2013-05-01T13:06:59-05:00 2012-09-30 450250958 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2011-10-01 410721640 Eventide EVEN 2182337508 1405 7th Street South Moorhead MN 56560 Jon Riewer 2182337508 2013-04-24 1 LISA CHAFFEE CPA P00193453 7012398500 2013-04-24 2011 2016-02-25 16:41:14Z Jon Riewer 1405 7th Street South Moorhead MN 56560 40504789 0 X www.eventide.org X 1951 MN Eventide's primary exempt purpose is to sponsor, encourage, promote, and advance the delivery of health care and the activities of health care institutions and the betterment of health care. 15 15 1314 274 207471 -10891 103131 66516 38896696 39804719 141510 145106 40633 13617 39181970 40029958 9738 16250 0 0 21895077 22328233 0 0 2694 15129515 14871818 37034330 37216301 2147640 2813657 43673581 46030380 28329962 27663122 15343619 18367258 X To enhance the quality of life for those we serve reflecting our Christian values. 0 0 11568806 16250 16251329 Eventide Lutheran Home of Moorhead operated a 195-bed nursing facility. The occupancy percentage for the year was 97.10%. 9690701 11008903 Eventide at Hi Acres operated a 142-bed nursing home. The occupancy percentage for the year was 92.69%. 5522051 6564188 Eventide Sheyenne Crossings Care Center operated a 64-bed nursing home. The occupancy percentage for the year was 96.82%. 848099 1384247 Eventide Catered Living operated a 53-unit elderly housing facility. The occupancy percentage for the year was 98.17%. 1846534 2616897 Eventide, The Fairmont, operated a 96-unit elderly housing facility. The occupancy percentage for the year was 88.50%. 1270993 1771684 Eventide Linden Tree operated a 66-unit assisted living facility. The occupancy percentage for the year was 95.48%. 3965626 5772828 30747184 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 26 0 1 1314 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X Wade Stubson 2182912216 2405 8th St S Suite A Moorhead MN 56560 X Duane Nelson 0.30 X X 0 0 0 Marge Aakre 0.30 X X 0 0 0 Don Stieha 0.30 X X 0 0 0 Leann Wright 0.30 X X 0 0 0 Peter Seljevold 0.30 X X 0 0 0 Don Dale 0.30 X 0 0 0 Dennis Edwards 0.30 X 0 0 0 Karla Swenson 0.30 X 0 0 0 Linda Ekre 0.30 X 0 0 0 Anne Brakke 0.30 X 0 0 0 Herb Dahlsad 0.30 X 0 0 0 Don Pingree 0.30 X 0 0 0 Phil Felde 0.30 X 0 0 0 Sally Tanner 0.30 X 0 0 0 Vern Nolting 0.30 X 0 0 0 Jon Riewer 40.00 X 201919 0 12455 Wade Stubson 40.00 X 142440 0 11720 Sandra Petterson 40.00 X 126083 0 12340 Melissa Heesch 40.00 X 129814 0 11023 Gary Riffe 40.00 X 110632 0 7918 Natasha Maier 40.00 X 103742 0 5049 814630 0 60505 6 0 1 0 RehabCare Group Inc Contract Therapy Division PO Box 5 St Louis MO 631503534 Therapy 1563428 1 66516 2139 66516 Resident Services 623000 36986975 36986975 Management Fees 561000 2110928 2110928 Catering 722320 408712 201241 207471 Other Income 900099 298104 298104 39804719 143272 143272 456019 9874 451798 12261 4221 -2387 1834 1834 24389 10772 13617 13617 40029958 39597248 207471 158723 16250 16250 373227 373227 18502711 16615379 1887332 131488 118076 13412 1934942 1737572 197370 1385865 1221764 164101 1885553 1885553 14956 14956 60000 60000 27276 27276 2416069 2389193 26876 123139 500 122639 3325748 2398813 926935 35179 35179 1187713 1187713 69587 3119 66468 66959 66959 1346566 1346566 2367965 2365271 2694 244998 244998 Medical Supplies 742403 742403 Licenses & Permits 571366 571366 Bad Debt Expense 117955 117955 Community Relations 10794 10794 257592 241612 15980 37216301 30747184 6466423 2694 4279960 6272537 2688336 2388123 125837 107648 181449 141945 53153325 22053873 31206410 31099452 2976876 4294441 1106000 1106000 1108713 620234 43673581 46030380 2212195 2555019 19832326 19013140 218211 217621 6021798 5834400 45432 42942 28329962 27663122 X 14885758 17793950 331668 437951 126193 135357 15343619 18367258 43673581 46030380 X 2813657 209982 X 0 1 1 X 0 X 212424 71809 84107 103131 66516 537987 17752724 18703835 23441164 38711669 39621637 138231029 17965148 18775644 23525271 38814800 39688153 138769016 0 0 0 138769016 191811 102210 130513 140577 143272 708383 5186 4778 9964 191811 102210 135699 145355 143272 718347 18156959 18877854 23660970 38960155 39831425 139487363 0.99490 0.99190 0.00510 0.00810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 632989 41873 73574 748436 584805 40000 8184 632989 575487 9318 584805 553365 6133 22122 6133 575487 0.23400 0.18090 0.58510 0 0 190340 956972 1147312 38324175 17126550 21197625 7849987 4898808 2951179 5831851 28515 5803336 31099452 Annuities Payable 42942 42942 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. Description of Intended Use of Endowment Funds: Part V, Line 4: Provide a permanent source of income for operations, chaplaincy and volunteer operating purposes. Description of Uncertain Tax Positions Under FIN 48: Part X: 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 at Hi-Acres is organized as a North Dakota nonprofit and derives its 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 at Hi-Acres and Sheyenne Care Center 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. The Organization has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization believes that it 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 liabilities in income tax expense if such interest and penalties are incurred. Art Auction 24389 24389 7672 3100 24389 24389 7672 3100 10772 13617 1 Scholarships 7 16250 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The Organization requires written receipts of the expenditure of the scholarship for education purposes. X X X 0 0 0 0 0 0 0 0 0 Jon Riewer 201919 0 0 0 0 0 4124 0 11042 0 217085 0 0 0 Wade Stubson 142440 0 0 0 0 0 2915 0 10788 0 156143 0 0 0 Moorhead Economic Development Authority 411671510 616151DS2 2006-11-30 7488591 Refund bonds issued 5/13/1999 0 0 0 Moorhead Economic Development Authority 411671510 616151EF9 2007-01-17 4350000 Refund bonds issued 5/13/1998 0 0 0 Clay County Minnesota 416005575 2006-12-01 2039402 Acquire land for expansion 0 0 0 Moorhead Economic Development Authority 411671510 2008-12-30 8790000 Construction of facility for Sheyenne Crossings 0 0 0 1100000 7488591 149800 7338791 2006 1 0 1 1 1795000 4350000 62332 4287668 2007 1 0 1 1 2039402 39402 2000000 2006 0 0 1 1 8790000 279906 125000 8385094 2010 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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. 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 11 The CFO and Controller 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 and 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 October 2011. The comparability study considers the region, total revenue and FTE's. The market adjustment took effect in fiscal year beginning October 1, 2011. The last review done was in October 2011. 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. Average Hours per week Form 990, Part VII The President and CFO of Eventide also serve as the President and CFO of related organizations Eventide Senior Living Communities, LLC, and Eventide Living Center. The 40 hours per week being reported in Part VII represent the total average hours per week that they dedicate to all three entities. The entities do not currently have a method of allocation of their time between the three entities. In addition, the Board of Directors of Eventide also serves as the Board of Directors of related organizations Eventide Senior Living Communities, LLC, and Eventide Living Center. The 0.3 hours per week being reported in Part VII for each board member represent the total average hours per week that they dedicate to Eventide only. They currently dedicate approximately 0.3 hours per week to each of the three entities. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 209,982. Eventide Jamestown LLC dba Hi Acres 1405 7th Street South Moorhead MN 56560 Senior Living Community MN 11009140 6416858 N/A Eventide Senior Living Communities LLC dba Sheyenne Crossings 1405 7th Street South Moorhead MN 56560 204531061 Senior Living Community MN 501(c)(3) 9 Eventide 1 Eventide Living Center 1405 7th Street South Moorhead MN 56560 411486796 HUD Elderly Housing MN 501(c)(3) 9 Eventide 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 Eventide Living Center P 63010 Accrual Sheyenne Crossings P 1863362 Accrual