2011-05-05T09:13:53-05:00 2010-09-30 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2009-10-01 410721640 Eventide EVEN 2182337508 1405 7th Street South Moorhead MN 56560 Jon Riewer 2182337508 2011-05-03 1 LISA CHAFFEE CPA 7012398500 2011-05-03 2009 2016-02-24 21:20:13Z Jon Riewer 1405 7th Street South Moorhead MN 56560 24335240 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. 16 16 783 325 251213 2927 71809 84107 18912951 23628724 96325 139603 20221 41722 19101306 23894156 17000 17021 0 11767083 15448610 0 3624 6283390 7846492 18067473 23312123 1033833 582033 29762136 41868670 17205020 28637978 12557116 13230692 To enhance the quality of life for those we serve reflecting our Christian values. 0 0 11307283 17021 12990969 Eventide Lutheran Home of Moorhead operated a 195-bed nursing facility. The occupancy percentage for the year was 95.54%. 2259774 2530775 On July 1, 2010 Eventide purchased Eventide at Hi Acres, a 142-bed nursing home. 2708496 2344895 On 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%. 816041 1233518 Eventide Catered Living operated a 53-unit elderly housing facility. The occupancy percentage for the year was 93.14% 1797626 2521314 Eventide, The Fairmont, operated a 96-unit elderly housing facility. The occupancy percentage for the year was 91.06% 1297299 1756040 Eventide Linden Tree operated a 66-unit assisted living facility. The occupancy percentage for the year was 94.85%. 3910966 5510872 20186519 1 1 0 0 0 0 0 1 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 0 0 1 15 0 1 783 1 1 1 0 0 0 0 0 0 0 0 16 16 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 Moorhead MN 56560 Mary Skallerud 0.30 X X 0 0 0 Marge Aakre 0.30 X X 0 0 0 Duane Nelson 0.30 X X 0 0 0 Joy Bang 0.30 X X 0 0 0 Karla Swenson 0.30 X X 0 0 0 Phil Seljevold 0.30 X X 0 0 0 Don Dale 0.30 X 0 0 0 Dennis Edwards 0.30 X 0 0 0 Cheryl Krabbenhoft 0.30 X 0 0 0 Linda Ekre 0.30 X 0 0 0 Joan Stenerson 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 Don Stieha 0.30 X 0 0 0 Peter Seljevold 0.30 X 0 0 0 Sally Tanner 0.30 X 0 0 0 Leann Wright 0.30 X 0 0 0 Jon Riewer 40.00 X 195373 0 14054 Wade Stubson 40.00 X 125741 0 19099 Sandra Pettersen 40.00 X 121725 0 16040 Melissa Heesch 40.00 X 111931 0 21035 Randy Bach 40.00 X 104153 0 20545 658923 0 90773 5 0 1 0 Meinecke-Johnson Company PO Box 2643 Fargo ND 581082643 Capital Projects 2162087 RehabCare Group Inc PO Box 503534 St Louis MO 63150 Rehab Services 287249 Sanford Medical Center PO Box 2168 Fargo ND 581082168 Medical Services 276859 MBA Developyment Company 505 Broadway North Fargo ND 58102 Capital Projects 227503 Encompass Group LLC PO Box 740209 Atlanta GA 30374 Capital Projects 202963 11 84107 84107 Resident Services 623000 22740740 22740740 Catering 722320 425394 174181 251213 Other Income 900099 259536 259536 Management Fees 561000 203054 203054 23628724 130513 130513 428243 419153 9090 9090 9090 63653 21931 41722 41722 23894156 23377511 251213 181325 17021 17021 345193 345193 12456753 11344741 1112012 88014 80157 7857 1606646 1463221 143425 952004 845481 106523 30480 30480 30776 30776 26708 26708 914217 862643 51574 69897 69897 2337442 1863906 473536 73111 73111 892524 892524 19684 905 18779 37190 37190 898398 898398 1516452 1514182 2270 182999 182999 Licenses & Permits 570229 570229 Bad Debt Expense 176334 176334 Miscellaneous 66741 44007 22734 Community Relations 1956 1956 Fundraising 1354 1354 23312123 20186519 3121980 3624 1580285 948612 1079017 2816608 45772 124152 75033 110705 50089350 17496407 21028934 32592943 4793720 3197841 851000 1106000 308375 971809 29762136 41868670 1156104 2153850 14701223 20616506 213717 5520764 1347693 133141 17205020 28637978 X 12156757 12821015 274166 283484 126193 126193 12557116 13230692 29762136 41868670 X 0 1 1 X 0 X 225931 201469 212424 71809 84107 795740 16229963 16933683 17752724 18703835 23441164 93061369 16455894 17135152 17965148 18775644 23525271 93857109 0 0 0 93857109 467246 345850 191811 102210 130513 1237630 33522 27098 5186 65806 500768 372948 191811 102210 135699 1303436 16956662 17508100 18156959 18877854 23660970 95160545 0.98630 0.98600 0.01370 0.01400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 575487 9318 584805 553365 6133 22122 6133 575487 0.29950 0.21580 0.48470 0 0 193130 785671 978801 157329 36690585 13579370 23268544 6943376 3898615 3044761 5319259 18422 5300837 32592943 Annuities Payable 48080 Construction and Retainage Payable 85061 133141 23894156 23312123 582033 91543 91543 673576 24007630 91543 91543 23916087 -21931 -21931 23894156 23334054 21931 21931 23312123 0 23312123 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: Description of Intended Use of Endowment Funds: Provide a permanent source of income for operations, chaplaincy and volunteer operating purposes. Part X: Description of Uncertain Tax Positions Under FIN 48: 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. Part XII, Line 4b - Other Adjustments: Special events golf expenses: -21931. Part XIII, Line 2d - Other Adjustments: Special events golf expenses: 21931. Golf Tournament 27560 27560 609 5675 3395 372 Art Auction 36093 36093 5029 6051 800 63653 63653 5638 11726 3395 800 372 21931 41722 1 Scholarships 9 17021 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 195373 0 0 0 0 0 3970 0 12664 0 212007 0 0 0 Moorhead Economic Development Authority 411671510 616151DS2 2006-11-30 7488591 Refund 1999 Bonds 0 0 Moorhead Economic Development Authority 411671510 616151EF9 2007-01-17 4350000 Refund 1998 Bonds 0 0 Clay County Minnesota 416005575 2006-12-01 2039402 MN Rev Note Series 2006 0 0 Moorhead Economic Development Authority 411671510 2008-12-30 8790000 Construction of facility for Sheyenne Crossings 0 0 7488591 7338791 149800 2006 1 0 1 1 4350000 4287668 62332 2007 1 0 1 1 2039402 39402 2000000 2006 0 0 1 1 8790000 92005 125000 8572995 2010 0 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 0 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 board is made up of 7 board members, the President, and the CFO. 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 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 Management 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 15a An 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 19 All three documents are available upon request. Form 990, Part VII Average Hours per week 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. Eventide Jamestown LLC dba Hi Acres 1405 7th Street South Moorhead MN 56560 Senior Living Community MN 2931162 7108522 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 N/A Eventide Living Center 1405 7th Street South Moorhead MN 56560 411486796 HUD Elderly Housing MN 501(c)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 Eventide Living Center P 74891 Sheyenne Crossings P 1583243