EPIPHANY SENIOR CITIZENS HOUSING CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- EPIPHANY SENIOR CITIZENS HOUSING CORPORATION (EIN 41-1703162)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-04-14
- IRS object ID
- 201101049349300225
- Schema version
- 2010v3.2
- 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 | 2011-04-14T13:09:05-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 5601 GREEN VALLEY DRIVE STE 700 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554371145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411703162 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPIPHANY SENIOR CITIZENS HOUSING CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EPIP | NameControl |
| Phone | 7637721042 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 111TH AVE NW | AddressLine1 |
| City | COON RAPIDS | City |
| State | MN | State |
| ZIP Code | 55433 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY HARPER | Name |
| Title | TREASURER | Title |
| Phone | 7637721042 | Phone |
| Date Signed | 2011-03-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM HUNWARDSEN CPA | Name |
| Phone | 9529446166 | Phone |
| Date Prepared | 2011-03-29 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS JONES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 111TH AVE NW | AddressLine1 |
| City | COON RAPIDS | City |
| State | MN | State |
| ZIP Code | 55433 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4535944 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EPIPHANYSENIORHOUSING.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HOUSING FOR THE ELDERLY AND TO PROVIDE SERVICES DESIGNED TO MEET THEIR NEEDS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 84 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4705 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1780 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4337947 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4461154 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 31196 | InvestmentIncomePriorYear |
| Investment Income Current Year | 73010 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4373848 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4535944 | 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 | 1522358 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1818199 | 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 | 2540155 | OtherExpensePriorYear |
| Other Expenses Current Year | 2429702 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4062513 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4247901 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 311335 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 288043 | RevenuesLessExpensesCY |
| Total Assets BOY | 13973695 | TotalAssetsBOY |
| Total Assets EOY | 14389980 | TotalAssetsEOY |
| Total Liabilities BOY | 15352663 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15386202 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1378968 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -996222 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE AFFORDABLE, HIGH QUALITY HOUSING AND SERVICES WHICH WILL RESPECT AND ENHANCE THE LIVES OF RESIDENTS AND THOSE WHO ARE MAKING THE TRANSITION TO SENIOR HOUSING AND ASSISTED LIVING FACILITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 944478 | Expense |
| Revenue | 1322627 | Revenue |
| Description | EPIPHANY SENIOR CITIZENS HOUSING CORPORATION (ESCHC) OWNS AND OPERATES A SENIOR HOUSING COMPLEX CALLED EPIPHANY PINES WITH 107 INDEPENDENT LIVING UNITS LOCATED IN COON RAPIDS, MINNESOTA. EPIPHANY PINES PROVIDES A RENATAL ASSISTANCE GRANT PROGRAM TO ASSIST THOSE UNABLE TO CONTINUE TO PAY THEIR RENT WITHOUT HARDSHIP. EPIHANY PINES IS LOCATED NEXT TO A WILDLIFE REFUGE AND NATURE PONDS. THERE IS AN OUTDOOR PATIO AND GAZEBO FOR RESIDENTS TO ENJOY THE BEAUTY AND TRANQUILITY. EPIPHANY PINES OFFERS SEVERAL COMMON AREAS WHICH GIVE OPPORTUNITY FOR INDOOR, RELAXED SOCIALIZATION. THE APARTMENTS RANGE FROM 604 TO 1,105 SQUARE FEET, DESIGNED TO MEET ALL RESIDENTS' BUDGET AND LIFESTYLE. AMENITIES OFFERED INCLUDE 24 HOUR SECURITY SYSTEM, EMERGENCY RESPONSE SYSTEM, SCHEDULED ACTIVITIES AND ENTERTAINMENT, TRANSPORTATION FOR SCHEDULED SHOPPING, ONSITE CHAPEL, AND HAIR SALON. IN ADDITION, EPIPHANY PINES ALSO OFFERS MEALS, HOUSEKEEPING, GARAGES, AND GUEST ROOMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2544542 | Expense |
| Revenue | 3138527 | Revenue |
| Description | ESCHC'S WHOLLY OWNED SUBSIDIARY, EPIPHANY ASSISTED LIVING, LLC (EAL), OWNS AND OPERATES A 64-UNIT ASSISTED LIVING COMPLEX LOCATED ON THE SAME CAMPUS AS EPIPHANY PINES. THE FEDERAL GOVERNMENT PROGRAM, MEDICAID, IS ACCEPTED AT A DISCOUNTED RATE FOR THOSE UNABLE TO PAY FOR THEIR SERVICES. THE STATE PROGRAM, GROUP RESIDENTIAL HOUSING, PAYS FOR RENT, AT A DISCOUNT, FOR THOSE UNABLE TO PAY FOR THEIR RENT. EAL OFFERS A WIDE RANGE OF SERVICES IN A HOMELIKE SETTING WHERE PRIVACY IS RESPECTED AND INDEPENDENCE IS SUPPORTED. SERVICES ARE PLANNED WITH EACH RESIDENT TO REFLECT PERSONAL NEEDS AND CHOICES. RESIDENTS AND THEIR GUESTS CAN VISIT IN ANY OF THE SEVERAL GATHERING ROOMS, RESERVE OUR PRIVATE DINING ROOM FOR SPECIAL OCCASIONS, AND ENJOY LOVELY VIEWS OF THE BEAUTIFULLY LANDSCAPED GROUNDS. AMENITIES OFFERED INCLUDE 24 HOUR ONSITE RESIDENT ASSISTANT STAFFING, EMERGENCY RESPONSE SYSTEM, REGISTERED NURSE ONSITE 40 HOURS PER WEEK & ON CALL 24 HOURS PER DAY, MEDICATION MANAGEMENT, WEEKLY HOUSEKEEPING, RESTAURANT-STYLE DINING, HAIR SALON, AND GENERAL STORE WITH SNACK BAR.WITHIN EAL IS A DISTINCTIVE NEIGHBORHOOD FOR THOSE WITH MEMORY LOSS. OUR SPECIALLY TRAINED STAFF RECOGNIZES THAT THOSE WITH MEMORY LOSS HAVE A VARIETY OF INDIVIDUAL NEEDS, INTERESTS AND ABILITIES. OUR PHILOSOPHY EMPHASIZES ACTIVITY-FOCUSED CARE AND SPECIALLY DESIGNED CARE PACKAGES THAT ENGAGE RESIDENTS IN ACTIVITIES THAT ARE MEANINGFUL TO THEM AS INDIVIDUALS, AND THAT FOCUS ON THEIR STRENGTHS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 3489020 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 1 | 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 | 1 | 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 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 84 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | 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 | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANE JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7632011987 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4400 BAKER ROAD SUITE 100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55343 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| THOMAS JONES | ||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 |
| JERRY HARPER | ||||||
| SECRETARY/TREASURER | 5.00 | X | X | 0 | 0 | 0 |
| JOHN AHO | ||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| DR RICK BERTIE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JO ANNE BOCK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| CONNIE CONNOR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROBERT FRIIS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DICK GARDNER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARTY GROSS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MIKE LENTZ | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR JOHN LOES | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DENIS PLANKERS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JERRY WRIGHT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ED BOCK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KAREN DURBIN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TIM MEYER | ||||||
| ADMINISTRATOR-PARTIAL YR | 14.00 | X | 30058 | 0 | 0 | |
| MARK PEDERSON | ||||||
| REGIONAL MANAGER-PARTIAL YR | 14.00 | X | 90036 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 120094 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| US BANK TRUSTEE CORP | |||||
| PO BOX 70870 | ST PAUL | MN | 551709705 | BOND TRUSTEE | 703387 |
| WELLS FARGO TRUSTEE | |||||
| 6TH MARQUETTE | MINNEAPOLIS | MN | 55479 | BOND TRUSTEE | 687659 |
| WINKELMAN BUILDERS CORP | |||||
| 340 HWY 10 SOUTH | ST CLOUD | MN | 56304 | CONSTRUCTION | 303676 |
| NEW HORIZON FOODS | |||||
| 211 2ND STREET NW | ST MICHAEL | MN | 55376 | DIETARY SERVICES | 204069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 1780 | AllOtherContributions |
| Total Contributions | 1780 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERVICES | 623000 | 4393710 | 4393710 |
| OTHER INCOME | 623000 | 67444 | 67444 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4461154 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73010 | TotalRevenueColumn |
| Exclusion | $73,010 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4535944 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4461154 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $73,010 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120094 | Total |
| Management And General | 120094 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1369239 | Total |
| Program Services | 1090198 | ProgramServices |
| Management And General | 279041 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16978 | Total |
| Program Services | 13518 | ProgramServices |
| Management And General | 3460 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169345 | Total |
| Program Services | 134834 | ProgramServices |
| Management And General | 34511 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142543 | Total |
| Program Services | 113494 | ProgramServices |
| Management And General | 29049 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15110 | Total |
| Management And General | 15110 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15277 | Total |
| Management And General | 15277 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6181 | Total |
| Management And General | 6181 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129003 | Total |
| Program Services | 67841 | ProgramServices |
| Management And General | 61162 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38049 | Total |
| Management And General | 38049 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349495 | Total |
| Program Services | 310228 | ProgramServices |
| Management And General | 39267 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5303 | Total |
| Management And General | 5303 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 399348 | Total |
| Program Services | 399348 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5356 | Total |
| Program Services | 1875 | ProgramServices |
| Management And General | 3481 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1367 | Total |
| Management And General | 1367 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 914880 | Total |
| Program Services | 914880 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 442804 | Total |
| Program Services | 442804 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47719 | Total |
| Management And General | 47719 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Total | 59810 | Total |
| Management And General | 59810 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4247901 | Total |
| Program Services | 3489020 | ProgramServices |
| Management And General | 758881 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325230 | BOY |
| EOY | 150507 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2642366 | BOY |
| EOY | 1645255 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131315 | BOY |
| EOY | 192283 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35564 | BOY |
| EOY | 25796 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14875440 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4531697 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10168070 | BOY |
| EOY | 10343743 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1378994 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 671150 | BOY |
| EOY | 653402 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13973695 | BOY |
| EOY | 14389980 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313563 | BOY |
| EOY | 360360 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14927006 | BOY |
| EOY | 14645234 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101169 | BOY |
| EOY | 107000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10925 | BOY |
| EOY | 273608 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15352663 | BOY |
| EOY | 15386202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1378968 | BOY |
| EOY | -996222 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1378968 | BOY |
| EOY | -996222 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13973695 | BOY |
| EOY | 14389980 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 288043 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 94703 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18268 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4705 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1780 | CurrentTaxYear |
| Total | 45008 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3824150 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3952143 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4364498 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4337947 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4461154 | CurrentTaxYear |
| Total | 20939892 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3842418 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3958143 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4378753 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4342652 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4462934 | CurrentTaxYear |
| Total | 20984900 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 111770 | CurrentTaxYear |
| Total | 111770 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 111770 | CurrentTaxYear |
| Total | 111770 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 20873130 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 88904 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 112382 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 56525 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31196 | CurrentTaxYearMinus1Year |
| Current Tax Year | 73010 | CurrentTaxYear |
| Total | 362017 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 88904 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 112382 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 56525 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31196 | CurrentTaxYearMinus1Year |
| Current Tax Year | 73010 | CurrentTaxYear |
| Total | 362017 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3931322 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4070525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4435278 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4373848 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4535944 | CurrentTaxYear |
| Total | 21346917 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97780 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98300 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01700 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01700 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 | 575000 | OtherCostOrOtherBasis |
| Book Value | 575000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13207559 | OtherCostOrOtherBasis |
| Depreciation | 3899510 | Depreciation |
| Book Value | 9308049 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 789231 | OtherCostOrOtherBasis |
| Depreciation | 520460 | Depreciation |
| Book Value | 268771 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 303650 | OtherCostOrOtherBasis |
| Depreciation | 111727 | Depreciation |
| Book Value | 191923 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10343743 | TotalOfBookValueLandBuildings |
| Total Revenue | 4535944 | TotalRevenue |
| Total Expenses | 4247901 | TotalExpenses |
| Excess Or Deficit For Year | 288043 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 94703 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 94703 | TotalAdjustments |
| Excess Or Deficit Per FS | 382746 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4630647 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 94703 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 94703 | RevenueNotRptdF990 |
| Revenue Subtotal | 4535944 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4535944 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4247901 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4247901 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4247901 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS THE TRUSTEE OF VARIOUS TENANT SECURITY DEPOSITS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS. | |
| PART X: | THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10 (PREVIOUSLY FINANCIAL INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). THE ORGANIZATION UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES. 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: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIM MEYER | |||||||||||||
| 30058 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 30058 | 0 | 0 | 0 |
| MARK PEDERSON | |||||||||||||
| 90036 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 90036 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | THE ORGANIZATION CONTRACTS WITH HEALTH DIMENSIONS GROUP TO PROVIDE MANAGEMENT SERVICES. MARK PEDERSON'S COMPENSATION IS PAID BY HEALTH DIMENSIONS GROUP. THE ORGANIZATION CONTRACTED WITH HEALTH SERVICE INNOVATIONS, INC. FOR THE FIRST THREE MONTHS OF THE FISCAL YEAR. TIM MEYER'S COMPENSATION WAS PAID BY HEALTH SERVICE INNOVATIONS, INC. AMOUNTS SHOWN REPRESENT MANAGEMENT FEES PAID TO THE RESPECTIVE COMPANY FOR THE OFFICER SERVICES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF COON RAPIDS MINNESOTA | |||||||
| 416008573 | 21660NAU0 | 2005-09-29 | 8753016 | CONSTRUCTING ASSISTED LIVING FACILITY | 0 | 0 | 0 |
| CITY OF COON RAPIDS MINNESOTA | |||||||
| 416008573 | 21660NAR7 | 2005-09-29 | 800000 | CONSTRUCTING ASSISTED LIVING FACILITY | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 8753016 | 801000 | 494300 | 130000 | 205300 | 2005 | 0 | 1 | 1 | 1 | |
| 800000 | 2005 | 0 | 1 | 1 | 1 | 800000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HEALTH SERVICES INNOVATIONS INC | |||
| TIM MEYER IS THE CEO OF HEALTH SERVICES INNOVATIONS, INC. | 30058 | MANAGEMENT SERVICES | 0 |
| HEALTH DIMENSIONS GROUP | |||
| MARK PEDERSON IS THE CEO OF HEALTH DIMENSIONS GROUP | 90036 | MANAGEMENT SERVICES | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS CONTRACTED WITH HEALTH DIMENSIONS GROUP TO PROVIDE MANAGEMENT OVERSIGHT TO ITS DAY-TO-DAY OPERATIONS. FOR THE FIRST THREE MONTHS OF THE FISCAL YEAR THE ORGANIZATION CONTRACTED WITH HEALTH SERVICE INNOVATIONS, INC. FOR MANAGEMENT OVERSIGHT. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE SENIOR FINANCIAL CONSULTANT DOES A DETAILED REVIEW OF THE DRAFT AND FORWARDS IT TO THE BOARD FOR REVIEW AND APPROVAL. | |
| THE CURRENT POLICY COVERS ALL BOARD MEMBERS AND COMPANY COMMITTEE MEMBERS. THE ADMINISTRATOR REVIEWS DISCLOSURES FOR POTENTIAL CONFLICTS. IF A BOARD MEMBER HAS A CONFLICT THEY MUST ABSTAIN FROM VOTING ON THE MATTER. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE ORGANIZATION CONTRACTS WITH HEALTH DIMENSIONS GROUP TO PROVIDE MANAGEMENT SERVICES. THE MANAGEMENT AGREEMENT IS REVIEWED AND NEGOTIATED DURING THE LAST 6 MONTHS OF THE CURRENT CONTRACT. THE EXECUTIVE/FINANCE COMMITTEE MEMBERS REVIEW AND DISCUSS THE CURRENT CONTRACT AND DISCUSS ANY CONCERNS. BASED ON THEIR DISCUSSION THE COMMITTEE MEMBERS DETERMINE THE AMOUNT FOR RENEWING THE CONTRACT. IF NECESSARY, THE COMMITTEE MEMBERS MAY PRESENT THEIR DETERMINATION TO THE WHOLE BOARD BEFORE PROPOSING TO THE MANAGEMENT COMPANY. RATES HAVE BEEN COMPARED TO OTHER MANAGEMENT COMPANY QUOTES AND ARE USED IN COMING UP WITH THE AMOUNT THAT IS PROPOSED TO THE MANAGEMENT COMPANY. THE TERM OF THE CONTRACT IS NEGOTIATED WITH EACH NEW CONTRACT AND IS BASED ON HOW THE CURRENT MANAGEMENT COMPANY IS DOING, LIKELIHOOD OF ORGANIZATION LOOKING INTO SELF MANAGEMENT, AND CURRENT MARKET CONDITIONS OF HOW THE ORGANIZATION IS DOING AT THE TIME OF NEGOTIATIONS. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 94,703. | 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 | EPIPHANY ASSISTED LIVING LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 111TH AVE NW | AddressLine1 |
| City | COON RAPIDS | City |
| State | MN | State |
| ZIP Code | 55433 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411703162 | EIN |
| Primary Activities | ASSISTED LIVING | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Total Income | 3236821 | TotalIncome |
| EOY Assets | 8658833 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |