EVENTIDE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
EVENTIDE (EIN 41-0721640)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-05
IRS object ID
201141259349301004
Schema version
2009v1.7
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)
Timestamp2011-05-05T09:13:53-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1
CityFARGOCity
StateNDState
ZIP Code581082545ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410721640EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EventideBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVENNameControl
Phone2182337508Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11405 7th Street SouthAddressLine1
CityMoorheadCity
StateMNState
ZIP Code56560ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJon RiewerName
TitlePresident/CEOTitle
Phone2182337508Phone
Date Signed2011-05-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLISA CHAFFEE CPAName
Phone7012398500Phone
Date Prepared2011-05-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJon RiewerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11405 7th Street SouthAddressLine1
CityMoorheadCity
StateMNState
ZIP Code56560ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24335240GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.eventide.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionEventide'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.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees783TotalNbrEmployees
Total Nbr Volunteers325TotalNbrVolunteers
Total Gross UBI251213TotalGrossUBI
Net Unrelated Business Txbl Income2927NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year71809ContributionsGrantsPriorYear
Contributions Grants Current Year84107ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18912951ProgramServiceRevenuePriorYear
Program Service Revenue CY23628724ProgramServiceRevenueCY
Investment Income Prior Year96325InvestmentIncomePriorYear
Investment Income Current Year139603InvestmentIncomeCurrentYear
Other Revenue Prior Year20221OtherRevenuePriorYear
Other Revenue Current Year41722OtherRevenueCurrentYear
Total Revenue Prior Year19101306TotalRevenuePriorYear
Total Revenue Current Year23894156TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17021GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11767083SalariesEtcPriorYear
Salaries Etc Current Year15448610SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3624TotalFundrsngExpCurrentYear
Other Expense Prior Year6283390OtherExpensePriorYear
Other Expenses Current Year7846492OtherExpensesCurrentYear
Total Expenses Prior Year18067473TotalExpensesPriorYear
Total Expenses Current Year23312123TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1033833RevenuesLessExpensesPriorYear
Revenues Less Expenses CY582033RevenuesLessExpensesCY
Total Assets BOY29762136TotalAssetsBOY
Total Assets EOY41868670TotalAssetsEOY
Total Liabilities BOY17205020TotalLiabilitiesBOY
Total Liabilities EOY28637978TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12557116NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13230692NetAssetsOrFundBalancesEOY
Mission DescriptionTo enhance the quality of life for those we serve reflecting our Christian values.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11307283Expense
Grants17021Grants
Revenue12990969Revenue
DescriptionEventide Lutheran Home of Moorhead operated a 195-bed nursing facility. The occupancy percentage for the year was 95.54%.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2259774Expense
Revenue2530775Revenue
DescriptionOn July 1, 2010 Eventide purchased Eventide at Hi Acres, a 142-bed nursing home.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2708496Expense
Revenue2344895Revenue
DescriptionOn March 17, 2010 Eventide opened Eventide Sheyenne Crossings Care Center, a 64-bed nursing home. The occupancy percentage for the partially year was 69.80%.Description

Activity Other ActivityOther (3 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
8160411233518Eventide Catered Living operated a 53-unit elderly housing facility. The occupancy percentage for the year was 93.14%
17976262521314Eventide, The Fairmont, operated a 96-unit elderly housing facility. The occupancy percentage for the year was 91.06%
12972991756040Eventide Linden Tree operated a 66-unit assisted living facility. The occupancy percentage for the year was 94.85%.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3910966TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev5510872TotalOfOtherProgramServiceRev
Total Program Service Expense20186519TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees783NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Wade StubsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2182912216TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12405 8th St SAddressLine1
CityMoorheadCity
StateMNState
ZIP Code56560ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Mary Skallerud
Chair0.30XX000
Marge Aakre
Past Chair0.30XX000
Duane Nelson
Vice Chair0.30XX000
Joy Bang
Secretary0.30XX000
Karla Swenson
Treasurer0.30XX000
Phil Seljevold
Fdtn/development council0.30XX000
Don Dale
Director0.30X000
Dennis Edwards
Director0.30X000
Cheryl Krabbenhoft
Director0.30X000
Linda Ekre
Director0.30X000
Joan Stenerson
Director0.30X000
Anne Brakke
Director0.30X000
Herb Dahlsad
Director0.30X000
Don Pingree
Director0.30X000
Phil Felde
Director0.30X000
Don Stieha
Director0.30X000
Peter Seljevold
Director0.30X000
Sally Tanner
Director0.30X000
Leann Wright
Director0.30X000
Jon Riewer
President/CEO40.00X195373014054
Wade Stubson
CFO40.00X125741019099
Sandra Pettersen
Exec Dir-Community Serv40.00121725016040X
Melissa Heesch
Executive Director40.00111931021035X
Randy Bach
Executive Director40.00104153020545X
FieldValueIRS element (for citing)
Total Reportable Comp From Org658923TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation90773TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Meinecke-Johnson Company
PO Box 2643FargoND581082643Capital Projects2162087
RehabCare Group Inc
PO Box 503534St LouisMO63150Rehab Services287249
Sanford Medical Center
PO Box 2168FargoND581082168Medical Services276859
MBA Developyment Company
505 Broadway NorthFargoND58102Capital Projects227503
Encompass Group LLC
PO Box 740209AtlantaGA30374Capital Projects202963
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions84107AllOtherContributions
Total Contributions84107TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Resident Services6230002274074022740740
Catering722320425394174181251213
Other Income900099259536259536
Management Fees561000203054203054
FieldValueIRS element (for citing)
Total Program Service Revenue23628724TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column130513TotalRevenueColumn
Exclusion$130,513ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other428243Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other419153Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other9090Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9090TotalRevenueColumn
Exclusion$9,090ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events63653GrossIncomeFundraisingEvents
Fundraising Direct Expenses21931FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column41722TotalRevenueColumn
Exclusion$41,722ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23894156TotalRevenueColumn
Related Or Exempt Function Income23377511RelatedOrExemptFunctionIncome
Unrelated Business Revenue251213UnrelatedBusinessRevenue
Exclusion$181,325ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total17021Total
Program Services17021ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total345193Total
Management And General345193ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12456753Total
Program Services11344741ProgramServices
Management And General1112012ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total88014Total
Program Services80157ProgramServices
Management And General7857ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1606646Total
Program Services1463221ProgramServices
Management And General143425ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total952004Total
Program Services845481ProgramServices
Management And General106523ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30480Total
Management And General30480ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30776Total
Management And General30776ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total26708Total
Management And General26708ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total914217Total
Program Services862643ProgramServices
Management And General51574ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total69897Total
Management And General69897ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2337442Total
Program Services1863906ProgramServices
Management And General473536ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total73111Total
Management And General73111ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total892524Total
Program Services892524ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total19684Total
Program Services905ProgramServices
Management And General18779ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total37190Total
Management And General37190ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total898398Total
Program Services898398ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1516452Total
Program Services1514182ProgramServices
Fundraising2270Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total182999Total
Program Services182999ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServicesFundraisingFundraising
Licenses & Permits570229570229
Bad Debt Expense176334176334
Miscellaneous667412273444007
Community Relations19561956
Fundraising13541354

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23312123Total
Program Services20186519ProgramServices
Management And General3121980ManagementAndGeneral
Fundraising3624Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1580285BOY
EOY948612EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1079017BOY
EOY2816608EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45772BOY
EOY124152EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75033BOY
EOY110705EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50089350LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17496407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21028934BOY
EOY32592943EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4793720BOY
EOY3197841EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY851000BOY
EOY1106000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY308375BOY
EOY971809EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29762136BOY
EOY41868670EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1156104BOY
EOY2153850EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14701223BOY
EOY20616506EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY213717EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY5520764EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1347693BOY
EOY133141EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17205020BOY
EOY28637978EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12156757BOY
EOY12821015EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY274166BOY
EOY283484EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY126193BOY
EOY126193EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12557116BOY
EOY13230692EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29762136BOY
EOY41868670EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years225931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years201469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212424CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71809CurrentTaxYearMinus1Year
Current Tax Year84107CurrentTaxYear
Total795740Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16229963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16933683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17752724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18703835CurrentTaxYearMinus1Year
Current Tax Year23441164CurrentTaxYear
Total93061369Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16455894CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17135152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17965148CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18775644CurrentTaxYearMinus1Year
Current Tax Year23525271CurrentTaxYear
Total93857109Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50993857109PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years467246CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years345850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years191811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102210CurrentTaxYearMinus1Year
Current Tax Year130513CurrentTaxYear
Total1237630Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27098CurrentTaxYearMinus3Years
Current Tax Year5186CurrentTaxYear
Total65806Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years500768CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years372948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years191811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102210CurrentTaxYearMinus1Year
Current Tax Year135699CurrentTaxYear
Total1303436Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16956662CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17508100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18156959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18877854CurrentTaxYearMinus1Year
Current Tax Year23660970CurrentTaxYear
Total95160545Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98630PublicSupportPercentage509
Prior Year Support Percentage0.98600PriorYearSupportPercentage
Investment Income Percentage0.01370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance575487BeginningOfYearBalance
Investment Earnings Or Losses9318InvestmentEarningsOrLosses
End Of Year Balance584805EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance553365BeginningOfYearBalance
Contributions6133Contributions
Investment Earnings Or Losses22122InvestmentEarningsOrLosses
Other Expenditures6133OtherExpenditures
End Of Year Balance575487EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.29950BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.21580PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.48470TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis193130InvestmentCostOrOtherBasis
Other Cost Or Other Basis785671OtherCostOrOtherBasis
Book Value978801BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis157329InvestmentCostOrOtherBasis
Other Cost Or Other Basis36690585OtherCostOrOtherBasis
Depreciation13579370Depreciation
Book Value23268544BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6943376OtherCostOrOtherBasis
Depreciation3898615Depreciation
Book Value3044761BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5319259OtherCostOrOtherBasis
Depreciation18422Depreciation
Book Value5300837BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32592943TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Annuities Payable$48,080
Construction and Retainage Payable$85,061
FieldValueIRS element (for citing)
Total Of Amounts133141TotalOfAmounts
Total Revenue23894156TotalRevenue
Total Expenses23312123TotalExpenses
Excess Or Deficit For Year582033ExcessOrDeficitForYear
Net Unrealized GL On Investments91543NetUnrealizedGLOnInvestments
Total Adjustments91543TotalAdjustments
Excess Or Deficit Per FS673576ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24007630TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments91543NetUnrealizedGainsInvestments
Revenue Not Rptd F99091543RevenueNotRptdF990
Revenue Subtotal23916087RevenueSubtotal
Other Revenues Not Included-21931OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-21931RevenueNotRptdOnFinStmt
Total Revenue Per Form99023894156TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23334054TotExpensesEtcAuditedFinclStmt
Other Expenses Included21931OtherExpensesIncluded
Expenses Not Rptd F99021931ExpensesNotRptdF990
Expenses Subtotal23312123ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023312123TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:The Organization holds security deposits from tenants which will be refunded subject to terms of their lease agreements. The Organization also is the trustee of various resident funds and has a fiduciary responsibility for the administration and distribution of these funds for the residents. These funds are held in separate deposit accounts.
Part V, Line 4:Provide a permanent source of income for operations, chaplaincy and volunteer operating purposes.Description of Intended Use of Endowment Funds:
Part X:Eventide is organized as a Minnesota nonprofit organization and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Eventide Jamestown, LLC is organized as a North Dakota nonprofit and derives its federal tax exempt status from Eventides nonprofit tax exempt determination. The Organization 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 the accounting principles generally accepted in the United States of America. The Organization believes that it is compliant with all IRS tax regulations and as of September 30, 2010 has not recorded a tax liability for a tax uncertainty. The Organization will recognize future interest and penalties related to unrecognized tax liabilities in income tax expense if incurred. Under normal circumstances, the Organization is no longer subject to Federal and state tax examinations by tax authorities for years before 2007.Description of Uncertain Tax Positions Under FIN 48:
Part XII, Line 4b - Other Adjustments:Special events golf expenses: -21931.
Part XIII, Line 2d - Other Adjustments:Special events golf expenses: 21931.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event127560GrossReceiptsEvent1
Gross Revenue Event127560GrossRevenueEvent1
Non Cash Prizes Event1609NonCashPrizesEvent1
Rent Facility Costs Event15675RentFacilityCostsEvent1
Food And Beverage Event13395FoodAndBeverageEvent1
Other Direct Expenses Event1372OtherDirectExpensesEvent1
Name Of Event2Art AuctionNameOfEvent2
Gross Receipts Event236093GrossReceiptsEvent2
Gross Revenue Event236093GrossRevenueEvent2
Non Cash Prizes Event25029NonCashPrizesEvent2
Rent Facility Costs Event26051RentFacilityCostsEvent2
Entertainment Event2800EntertainmentEvent2
Gross Receipts Total63653GrossReceiptsTotal
Gross Revenue Total Events63653GrossRevenueTotalEvents
Non Cash Prizes Total Events5638NonCashPrizesTotalEvents
Rent Facility Costs Total Events11726RentFacilityCostsTotalEvents
Food And Beverage Total Events3395FoodAndBeverageTotalEvents
Entertainment Total Events800EntertainmentTotalEvents
Other Direct Expenses Total Events372OtherDirectExpensesTotalEvents
Direct Expense Summary Events21931DirectExpenseSummaryEvents
Net Income Summary41722NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant17021AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The Organization requires written receipts of the expenditure of the scholarship for education purposes.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jon RiewerBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org195373BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org3970DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org12664NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org212007TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Moorhead Economic Development Authority
411671510616151DS22006-11-307488591Refund 1999 Bonds00
Moorhead Economic Development Authority
411671510616151EF92007-01-174350000Refund 1998 Bonds00
Clay County Minnesota
4160055752006-12-012039402MN Rev Note Series 200600
Moorhead Economic Development Authority
4116715102008-12-308790000Construction of facility for Sheyenne Crossings00

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresAmount In Reserve FundAmountInReserveFund
7488591733879114980020061011
435000042876686233220071011
203940239402200600112000000
879000012500020100011857299592005

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000000
000000.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
010000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 1There is an Executive Committee that has the power to act on behalf of the entire Board of Directors. This board is made up of 7 board members, the President, and the CFO.
Form 990, Part VI, Section A, line 6Members consist of churches and other organizations. There is only one class of membership.
Form 990, Part VI, Section A, line 7aDelegates 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 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 11The 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 12cManagement level 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 15aAn annual evaluation of the CEO is done by the Executive Committee team. A comparability study was done in October 2010. The market adjustment took effect in fiscal year beginning October 1, 2010. The last review done was in October 2010.
Form 990, Part VI, Section C, line 19All three documents are available upon request.
Form 990, Part VIIThe 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.Average Hours per week

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Eventide Jamestown LLC dba Hi AcresBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11405 7th Street SouthAddressLine1
CityMoorheadCity
StateMNState
ZIP Code56560ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesSenior Living CommunityPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income2931162TotalIncome
EOY Assets7108522EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Eventide Senior Living Communities LLC dba Sheyenne Crossings
1405 7th Street SouthMoorheadMN56560204531061Senior Living CommunityMN501(c)(3)9N/A
Eventide Living Center
1405 7th Street SouthMoorheadMN56560411486796HUD Elderly HousingMN501(c)(3)9N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Eventide Living Center
P74891
Sheyenne Crossings
P1583243

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