2016-01-22T10:18:27-06:00 2015-06-30 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2014-07-01 420866122 EVENTIDE LUTHERAN HOME EVEN 7122633114 114 SOUTH 20TH ST DENISON IA 51442 MINDI BAKER ADMINISTRATOR 7122633114 2016-01-22 1 CURTIS E BRAND CPA P00299230 5152253141 2014 2016-04-25 22:37:26Z MINDI BAKER 114 SOUTH 20TH ST DENISON IA 51442 7153353 0 X WWW.EVENTIDEHOME.COM X 1958 IA PROVIDE LONG TERM HEALTH CARE AND HOUSING SERVICES FOR THE AGED IN A WAY THAT INCLUDES FAMILY INVOLVEMENT, PROMOTING AND MAXIMIZING THE INDEPENDENCE AND DIGNITY OF EVERY RESIDENT. 7 7 181 637 0 0 15993 23038 6872516 7017651 83643 110569 0 0 6972152 7151258 0 0 0 0 3770278 4046720 0 0 2539 2437402 2448289 6207680 6495009 764472 656249 9814502 10261110 5754993 5620018 4059509 4641092 PROVIDE LONG TERM HEALTH CARE AND HOUSING SERVICES FOR THE AGED IN A WAY THAT INCLUDES FAMILY INVOLVEMENT, PROMOTING AND MAXIMIZING THE INDEPENDENCE AND DIGNITY OF EVERY RESIDENT. 0 0 5747196 7017651 OPERATED A 100-BED NURSING FACILITY AND A 36-UNIT ASSISTED LIVING FACILITY. 5747196 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 8 0 1 181 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MINDI BAKER 7122633114 114 SOUTH 20TH STREET DENISON IA 51442 JERRY STULL PRESIDENT 2.00 X X 0 0 0 DON FRIEDRICHS VICE-PRESIDENT 2.00 X X 0 0 0 MARK GRAY SECRETARY/TREASURER 2.00 X X 0 0 0 TONYA ELLER MEMBER 2.00 X 0 0 0 LAVERNE MILOW MEMBER 2.00 X 0 0 0 TODD SCHULTZ MEMBER 2.00 X 0 0 0 DERYL HENNINGS MEMBER 2.00 X 0 0 0 MINDI BAKER CEO 40.00 X 116414 0 2200 116414 0 2200 1 0 0 0 NURSING ON CALL INC 308 MAIN ST GRAY IA 50110 TEMP NURSING STAFF 305245 REHABCARE GROUP INC 114 S 20TH ST DENISON IA 51442 THERAPY SERVICES 151114 2 19369 3669 23038 ROUTINE CARE SERVICES 623000 6902309 6902309 ANCILLARY SERVICES 623000 80404 80404 MISCELLANEOUS 623000 34938 34938 7017651 112290 112290 374 2095 -1721 -1721 -1721 7151258 7017651 0 110569 116414 116414 3504799 3294457 210342 45714 45714 103308 103308 276485 268998 7487 5489 5489 3885 3885 30780 30780 3581 3581 6364 6364 27319 20376 6943 58001 55462 2539 31650 31650 485930 485930 17950 7443 10507 27278 14876 12402 192410 192410 367574 367574 89130 89130 SUPPLIES AND SMALL EQUI 484179 484179 FOOD EXPENSE 301407 301407 WORKERS COMP INSURANCE 135582 135582 MISCELLANEOUS 83611 64355 19256 96169 96169 6495009 5747196 745274 2539 500 500 2000305 2036010 299600 506902 31738 29941 31420 17720 8497739 3404009 5384364 5093730 1892773 2326087 173802 250220 9814502 10261110 520462 571113 5232339 5046586 2192 2319 5754993 5620018 X 4053996 4635579 5513 5513 4059509 4641092 9814502 10261110 656249 -74666 0 X X 0 1 X 1 0 X 4083 8490 95919 15993 23038 147523 5539267 6282075 6330464 6872516 7017651 32041973 86010 83702 93378 263090 5629360 6374267 6519761 6888509 7040689 32452586 0 0 0 32452586 1426 4923 25106 84777 112290 228522 1426 4923 25106 84777 112290 228522 5630786 6379190 6544867 6973286 7152979 32681108 0.99300 0.99620 0.00700 0.00380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 289123 289123 6658651 2542079 4116572 1549965 861930 688035 5093730 AMERIPRISE FINANCIAL 2326087 F 2326087 RESIDENT TRUST FUND 2319 2319 X 7074732 -74666 -74666 7149398 1860 1860 7151258 6493149 0 6493149 1860 1860 6495009 PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS". THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES INCLUDED AS EXPENSES ON FINANCIAL STATEMENTS -1,721. EXPENSES INCLUDED AS REVENUE ON FINANCIAL STATEMENTS 3,581. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES INCLUDED AS EXPENSES ON FINANCIAL STATEMENTS -1,721. EXPENSES INCLUDED AS REVENUES ON FINANCIAL STATEMENTS 3,581. A CITY OF DENISON IOWA 426004497 2010-04-14 5395000 CONSTRUCTION OF SILVERIDGE FACILITY - A 36-UNIT ASSISTED LIVING FACILITY 0 1 0 A 348414 5395000 107900 35399 5251701 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 TODD SCHULTZ KRIS SCHULTZ TODD IS A BOARD MEMBER AND KRIS IS THE PAYROLL MANAGER AT EVENTIDE 29432 TODD AND KRIS ARE MARRIED. COMPENSATION TO KRIS DURING THE YEAR 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD WILL RECEIVE AND REVIEW A COPY OF THE 990 DURING A BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C IF AN EMPLOYEE OR BOARD MEMBER HAS ANY POSSIBLE CONFLICT OF INTEREST THEY ARE REQUIRED TO DISCLOSE TO AN OFFICER OF THE ORGANIZATION OR THE BOARD AS SOON AS POSSIBLE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 BOARD REVIEWS WAGE SURVEYS FOR CEO/ADMINISTRATOR AND KEY EMPLOYEE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND 990 TAX RETURN ARE ALL AVAILABLE UPON REQUEST IN THE BUSINESS OFFICE. FORM 990. PART XI, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT RELATING TO THE AUDIT OF FINANCIAL STATEMENTS. THE BOARD OF DIRECTORS IS ALSO RESPONSIBLE FOR THE SELECTION OF INDEPENDENT AUDITORS. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR. SILVERIDGE AN EVENTIDE COMMUNITY LLC 114 SOUTH 20TH STREET DENISON IA 51442 271023191 OPERATING A 36-UNIT ASSISTED LIVING FACILITY IA 1249371 5239652 EVENTIDE FOUNDATION FOR THE CARE OF THE ELDERLY 114 SOUTH 20TH STREET DENISON IA 51442 421372115 TO PROVIDE FINANCIAL ASSISTANCE TO EVENTIDE HOME FOR THE AGED IA 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EVENTIDE FOUNDATION FOR THE CARE OF THE ELDERLY C 19369 ACTUAL