VALLEY SENIOR LIVING: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
VALLEY SENIOR LIVING (EIN 45-0448164)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-07
IRS object ID
201443169349304959
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-11-07T09:47:32-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450448164EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY MEMORIAL HOMESBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone7017877912PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12900 14th Ave SAddressLine1
CityGrand ForksCity
StateNDState
ZIP Code58201ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGarth RydlandPersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone7017877905PhoneNum
Signature2014-11-07SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGarth RydlandPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12900 14th Ave SAddressLine1
CityGrand ForksCity
StateNDState
ZIP Code58201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,406,011GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.valleymemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionTo provide management, nursing, chaplaincy and other support services to related healthcare entities.ActivityOrMissionDesc
Voting Members Governing Body34VotingMembersGoverningBodyCnt
Voting Members Independent33VotingMembersIndependentCnt
Total Employee938TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,243,601PYProgramServiceRevenueAmt
CY Program Service Revenue$2,406,011CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,243,601PYTotalRevenueAmt
CY Total Revenue$2,406,011CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,651,508PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,756,622CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$592,093PYOtherExpensesAmt
CY Other Expenses$649,389CYOtherExpensesAmt
PY Total Expenses$2,243,601PYTotalExpensesAmt
CY Total Expenses$2,406,011CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$547,695TotalAssetsBOYAmt
Total Assets EOY$663,826TotalAssetsEOYAmt
Total Liabilities BOY$530,265TotalLiabilitiesBOYAmt
Total Liabilities EOY$646,396TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,430NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,430NetAssetsOrFundBalancesEOYAmt
MissionValley Memorial Homes provides compassionate care and service from a Christian perspective to enhance the quality of life for those we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,085,576ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescManagement 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$170,699ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescSkilled Nursing Facility Support Services including Nursing-Admissions and Medical Records for up to 330 skilled residents a day.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$149,736ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescChaplaincy services provided to related long term care facilities: skilled nursing, assisted living and basic care.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,406,011TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee938EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members34GoverningBodyVotingMembersCnt
Independent Voting Member33IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLorilee BottPersonNm
Phone7017877912PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12900 14th Ave SAddressLine1
CityGrand ForksCity
StateNDState
ZIP Code58201ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Olive Weber
Director00Yes (X)$0$0$0
Arvin Kvasager
Director00Yes (X)$0$0$0
Eunice Vold
Director00Yes (X)$0$0$0
Sheryl Cariveau
Director00Yes (X)$0$0$0
Marlys Kennedy
Director00Yes (X)$0$0$0
Jeff Awes
Director00Yes (X)$0$0$0
Dorothy Johnson
Director00Yes (X)$0$0$0
Arlet Phillips
Director00Yes (X)$0$0$0
Gary Masilko
Director00Yes (X)$0$0$0
Milt Kinzler
Director00Yes (X)$0$0$0
Donna Frohlich
Director00Yes (X)$0$0$0
Elizabeth York
Director00Yes (X)$0$0$0
Susan Larson
Director00Yes (X)$0$0$0
Marlyce Ballingrud
Director00Yes (X)$0$0$0
Gerry Eggers
Director00Yes (X)$0$0$0
Diane Lindseth
Director00Yes (X)$0$0$0
Lawrence Heuchert
Director00Yes (X)$0$0$0
Roger Stadstad
Director00Yes (X)$0$0$0
Sharon Bakke
Director00Yes (X)$0$0$0
Sharon Gustafson
Director00Yes (X)$0$0$0
Susan Kuster
Director00Yes (X)$0$0$0
Ron Holte
Director00Yes (X)$0$0$0
Jacky Jones
Director00Yes (X)$0$0$0
Iola Kvasager
Director00Yes (X)$0$0$0
Charles Johnson
Director00Yes (X)$0$0$0
Muriel Stadstad
Director00Yes (X)$0$0$0
John Halstenson
Director00Yes (X)$0$0$0
Clark Piepkorn
Director00Yes (X)$0$0$0
Kevin Beito
Chair00Yes (X)$0$0$0Yes (X)
Bruce Newhouse
Vice Chair00Yes (X)$0$0$0Yes (X)
Michael Porter
Treasurer00Yes (X)$0$0$0Yes (X)
Dawn Botsford
Board Secretary00Yes (X)$0$0$0Yes (X)
Greg Hanson
President/CEO400Yes (X)$189,866$0$23,446Yes (X)
Garth Rydland
Administrator-Woodside Village & President/CEO400Yes (X)$0$119,581$12,913Yes (X)
Lorilee Bott
CFO00$122,963$0$7,767Yes (X)
Nancy Andrews
Executive Director of Housing and Assisted Living400$101,411$0$11,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$414,240TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$119,581TotReportableCompRltdOrgAmt
Total Other Compensation$55,926TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2
Altru Health Systems
PO Box 13780Grand ForksND58201Contracted Therapies and Chaplaincy Service for Valley Homes and Services and 4000 Valley Square Inc$1,148,516
Industrical Contract Services
PO Box 13158Grand ForksND582083158General Contractor - construction/remodeling$513,822
C&R Laundry
1010 N 5th StreetGrand ForksND58201Laundry Purchased Services for Valley Homes and Services and 4000 Valley Square Inc$343,255
Networking Specialists
2397 Demers AveGrand ForksND58201IT - Managed Services, Support and Equipment$245,778Suite D
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,406,011TotalRevenueColumnAmt
Related Or Exempt Func Income$2,406,011RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,406,011TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,406,011TotalRevenueColumnAmt
Related Or Exempt Func Income$2,406,011RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$414,240TotalAmt
Program Services$414,240ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,022,613TotalAmt
Program Services$1,022,613ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$72,436TotalAmt
Program Services$72,436ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$137,199TotalAmt
Program Services$137,199ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$110,134TotalAmt
Program Services$110,134ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,625TotalAmt
Program Services$7,625ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,562TotalAmt
Program Services$25,562ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,648TotalAmt
Program Services$39,648ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,445TotalAmt
Program Services$43,445ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,373TotalAmt
Program Services$27,373ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,101TotalAmt
Program Services$9,101ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,046TotalAmt
Program Services$15,046ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,219TotalAmt
Program Services$3,219ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,589TotalAmt
Program Services$55,589ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,087TotalAmt
Program Services$23,087ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Purch Serv-Chap, IT MR, Adm$258,731$258,731$0$0
Repairs/Maintence/Fuel - Trans$29,892$29,892$0$0
Dues, subscr, empl exp$65,877$65,877$0$0
Other Supplies-Trans, Chap, MR$7,864$7,864$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,330TotalAmt
Program Services$37,330ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,406,011TotalAmt
Program Services$2,406,011ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$304,049BOYAmt
EOY$325,754EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,977BOYAmt
EOY$2,662EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$399BOYAmt
EOY$399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,512BOYAmt
EOY$111,083EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$734,932LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$571,119LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$153,585BOYAmt
EOY$163,813EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,173BOYAmt
EOY$60,115EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$547,695BOYAmt
EOY$663,826EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$392,361BOYAmt
EOY$257,361EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,904BOYAmt
EOY$389,035EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$530,265BOYAmt
EOY$646,396EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,430BOYAmt
EOY$17,430EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,430BOYAmt
EOY$17,430EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$547,695BOYAmt
EOY$663,826EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndUS OrganizedUSOrganizedIndSupportSupportAmt
Valley Memorial Foundation
450392710Line 7Yes (1)Yes (1)$0
Valley Homes and Services
450229071Line 9Yes (1)Yes (1)$1,484,993
4000 Valley Square Inc
311558826Line 9Yes (1)Yes (1)$921,018
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$2,406,011SupportSumAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$734,932OtherCostOrOtherBasisAmt
Depreciation$571,119DepreciationAmt
Book Value$163,813BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,813TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
Desc457b PlanDesc
Book Value$60,115BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$60,115TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
457b Plan$60,115
Note Payable$76,110
Intercompany Payable$252,810
FieldValueIRS element (for citing)
Total Liability$389,035TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 1FormAndLineReferenceDesc
ExplanationOther liabilities include Vehicle Loans, 457 B Plan, and Intercompany Payable. 4000 Valley Square and Valley Homes and Services transferred money prior to 6/30/2014 to cover related expenses that were processed after 7/1/2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGreg HansonPersonNm
TitlePresident/CEOTitleTxt
Base Compensation Filing Org$185,066BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$4,800OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$11,749DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$11,697NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$213,312TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$8,413CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3Compensation is determined by the compensation committee. Base salary is evaluated by comparison to others of similar size and function.
Schedule J, Part I, Line 4Valley Memorial Homes participated in a 457B Plan. employee contribution/deductions $9668, Employer contributions $7832.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 9Kevin Beito, 1328 21st St NW, East Grand Forks, MN 56721; Bruce Newhouse, 27093 350th Ave SW, Fisher, MN 56723; Dawn Botsford, 707 Reeves Drive, Grand Forks, ND 58201; Michael Porter, 6100 Kings View Dr #105, Grand Forks, ND 58201; John Halstenson, 2300 Library Circle, Grand Forks, ND 58201; Charles Johnson, 3008 Legend Lane, Grand Forks, ND 58201; Muriel Stadstad, 1774 22nd Ave NE, Grand Forks, ND 58203; Clark Piepkorn, 3021 Olson Dr, Grand Forks, ND 58201; Dorothy Johnson, PO Box 248, Emerado, ND 58228; Marlyce Ballingrud, 423 N 3rd St, Grand Forks, ND 58203; Elizabeth York, 175 Columbia Rd, Grand Forks, ND 58203; Jeff Awes, 1025 Cottonwood St, Grand Forks, ND 58201; Arlet Philips, 21512 400th Ave SW, East Grand Forks, MN 56721; Donna Frohlich, 1135 McKinley Ave, Grand Forks, ND 58201; Susan Larson, 867 7th Ave NE, Thompson, ND 58278; Diane Lindseth, 1736 9th Ave NE, Thompson, ND 58278; 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; Gerry Eggers, 14 James Circle SE, East Grand Forks, MN 56721; Lawrence Heuchert, 2230 7th Ave N, Grand Forks, ND 58203; Olive Weber, 4634 Belmount 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 Drive, 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 9th Ave N, Grand Forks, ND 58203
Form 990, Part VI, Section B, Line 11bThe 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 metting held the first Thursday of 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 12cThe 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 15The President/CEO's compensation is determined as follows. The compensation committee reviews the ND Long Term Care Association's state compensation each year to assess how Valley Memorials' CEO's salary compares with other 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 the 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 operations.
Form 990, Part VI, Section C, Line 19Valley 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Valley Homes and Services
2900 14th Ave SGrand ForksND58201450229071Sk Nursing Fac, Asst Liv, Basic CareND501 (c) 3Line 9N/A0
4000 Valley Square Inc
4000 24th Ave SGrand ForksND58201311558826Sk Nursing Fac, Asst Liv, & HousingND501 (c) 3Line 9N/A0
Valley Memorial Foundation
2900 14th Ave SGrand ForksND58201450392710Seek and accept gifts to support LTC facilitiesND501 (c) 3Line 7N/A0
Cherrywood Village
2900 14th Ave SGrand ForksND58201454276187Low Income Senior ApartmentsND501 (c) 3Line 9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Valley Homes and Services
q$1,484,993Actual expenses-Direct Costs or Allocated
4000 Valley Square Inc
q$921,018Actual expenses - Direct Cost or Allocated

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

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