2015-11-12T17:24:41-07:00 2015-06-30 990 2014-07-01 450448164 VALLEY MEMORIAL HOMES VALL 7017877912 2900 14th Ave S Grand Forks ND 58201 Garth Rydland President/CEO 7017877905 2015-11-13 2014 2016-04-25 22:37:26Z Garth Rydland 2900 14th Ave S Grand Forks ND 58201 2501136 0 X www.valleymemorial.org X 1997 ND To provide management, nursing, chaplaincy and other support services to related healthcare entities. 30 29 979 50 0 0 0 0 2406011 2501136 0 0 0 0 2406011 2501136 0 0 0 0 1756622 1923579 0 0 0 649389 577557 2406011 2501136 0 0 663826 693922 646396 676492 17430 17430 Valley Memorial Homes provides compassionate care and service from a Christian perspective to enhance the quality of life for those we serve. 0 0 2142251 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 520 residents and tenants on a daily basis and employee nearly 700 employees. 216200 0 0 Skilled Nursing Facility Support Services including Nursing-Admissions, Executive Director of Resident Care and Medical Records for up to 330 skilled residents a day. 142685 0 0 Chaplaincy services provided to related long term care facilities: skilled nursing, assisted living and basic care. 0 0 0 2501136 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 7 0 1 979 1 0 0 0 0 0 0 0 0 0 0 0 0 X 30 29 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 ND X Lorilee Bott 7017877912 2900 14th Ave S Grand Forks ND 58201 Susan Kuster Director 0 0 X 0 0 0 Ron Holte Director 0 0 X 0 0 0 Jacky Jones Director 0 0 X 0 0 0 Iola Kvasager Director 0 0 X 0 0 0 Clark Piepkorn Director 0 0 X 0 0 0 Olive Weber Director 0 0 X 0 0 0 Arvin Kvasager Director 0 0 X 0 0 0 Eunice Vold Director 0 0 X 0 0 0 Sheryl Cariveau Director 0 0 X 0 0 0 Marlys Kennedy Director 0 0 X 0 0 0 Jeff Awes Director 0 0 X 0 0 0 Arlet Phillips 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 Susan Larson Director 0 0 X 0 0 0 Diane Lindseth 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 Chad Erickson Director 0 0 X 0 0 0 Lawrence Heuchert Director 0 0 X 0 0 0 Darlene Hanson Director 0 0 X 0 0 0 Cheryl Swanson Director 0 0 X 0 0 0 David Loer Director 0 0 X 0 0 0 Kevin Beito Chair 0 0 X X 0 0 0 Charles Johnson Board Secretary 0 0 X X 0 0 0 Bruce Newhouse Vice Chair 0 0 X X 0 0 0 Michael Porter Treasurer 0 0 X X 0 0 0 Garth Rydland President/CEO 40 X X 186102 0 17005 Lorilee Bott CFO 40 0 X 126165 0 7959 Nancy Andrews Executive Director of Housing and Assisted Living 40 0 X 113432 0 12001 Jodi Carlson Executive Director of Resident Care 40 0 X 103468 0 7242 529167 0 44207 4 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 1009501 C&R Laundry 1010 N 5th Street Grand Forks ND 58201 Laundry Purchased Services for Valley Homes and Services and 4000 Valley Square Inc 305039 Networking Specialists 2397 Demers Ave Suite D Grand Forks ND 58201 IT - Managed Services, Support and Equipment 250115 3 0 2501136 2501136 0 0 2501136 0 0 0 0 0 2501136 2501136 0 0 529167 529167 0 0 0 0 0 0 1063217 1063217 0 0 84124 84124 0 0 116918 116918 0 0 130153 130153 0 0 5299 5299 0 0 7900 7900 0 0 28497 28497 0 0 32464 32464 0 0 35332 35332 0 0 14091 14091 0 0 42768 42768 0 0 2492 2492 0 0 56361 56361 0 0 22846 22846 0 0 Purchased Services-chapl, IT, MR, Adm 208091 208091 0 0 Repairs/Maint/Fuel-Transp 39312 39312 0 0 Dues, Subsc, Empl Exp 71990 71990 0 0 10114 10114 0 0 2501136 2501136 0 0 325754 299939 2662 9427 399 399 111083 136907 809988 627480 163813 182508 60115 64742 663826 693922 257361 315731 389035 360761 646396 676492 X 17430 17430 0 0 0 0 17430 17430 663826 693922 0 0 0 0 0 0 X 0 0 0 X X 3 Valley Memorial Foundation 450392710 Line 7 1 0 0 Valley Homes and Services 450229071 Line 9 1 1530703 0 4000 Valley Square Inc 311558826 Line 9 1 970433 0 3 2501136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 orginaztions 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 for both Valley Homes and Services and 4000 Valley Square. 0 0 0 0 0 0 0 0 0 0 0 0 809988 627480 182508 0 0 0 0 182508 457 B 64742 64742 0 Note Payable 49664 457B 64727 Intercompany Payable 246370 360761 X X X X 0 1 0 0 0 0 0 0 0 Garth Rydland President/CEO 186102 0 0 0 0 0 11342 0 5663 0 203107 0 0 Schedule J, Part I, Line 3 Compensation is determined by the compensation committee. Base salary is evaluated by comparison to others of similar size and function. Schedule J, Part I, Line 4 Valley Memorial Homes participated in a 457B Plan. Form 990, Part VI, Section A, Line 9 Kevin Beito, 1328 21st St NW, East Grand Forks, MN 56721; Bruce Newhouse, 27093 350th Ave SW, Fisher, MN 56723; Charles Johnson, 3008 Legend Lane, Grand Forks, ND 58201; Michael Porter, 6100 Kingsview Dr #105, Grand Forks, ND 58201; David Loer, 2250 Sunnyside Ct NW, East Grand Forks, MN 56721; Clark Piepkorn, 3021 Olson Drive, Grand Forks, ND 58201; Darlene Hanson, Box 9025 University Station, Grand Forks, ND 58202-9025; Cheryl Swanson, Alerus Center, 1200 S 42nd St, Grand Forks, ND 58201; Carol Snortland, 3802 Cherry St K-43, Grand Forks, ND 58201; Chad Erickson, 19274 445th Ave SW, East Grand Forks, MN 56721; Jeff Awes, 1025 Cottonwood St, Grand Forks, ND 58201; Arlet Phillips, 21512 400th Ave SW, East Grand Forks, MN 56721; Susan Larson, 867 7th Ave NE, Thompson, ND 58278-9334; Diane Lindseth, 1736 9th Ave NE, Thompson, ND 58278-9215; Sheryl Cariveau, 424 Crestwood Ct SE, East Grand Forks, MN 56721; Roger Stadstad, 2742 18th St NE, Manvel, ND 58256; Sharon Bakke, 2331 25th St NE, Mekinock, ND 58258; Lawrence Heuchert, 2230 7th Ave N., Grand Forks, ND 58203; Olive Weber, 4634 Belmont Road, Grand Forks, ND 58201; Sharon Gustafson, PO Box 204, Thompson, ND 58278; Susan Kuster, 313 7th Ave, Reynolds, ND 58275; Milt Kinzler, 2725 Knight Dr, Grand Forks, ND 58201; Marlys Kennedy, 608 Park Dr, Manvel, ND 58256; Gary Masilko, 210 Circle Hills Dr, Grand Forks, ND 58201; Arvin Kvasager, 2521 9th Ave N, Grand Forks, ND 58203; 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; Iola Kvasager, 2521 Oth Ave N, Grand Forks, ND 58203 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 held the first 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 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 to assess how Valley Memorial's CEO's salary compares with others of similar size and function. This survey provides the committee with a guage when it considers changes in base compensation. The committee then reviews the organization's performance and strategic plan goals to develop an incentive compensation plan in addition to the base salary. Compensation for executive management includes performance appraisal completed by the President/CEO or their direct supervisors. Employees are eligible for annual inflationary increase to their base salary. The percentage is based upon the approved annual budget or other board approved changes. ND Long Term Care salary surveys are reviewed and adjustments are made to base salaries if the survey demonstrates underpayment compared to like sized organizations. Form 990, Part VI, Section C, Line 18 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. 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 Sk Nursing Fac, Asst Liv, Basic Care 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 Valley Homes and Services q 1530703 Actual expense - Direct Costs or Allocated 4000 Valley Square Inc q 970433 Actual expenses-Direct Cost or Allocated Schedule R, Part V, Line 2 The amounts involved in transaction "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 upon allocation methodologies prescribed by the ND Department of Human Services.