STRATEGY STUDIO / PUBLIC DATA EXPLORER

GRIGGS COUNTY NURSING HOME: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
GRIGGS COUNTY NURSING HOME (EIN 90-0741090)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-15
IRS object ID
202501359349302420
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-15T08:19:32-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14585 Coleman St Ste 200AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900741090EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Griggs County Nursing HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGRIGBusinessNameControlTxt
Phone7017861700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 12th St SAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNDStateAbbreviationCd
ZIP584254501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNicole LindseyPersonNm
Person TitleCEO/AdministratorPersonTitleTxt
Phone7017861700PhoneNum
Signature2025-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2025-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Griggs County Care CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerNicole LindseyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 12th St SAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNDStateAbbreviationCd
ZIP584254501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,056,038GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.dakotaregional.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionTo provide 24 hour skilled nursing care services for individuals with degenerative conditions, dementia, and a variety of medically complex conditions.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee103TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,531,425PYContributionsGrantsAmt
CY Contributions Grants$5,700CYContributionsGrantsAmt
PY Program Service Revenue$4,435,666PYProgramServiceRevenueAmt
CY Program Service Revenue$5,033,060CYProgramServiceRevenueAmt
PY Investment Income$4,154PYInvestmentIncomeAmt
CY Investment Income$17,278CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,971,245PYTotalRevenueAmt
CY Total Revenue$5,056,038CYTotalRevenueAmt
PY Grants And Similar Paid$347PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$717CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,254,112PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,003,369CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,249,633PYOtherExpensesAmt
CY Other Expenses$2,319,074CYOtherExpensesAmt
PY Total Expenses$4,504,092PYTotalExpensesAmt
CY Total Expenses$5,323,160CYTotalExpensesAmt
PY Revenues Less Expenses$1,467,153PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$267,122CYRevenuesLessExpensesAmt
Total Assets BOY$12,335,234TotalAssetsBOYAmt
Total Assets EOY$13,064,784TotalAssetsEOYAmt
Total Liabilities BOY$9,177,027TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,173,699TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,158,207NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,891,085NetAssetsOrFundBalancesEOYAmt
MissionNoneMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,527,534ExpenseAmt
Grant$717GrantAmt
Revenue$5,033,060RevenueAmt
DescGriggs County Care Center is licensed as a 41-bed skilled nursing facility. The Facility provides 24 hour care for individuals with degenerative conditions, dementia, and a variety of medically complex conditions. Residents are cared for by a highly trained and skilled staff of professionals, who are, for the most part their friends, neighbors, or family members. Nursing home care is available for long-term care stays, convalescent care, and short-term stays. Emphasis is placed on a resident's remaining skills, not on lost skills. Residents are allowed to retain their independence and dignity with assistance to succeed in daily tasks. The nursing home had 12,807 bed days of service for individuals.Desc
Total Program Service Expenses$4,527,534TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee103EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Judy MonsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7017861700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 12th St SAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNDStateAbbreviationCd
ZIP584254501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Nicole Lindsey
CEO/Administrator28.00Yes (X)$203,991$0$42,257
Oreana Wilson
CNA40.00Yes (X)$112,760$0$0
Judy Monson
CFO12.00Yes (X)$39,598$0$10,305
Jayne Ott
President (July-Nov)1.00Yes (X)$0$0$0Yes (X)
Janice Johnson SecTreas July-
Nov)/President (Starting Nov)1.00Yes (X)$0$0$0Yes (X)
Mark Lunde
Vice President (July-Aug)1.00Yes (X)$0$0$0Yes (X)
Daniel Larson Director July-Aug
VP (Starting Aug)1.00Yes (X)$0$0$0Yes (X)
Joann Larson
Secretary/Treasurer (Starting Nov)1.00Yes (X)$0$0$0Yes (X)
Ben Halvorson
Director1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$356,349TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$52,562TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cooperstown Medical Center
107 12th St SCooperstownND58425Shared Employee SVC$275,361
Fusion Medical Staffing
PO Box 30131OmahaNE68103CNA/Nurse Staffing$150,225
DTN Staffing Inc
1200 Collins AveMandanND58554CNA/Nurse Staffing$140,436
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$3,000GovernmentGrantsAmt
All Other Contributions$2,700AllOtherContributionsAmt
Total Contributions$5,700TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Revenue623000$4,840,937$4,840,937
Contract Health Servic623000$189,747$189,747
Guest Meals900099$999$999

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,377TotalRevenueColumnAmt
Related Or Exempt Func Income$1,377RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,033,060TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,278TotalRevenueColumnAmt
Exclusion$17,278ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,056,038TotalRevenueColumnAmt
Related Or Exempt Func Income$5,033,060RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,278ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$717TotalAmt
Program Services$717ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$293,280TotalAmt
Management And General$293,280ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,257,623TotalAmt
Program Services$2,200,522ProgramServicesAmt
Management And General$57,101ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,198TotalAmt
Program Services$34,198ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$241,607TotalAmt
Program Services$241,607ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$176,661TotalAmt
Program Services$165,626ProgramServicesAmt
Management And General$11,035ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,818TotalAmt
Management And General$1,818ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,728TotalAmt
Management And General$34,728ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$637,418TotalAmt
Program Services$468,147ProgramServicesAmt
Management And General$169,271ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$830TotalAmt
Management And General$830ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$64,807TotalAmt
Program Services$54,340ProgramServicesAmt
Management And General$10,467ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$65,077TotalAmt
Management And General$65,077ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,258TotalAmt
Program Services$4,258ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,296TotalAmt
Program Services$1,423ProgramServicesAmt
Management And General$2,873ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,576TotalAmt
Program Services$5,824ProgramServicesAmt
Management And General$2,752ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$378,379TotalAmt
Program Services$337,669ProgramServicesAmt
Management And General$40,710ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$306,473TotalAmt
Program Services$273,499ProgramServicesAmt
Management And General$32,974ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$32,329TotalAmt
Management And General$32,329ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ERC Credit Payback$248,272$248,272
Bad Debt Expenses$209,068$209,068
Food$168,044$168,044
Medical Supplies$98,927$98,927

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$55,774TotalAmt
Program Services$15,393ProgramServicesAmt
Management And General$40,381ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,323,160TotalAmt
Program Services$4,527,534ProgramServicesAmt
Management And General$795,626ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$981,702BOYAmt
EOY$1,802,175EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$805,445BOYAmt
EOY$446,763EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,078BOYAmt
EOY$23,817EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,380BOYAmt
EOY$13,990EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$585,211LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$198,843LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$387,755BOYAmt
EOY$386,368EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,113,874BOYAmt
EOY$10,391,671EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,335,234BOYAmt
EOY$13,064,784EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$328,341BOYAmt
EOY$249,655EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$7,587BOYAmt
EOY$13,727EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,841,099BOYAmt
EOY$9,910,317EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,177,027BOYAmt
EOY$10,173,699EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,158,207BOYAmt
EOY$2,891,085EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,158,207BOYAmt
EOY$2,891,085EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,335,234BOYAmt
EOY$13,064,784EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$267,122ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$157,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$710,542CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$553,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,531,425CurrentTaxYearMinus1YearAmt
Current Tax Year$5,700CurrentTaxYearAmt
Total$2,959,467TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,881,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,648,161CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,343,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,435,666CurrentTaxYearMinus1YearAmt
Current Tax Year$5,033,060CurrentTaxYearAmt
Total$21,342,039TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,039,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,358,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,897,907CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,967,091CurrentTaxYearMinus1YearAmt
Current Tax Year$5,038,760CurrentTaxYearAmt
Total$24,301,506TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,820,016CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,535,926CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,057,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,285,121CurrentTaxYearMinus1YearAmt
Current Tax Year$2,482,649CurrentTaxYearAmt
Total$9,181,228TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,820,016CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,535,926CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,057,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,285,121CurrentTaxYearMinus1YearAmt
Current Tax Year$2,482,649CurrentTaxYearAmt
Total$9,181,228TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$15,120,278PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$352CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,842CurrentTaxYearMinus1YearAmt
Current Tax Year$17,278CurrentTaxYearAmt
Total$25,567TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$352CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,842CurrentTaxYearMinus1YearAmt
Current Tax Year$17,278CurrentTaxYearAmt
Total$25,567TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,039,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,359,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,899,093CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,972,933CurrentTaxYearMinus1YearAmt
Current Tax Year$5,056,038CurrentTaxYearAmt
Total$24,327,073TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.62150PublicSupportCY509Pct
Public Support PY5090.63590PublicSupportPY509Pct
Investment Income CY0.00110InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,288OtherCostOrOtherBasisAmt
Depreciation$29DepreciationAmt
Book Value$8,259BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,170OtherCostOrOtherBasisAmt
Depreciation$3,641DepreciationAmt
Book Value$6,529BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$566,753OtherCostOrOtherBasisAmt
Depreciation$195,173DepreciationAmt
Book Value$371,580BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$386,368TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Finance Lease ROU Assets$9,699,026
ERC Receivable$692,645
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,391,671TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Finance Lease Liability$9,858,909
Cooperstown Medical Center Payable$41,408
Cooperstown Medical Center Foundation payable$10,000
FieldValueIRS element (for citing)
Total Liability$9,910,317TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,807,766TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$248,272OtherRevenueAmt
Revenue Not Reported-$248,272RevenueNotReportedAmt
Revenue Subtotal$5,056,038RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,056,038TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,074,888TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,074,888ExpensesSubtotalAmt
Other Expenses Not Included$248,272OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$248,272ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,323,160TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The organization acts as custodian for the funds of the nursing facility residents. The funds are included in cash and accounts payable in the financial statements. Resident trust funds totaled $13,727 and $7,587 at June 30, 2024 and 2023.
Part X, Line 2:The Care Center 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 financial statements. The Care Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:ERC Credit Payback -248,272.
Part XII, Line 4b - Other Adjustments:ERC Credit Payback 248,272.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nicole Lindsey
CEO/Administrator$203,991$0$0$0$0$0$8,332$0$35,468$0$247,791$0$0$0
Judy Monson
CFO$39,598$0$0$0$0$0$128$0$10,581$0$50,307$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3:Nicole Lindsey's compensation is determined by an agreement of both the board of directors of the Organization and the Cooperstown Medical Center (CMC), an unrelated organization. She is paid by the Organization and thirty percent of her compensation is billed to and reimbursed by CMC for her services to CMC. The amounts reported in Part VII, on Schedule J and on Part IX, line 5 represent all of her compensation including the thirty percent that is billed to CMC.
Schedule J, Part II:The CFO, Judy Monson, is an employee of Cooperstown Medical Center (CMC), an unrelated organization. Judy's compensation is paid by CMC and 30 percent of her compensation is billed by CMC to the Organization. The amounts reported in Part VII and on schedule J represent 30 percent of her compensation.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Nicole Lindsey and Judy Monson have a business relationship.
Form 990, Part VI, Section A, line 6Members consist of those persons who are 18 years of age or above residing in the area served by the Griggs County Nursing Home.
Form 990, Part VI, Section A, line 7aMembers elect the members of the governing body.
Form 990, Part VI, Section A, line 8bThe organization's bylaws allows for an Executive Committee.
Form 990, Part VI, Section B, line 11bThe Form 990 is presented for review and approval to the Board of Directors electronically or during a regularly scheduled board meeting. The acting CEO/Administrator and the contracted financial service provider review the Form 990 prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cBoard members, senior management, and employees may not use their positions and affiliations with the Griggs County Nursing Home for personal benefit, and are required to disclose actual and potential conflicts related to any financial or business interests that may impact operations of the Cooperstown Medical Center & Griggs County Nursing Home. Upon disclosure of a potential conflict of interest and all material facts, the board member, or CEO making such disclosure is asked to leave while the item is discussed and voted upon. The remaining board or committee members decide if a conflict of interest exists. In the case of disclosure by employees, the Administrator/CEO determines based on the facts and circumstances disclosed if a conflict exists. In matters related to a board member or the CEO, the chairman of the board, and in matters related to an employee, the Administrator/CEO shall if appropriate appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, they shall determine if a more advantageous transaction or arrangement is available which would not give rise to a conflict of interest.
Form 990, Part VI, Section B, line 15The Administrator, Nicole Lindsey, was compensated for her services to the Organization as well as her services to Cooperstown Medical Center (CMC), an unrelated organization. Her compensation was determined by an agreement between both the Organization's board of directors and that of CMC. Thirty percent of her compensation is billed to and reimbursed by CMC. The CFO, Judy Monson, is an employee of Cooperstown Medical Center (CMC), an unrelated organization. Judy's compensation is determined by the Nicole Lindsey (Administrator for the Organization and CEO for CMC) and in part based on the ND Hospital Association Annual Salary surveys. She is paid by CMC and 30 percent of her compensation is billed by CMC to the Organization. The amounts reported in Part VII and on schedule J represent 30 percent of her compensation.
Form 990, Part VI, Section C, line 19All governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part IX, line 11gContracted Services: Program service expenses 460,889. Management and general expenses 166,301. Fundraising expenses 0. Total expenses 627,190. Consultant Fees: Program service expenses 7,258. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,258. Other Fees: Program service expenses 0. Management and general expenses 2,970. Fundraising expenses 0. Total expenses 2,970.