BEULAH COMMUNITY NURSING HOME: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BEULAH COMMUNITY NURSING HOME (EIN 45-0277390)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-21
- IRS object ID
- 201240819349300419
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-21T11:45:22-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1914 | AddressLine1 |
| City | BISMARCK | City |
| State | ND | State |
| ZIP Code | 58502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450277390 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEULAH COMMUNITY NURSING HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BEUL | NameControl |
| Phone | 7018734322 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 22ND ST NE | AddressLine1 |
| City | BEULAH | City |
| State | ND | State |
| ZIP Code | 58523 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEITH GENDREAU | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 7018734322 | Phone |
| Date Signed | 2012-03-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA CHAFFEE CPA | Name |
| Phone | 7012551091 | Phone |
| Date Prepared | 2012-03-01 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNIFE RIVER CARE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEITH GENDREAU | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 22ND ST NE | AddressLine1 |
| City | BEULAH | City |
| State | ND | State |
| ZIP Code | 58523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7270694 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.KRCC-ND.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | DEDICATED TO PROVIDING THE BEST NURSING HOME FACILITY FOR OUR RESIDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 213 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 136749 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 41261 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7084102 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7211669 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -237331 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12764 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6983520 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7265694 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4509693 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4664049 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2862415 | OtherExpensePriorYear |
| Other Expenses Current Year | 3016049 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7372108 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7680098 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -388588 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -414404 | RevenuesLessExpensesCY |
| Total Assets BOY | 12156695 | TotalAssetsBOY |
| Total Assets EOY | 11626630 | TotalAssetsEOY |
| Total Liabilities BOY | 10974388 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10878085 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1182307 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 748545 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE BEULAH COMMUNITY NURSING HOME (DBA KNIFE RIVER CARE CENTER) IS DEDICATED TO PROVIDING THE BEST NURSING HOME FACILITY FOR OUR PRESENT AND FUTURE RESIDENTS AND TO SAFEGUARD AND PRESERVE THE DIGNITY OF THE RESIDENTS AND THEIR FAMILIES WITHOUT DISCRIMINATION. EXCELLENCE IS OUR STANDARD AND WE WILL MAKE EVERY EFFORT TO ALWAYS PROVIDE THE TOOLS AND SUPPORT THE ASSOCIATES NEED TO DO THEIR JOBS. OUR AIM IS TO PERSIST ON BEING BETTER TOMORROW AND EVERY DAY THEREAFTER. LEADING THE WAY TO A NEW CULTURE CHANGE, WE WILL WORK BOLDLY TO BECOME A WORLD-CLASS ORGANIZATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7034130 | Expense |
| Revenue | 7211669 | Revenue |
| Description | BEULAH COMMUNITY NURSING HOME, D/B/A KNIFE RIVER CARE CENTER, IS A LICENSED 86-BED LONG TERM CARE NURSING FACILITY, WHICH PROVIDES SKILLED NURSING CARE TO THE ELDERLY IN THE BEULAH, NORTH DAKOTA AREA. THE FACILITY ALSO PROVIDES A VARIETY OF SERVICES, WHICH INCLUDE, BUT ARE NOT LIMITED TO, I.V. THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, TUBE FEEDINGS, TRACHEOTOMY CARE, AND WOUND CARE. THE FACILITY PROVIDES 24-HOUR SERVICES OF A LICENSED SOCIAL WORKER IN ORDER TO MEET THE VARYING PSYCHOSOCIAL NEEDS OF ALL RESIDENTS. KNIFE RIVER CARE CENTER IS A PARTICIPANT IN THE STATE AND FEDERAL MEDICARE AND MEDICAID PROGRAMS. ALL COSTS INCURRED FOR THE FISCAL YEAR WERE RELATED TO PROVIDING THE NECESSARY SERVICES TO THOSE INDIVIDUALS WHO REQUIRED THE SUPPORT OF A LONG TERM CARE FACILITY. | Description |
| Total Program Service Expense | 7034130 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 213 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINDA CZYWCZYNSKI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7018734322 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 22ND ST NE | AddressLine1 |
| City | BEULAH | City |
| State | ND | State |
| ZIP Code | 58523 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| FRED STERN | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| WAYNE HOFFNER THROUGH 1010 | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| BRUCE SCHMIDT | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| DARRELL KELSCH THROUGH 710 | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| MARY LOU HORNING | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| ARNOLD MUND | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DENA KEMMET | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DALE GILJE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MICHELLE ANDERSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KEITH GENDREAU | ||||||
| ADMINISTRATOR | 40.00 | X | 85096 | 0 | 9460 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 85096 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 9460 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 41261 | AllOtherContributions |
| Total Contributions | 41261 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERV. REVENUE | 623000 | 7145758 | 7145758 |
| OTHER PROGRAM SERVICE | 623000 | 65911 | 65911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7211669 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12764 | TotalRevenueColumn |
| Exclusion | $12,764 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7265694 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7211669 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,764 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115678 | Total |
| Program Services | 11568 | ProgramServices |
| Management And General | 104110 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3876541 | Total |
| Program Services | 3636948 | ProgramServices |
| Management And General | 239593 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140861 | Total |
| Program Services | 128566 | ProgramServices |
| Management And General | 12295 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238817 | Total |
| Program Services | 164093 | ProgramServices |
| Management And General | 74724 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292152 | Total |
| Program Services | 266015 | ProgramServices |
| Management And General | 26137 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5537 | Total |
| Management And General | 5537 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25216 | Total |
| Management And General | 25216 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1845 | Total |
| Program Services | 1845 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457168 | Total |
| Program Services | 457168 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7994 | Total |
| Management And General | 7994 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 360132 | Total |
| Program Services | 278546 | ProgramServices |
| Management And General | 81586 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25470 | Total |
| Management And General | 25470 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337916 | Total |
| Program Services | 337916 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5650 | Total |
| Program Services | 801 | ProgramServices |
| Management And General | 4849 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34544 | Total |
| Program Services | 16238 | ProgramServices |
| Management And General | 18306 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552191 | Total |
| Program Services | 552191 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 649567 | Total |
| Program Services | 649567 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59206 | Total |
| Program Services | 59206 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| FOOD & DIETARY | 218451 | 218451 |
| REPAIRS & MAINTENANCE | 91190 | 91190 |
| MEDICAL & PHARMACEY | 86691 | 86691 |
| BAD DEBT | 65115 | 65115 |
| OTHER RESIDENT EXPENSES | 11713 | 11713 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20453 | Total |
| Program Services | 302 | ProgramServices |
| Management And General | 20151 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7680098 | Total |
| Program Services | 7034130 | ProgramServices |
| Management And General | 645968 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
| EOY | 200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12433 | BOY |
| EOY | 33886 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719905 | BOY |
| EOY | 709980 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27717 | BOY |
| EOY | 30621 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18539 | BOY |
| EOY | 39435 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12076825 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2307398 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10322512 | BOY |
| EOY | 9769427 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 563275 | BOY |
| EOY | 543917 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 492114 | BOY |
| EOY | 499164 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12156695 | BOY |
| EOY | 11626630 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 763640 | BOY |
| EOY | 657961 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10211 | BOY |
| EOY | 36052 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8953324 | BOY |
| EOY | 8804927 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41017 | BOY |
| EOY | 44837 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1206196 | BOY |
| EOY | 1334308 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10974388 | BOY |
| EOY | 10878085 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619032 | BOY |
| EOY | 204628 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 563275 | BOY |
| EOY | 543917 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1182307 | BOY |
| EOY | 748545 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12156695 | BOY |
| EOY | 11626630 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -414404 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -19358 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 415304 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 629221 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 58685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 111878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41261 | CurrentTaxYear |
| Total | 1256349 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 415304 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 629221 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 58685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 111878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41261 | CurrentTaxYear |
| Total | 1256349 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 74683 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1181666 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7476 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17555 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10454 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5169 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12764 | CurrentTaxYear |
| Total | 53418 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1309767 | TotalSupport |
| Gross Receipts From Admissions Etc | 30852301 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.90220 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.92830 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49707 | OtherCostOrOtherBasis |
| Book Value | 49707 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5490576 | OtherCostOrOtherBasis |
| Depreciation | 740983 | Depreciation |
| Book Value | 4749593 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 485588 | OtherCostOrOtherBasis |
| Depreciation | 87085 | Depreciation |
| Book Value | 398503 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6050954 | OtherCostOrOtherBasis |
| Depreciation | 1479330 | Depreciation |
| Book Value | 4571624 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9769427 | TotalOfBookValueLandBuildings |
| Total Revenue | 7265694 | TotalRevenue |
| Total Expenses | 7680098 | TotalExpenses |
| Excess Or Deficit For Year | -414404 | ExcessOrDeficitForYear |
| Other | -$19,358 | OtherAmount |
| Total Adjustments | -19358 | TotalAdjustments |
| Excess Or Deficit Per FS | -433762 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7224607 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 7224607 | RevenueSubtotal |
| Other Revenues Not Included | 41087 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 41087 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7265694 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7680098 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7680098 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7680098 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE CARE CENTER ACTS AS CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. THESE FUNDS ARE INCLUDED IN CASH AND ACCOUNTS PAYABLE IN THE FINANCIAL STATEMENTS. THE CARE CENTER ALSO ACTS AS CUSTODIAN FOR THE EMPLOYEE'S CHRISTMAS CLUB FUND AND THE FRIENDS CLUB. PARTICIPATING EMPLOYEES AUTHORIZE THE CARE CENTER TO WITHHOLD FUNDS FROM THE PAYCHECK WHICH ARE DEPOSITED INTO A FUND ADMINISTERED BY THE CARE CENTER. THESE FUNDS ARE INCLUDED IN CASH AND ACCRUED EXPENSES IN THE FINANCIAL STATEMENTS. THE FUNDS ARE DISTRIBUTED TO PARTICIPATING EMPLOYEES IN NOVEMBER EACH YEAR. | |
| PART X: | THE CARE CENTER UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THESE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES, AS DEFINED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE CARE CENTER BELIEVES THEY ARE COMPLIANT WITH ALL IRS TAX REGULATIONS AND AS OF BOTH THE DATE OF ADOPTION, AND AS OF JUNE 30, 2011, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| CHANGE IN INTEREST IN ASSETS OF FOUNDATION -19,358. | PART XI, LINE 8 - OTHER ADJUSTMENTS: | |
| CONTRIBUTIONS TRANSFERRED FROM FOUNDATION 41,087. | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF BEULAH NORTH DAKOTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 450276796 | IssuerEIN |
| Date Issued | 2006-04-06 | DateIssued |
| Issue Price | 9230000 | IssuePrice |
| Description Of Purpose | KNIFE RIVER CARE CENTER NEW FACILITY PROJECT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 9230000 | TotalProceeds |
| Refunding Escrow | 9230000 | RefundingEscrow |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | WAYNE HOFFNER AND MARY LOU HORNING HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP: THE MEMBERSHIP OF KNIFE RIVER CARE CENTER (KRCC) SHALL BE ALL PERSONS OVER THE AGE OF 18 WHO ARE RESIDING WITHIN MERCER COUNTY AND ADJACENT COUNTIES IN NORTH DAKOTA, AND FAMILY MEMBERS OF RESIDENTS WHO ARE WILLING TO ASSIST THE BOARD OF DIRECTORS AND OFFICERS OF KRCC IN THE OPERATION OF KRCC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBER VOTING RIGHTS: THE MEMBERS OF THE ORGANIZATION VOTE YEARLY TO ELECT THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 8B | COMMITTEES - THERE ARE NO COMMITTEES IN PLACE THAT MAY ACT ON BEHALF OF THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 REVIEW: UPON RECEIPT OF THE DRAFT FORM 990. THE ORGANIZATION WILL FORWARD THE DRAFT TO THE BOARD MEMBERS FOR THEIR REVIEW AND COMMENT. | |
| PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER KNIFE RIVER CARE CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN KNIFE RIVER CARE CENTER'S BEST INTEREST AND FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO KNIFE RIVER CARE CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OR INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| ADMINISTRATOR COMPENSATION IS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD USES COMPARABLE DATA FROM THE NORTH DAKOTA LONG TERM CARE ASSOCIATION IN DETERMINING THE AMOUNT OF SALARY TO BE PROVIDED. THE DELIBERATION AND DECISION IS DOCUMENTED IN THE BOARD MEETING MINUTES. THIS PROCESS IS DONE ANNUALLY AND WAS LAST COMPLETED IN OCTOBER OF 2010. THIS SAME POLICY WOULD BE USED WITH ANY OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. AT THE TIME OF FILING, THE ADMINISTATOR SERVES AS BOTH THE TOP FINANCIAL OFFICIAL AND THE TOP MANAGEMENT OFFICIAL WITHIN THE ORGANIZATION. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE IF SPECIFICALLY REQUESTED. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | CHANGE IN INTEREST IN ASSETS OF FOUNDATION -19,358. TOTAL TO FORM 990, PART XI, LINE 5: -19,358. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNIFE RIVER CARE CENTER FRIENDS CLUB | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 22ND ST NE | AddressLine1 |
| City | BEULAH | City |
| State | ND | State |
| ZIP Code | 58523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450277390 | EIN |
| Primary Activities | STAFF SPECIAL EVENTS | PrimaryActivities |
| Legal Domicile State | ND | LegalDomicileState |
| Total Income | 5752 | TotalIncome |
| EOY Assets | 8380 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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