 36628 653464 0.11060 0.66260 0.22680 0 0 3264232 3264232 87427569 28971211 58456358 15566762 9804787 5761975 8961801 63290 8898511 76381076 Annuities Payable 4622 Deposits Held By Eventide 2169283 Related Party Payables 923499 3097404 X 63651194 3303098 3303098 60348096 906127 906127 61254223 64350488 3313963 3313963 61036525 0 61036525 Part IV, Line 2b: The Organization is the trustee of various resident trust funds and has a fiduciary responsibility for the administration and distribution of these funds for the residents. Tenant security deposits represent amounts received from tenants subject to the terms of their lease agreements. These funds are refunded to tenants based on compliance with the requirements of the lease agreement. The resident trust funds and tenant security deposits are held in segregated deposit accounts. Part V, Line 4: To provide a permanent source of income for operations, chaplaincy and volunteer operating purposes. Part X, Line 2: Eventide is organized as Minnesota nonprofit organization and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Eventide Fargo, Eventide Fargo - AL, and Eventide Jamestown are organized as North Dakota nonprofit organizations and derive their federal tax exempt status from Eventide's nonprofit tax exempt determination. Eventide is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. Eventide Fargo, Eventide Fargo - AL, and Eventide Jamestown, as LLCs, are included in the 990 filing of Eventide. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. As of September 30, 2018, Eventide is no longer required to file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. The Organization believes that is 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 consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Intercompany Management Allocation Fees 3,303,098. Part XI, Line 4b - Other Adjustments: Special Events Expenses Included in Expenses Per F/S -10,865. Restricted Contributions Recorded in Fund Balance Per F/S 874,685. Investment Income Recorded in Fund Balance for F/S 42,307. Part XII, Line 2d - Other Adjustments: Special Events Expenses Included in Revenue Per Form 990 10,865. Intercompany Management Allocation Fees 3,303,098. Benefit Auction 67037 3760 63277 4918 2000 3947 67037 3760 63277 4918 2000 3947 10865 52412 X X X 0 0 0 0 0 0 0 0 0 Jon Riewer President/CEO 462857 0 0 0 0 0 5400 0 19316 0 487573 0 0 0 Wade Stubson CFO 252532 0 0 0 0 0 5162 0 14583 0 272277 0 0 0 Janelle Klinke VP of HR 162775 0 0 0 0 0 3361 0 11434 0 177570 0 0 0 Melissa Heesch VP of Operations 217340 0 0 0 0 0 4486 0 17006 0 238832 0 0 0 Douglas Panchot Administrator - Jamestown 138491 0 0 0 0 0 2968 0 15785 0 157244 0 0 0 Part I, Line 3 Jon Riewer, Wade Stubson, Janelle Klinke, and Melissa Heesch are compensated by Eventide for services provided to the organization, Eventide West Fargo, LLC, Eventide Living Center, and Lake Region Lutheran Home. A Moorhead Economic Development Authority 411671510 61616AAM7 2016-12-15 20078632 Fargo Assisted Living - Eventide Senior Housing 0 0 0 B Moorhead Economic Development Authority 411671510 61615JAS6 2016-05-26 5000000 Building and Fixed Assets 0 0 0 C Moorhead Economic Development Authority 411671510 2017-08-30 7224444 Refund Bonds Issued 12/30/2008 0 0 0 D Moorhead Economic Development Authority 411671510 2017-08-30 4780000 Refinanced 2006 issue 0 0 0 A 20545000 1298494 401181 18378957 2016 0 0 1 1 B 80000 5000000 414575 4585425 2016 0 0 1 1 C 193611 7224444 7224444 1 0 1 1 D 408499 4780000 4780000 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 Schedule K, Part I and Part II, Bond A: The difference between Part I, Line B, Column (e) issue price and Part II, Line 3, Column B is due to original issue discount of $466,368. Form 990, Part VI, Section A, line 1 There is an Executive Committee that has the power to act on behalf of the entire Board of Directors. This committee is made up of at least five but not more than six persons, all of whom shall be members of the Board of Directors. The President shall be an advisory, non-voting member of the Executive Committee. Form 990, Part VI, Section A, line 6 Members consist of churches and other organizations. There is only one class of membership. Form 990, Part VI, Section A, line 7a Delegates from the member churches serve on the board and elect the Board of Directors. Each member church has one vote for every 1,000 members of the church. Each member church also has one additional vote which may be cast by one of its pastors present at the meeting. Each member of the organization's Board of Directors is entitled to one vote. Form 990, Part VI, Section B, line 11b The CFO and Vice President of Finance and Budget will review a draft of the Form 990. The reviewed copy will be presented and approved at a board meeting. Form 990, Part VI, Section B, line 12c Board members, management level employees and up are covered by the policy. The senior management/CFO determines if a conflict of interest exists and reviews conflicts. Eventide has various restrictions in place to keep the individual with the conflict from acting on their own behalf instead of Eventide's best interest. Individuals with a conflict must abstain from voting on the issue. Form 990, Part VI, Section B, line 15a An annual evaluation of the CEO is done by the Executive Committee team. A comparability study was done in 2017 by Leading Age-CEMO and also Lutheran Services of America. The comparability study considers the region, total revenue and FTEs. The last review done was in October 2017. The CEO annually reviews, approves and documents the CFO compensation using the same methods as above. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part XI, line 9: Release of Temporarily Restricted Net Assets -40,438. Tranfers from Related Parties 628,322. Eventide Jamestown LLC dba Hi Acres 1405 7th Street South Moorhead MN 56560 272608086 Senior Living Community ND 10869526 5875829 Eventide Eventide Fargo LLC 3225 51 ST S Fargo ND 58104 463364672 Senior Living Community ND 13143084 30108223 Eventide Eventide Fargo - AL 5250 32 Ave S Fargo ND 58104 472978299 Senior Living Community ND 2651385 20626462 Eventide Eventide West Fargo LLC dba Sheyenne Crossings 801 Main Avenue Suite 201 Moorhead MN 56560 204531061 Senior Living Community MN 501(c)(3) Line 10 Eventide 1 Eventide Living Center 801 Main Avenue Suite 201 Moorhead MN 56560 411486796 HUD Elderly Housing MN 501(c)(3) Line 10 Eventide 1 Lake Region Lutheran Home dba Eventide Heartland 801 Main Avenue Suite 201 Moorhead MN 56560 450275011 Skilled Nursing Facility ND 501(c)(3) Line 10 Eventide 1 BEK Care LLC (dba Ethos Home Care) 2877 45th St S Suite 201 Fargo ND 58104 464681716 Home Care Agency ND Eventide Related -75474 289005 0 0 0.33330 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 Eventide West Fargo LLC Q 3242091 Accrual Eventide West Fargo LLC R 3242091 Accrual Lake Region Lutheran Home Inc Q 9465852 Accrual Lake Region Lutheran Home Inc R 8743382 Accrual