Civic Intelligence

Fair Oaks Lodge Inc

990EZ • Fiscal year 2014 • EIN 20-0439862

Jan 01, 2014 to Dec 31, 2014 • Filed on Sep 03, 2015

415 Jefferson Street NWadena, MN 56482

(218) 631-1391

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2014

Top Officer Pay

74th percentile

$0

Higher top officer pay than 74% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

1st percentile

-100%

Faster revenue growth than 1% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $2,303,501 (-100%) from 2013

Net Assets

Down

$0

Down $32,543 (-100%) from 2013

Liabilities

Down

$0

Down $2,270,958 (-100%) from 2013

Revenue

Down

$0

Down $278,191 (-100%) from 2013

Expenses

Down

$32,543

Down $519,635 (-94%) from 2013

Net Income

Up

-$32,543

Up $241,444 (+88%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2010: $6,179,527Liabilities 2010: $7,914,613Net Assets 2010: -$1,735,0862010Assets 2011: $3,376,419Liabilities 2011: $7,442,412Net Assets 2011: -$4,065,9932011Assets 2012: $2,851,015Liabilities 2012: $2,545,028Net Assets 2012: $305,9872012Assets 2013: $2,303,501Liabilities 2013: $2,270,958Net Assets 2013: $32,5432013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $5,978,5792010Expenses 2011: $5,789,5282011Revenue 2012: $6,301,129Expenses 2012: $1,929,149Net Income 2012: $4,371,9802012Revenue 2013: $278,191Expenses 2013: $552,178Net Income 2013: -$273,9872013Revenue 2014: $0Expenses 2014: $32,543Net Income 2014: -$32,5432014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015

Highlighted filing

2014

Revenue$0
Expenses$32,543
Net Income-$32,543
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Sep 3, 2015
Return Version
2014v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To provide quality long term care to the surrounding community.

Program Services

DescriptionGrantsExpenses
FAIR OAKS LODGE, INC. PROVDED NEEDED MEDICAL SERVICES AND CARE TO PATIENTS SEEKING LONG TERM CARE SERVICES. SERVICES INCLUDED DIRECT NURSING CARE, NURSE AIDE CARE, ASSISTED LIVING, ADULT DAY CARE, AND LODGING. ANCILLARY SERVICES INCLUDED PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PHARMACY.EFFECTIVE MAY 1, 2012, THE NURSING HOME BUILDING AND OPERATIONS WERE SOLD. FAIR OAKS LODGE PROVIDES A BUILDING FOR THE STATE OF MINNESOTA FOR OPERATING AN INTENSIVE RESIDENTIAL TREATMENT SERVICES (IRTS) FACILITY. THIS PROVIDES AN AVENUE FOR CONTINUITY OF CARE FOR THOSE REQUIRING MENTAL HEALTH SERVICES IN OUR COMMUNITY.ON JANUARY 1, 2014, THE SYSTEM CONDENSED ITS OPERATING STRUCTURE, SO THAT ANY AND ALL ACTIVITY OF THE HOME, TCCHS, AND TCHC WOULD CEASE. THE HOME, TCCHS, AND TCHC WILL REMAIN OPEN AS CORPORATIONS, BUT ALL ACTIVITY AS OF JANUARY 1, 2014 WAS RECORDED THROUGH THE SYSTEM.$32,543$32,543
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JOEL BEISWENGERPresident & CEO-$0--
KIMBERLY AAGARDVice-President & CFO-$0--
DAVE QUINCERChair-$0--
DAVE FJELDHEIMVice-Chair-$0--
MATTHEW VAN BRUGGENSecretary-$0--
BOBBI ADAMS MDBoard Member-$0--
DON BOTTEMILLERBoard Member-$0--
KIP BROWNEBoard Member-$0--
JEANETTE COLEMANBoard Member-$0--
JOLENE JOHANNESBoard Member-$0--
JON JOHNSONBoard Member-$0--
TOM VAN BRUGGEN MDBoard Member-$0--
Filing and Contact Details

Filer

Filer Name
Fair Oaks Lodge Inc
EIN
20-0439862
Phone
2186311391
Address
415 JEFFERSON STREET N, WADENA, MN 56482

Signing Officer

Name
Joel Beiswenger
Title
President & CEO
Phone
2186311391
Signed
2015-09-03
Discuss with paid preparer
Yes

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 SOUTH SIXTH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Darryn Mcgarvey
Phone
6123764500
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 10 - Payments to Affiliates

Affiliate name: tri-county hospital. Affiliate address: 415 jefferson street north wadena, mn 56482. Purpose of payment: general operating support. Amount of payment: 32,543.

Form 990-ez, Part II, Line 24 - Other Assets

Description: other depreciable assets. Beg. Of year amount: 733,229. End of year amount: 0.

Form 990-ez, Part II, Line 26 - Other Liabilities

Description: accounts payable. Beg. Of year amount: 1,604. End of year amount: 0. Description: deferred revenue. Beg. Of year amount: 63,478. End of year amount: 0. Description: tax-exempt bond liabilities. Beg. Of year amount: 2,205,876. End of year amount: 0.

Raw XML Appendix249 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0FAIR OAKS LODGE, INC. PROVDED NEEDED MEDICAL SERVICES AND CARE TO PATIENTS SEEKING LONG TERM CARE SERVICES. SERVICES INCLUDED DIRECT NURSING CARE, NURSE AIDE CARE, ASSISTED LIVING, ADULT DAY CARE, AND LODGING. ANCILLARY SERVICES INCLUDED PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PHARMACY.EFFECTIVE MAY 1, 2012, THE NURSING HOME BUILDING AND OPERATIONS WERE SOLD. FAIR OAKS LODGE PROVIDES A BUILDING FOR THE STATE OF MINNESOTA FOR OPERATING AN INTENSIVE RESIDENTIAL TREATMENT SERVICES (IRTS) FACILITY. THIS PROVIDES AN AVENUE FOR CONTINUITY OF CARE FOR THOSE REQUIRING MENTAL HEALTH SERVICES IN OUR COMMUNITY.ON JANUARY 1, 2014, THE SYSTEM CONDENSED ITS OPERATING STRUCTURE, SO THAT ANY AND ALL ACTIVITY OF THE HOME, TCCHS, AND TCHC WOULD CEASE. THE HOME, TCCHS, AND TCHC WILL REMAIN OPEN AS CORPORATIONS, BUT ALL ACTIVITY AS OF JANUARY 1, 2014 WAS RECORDED THROUGH THE SYSTEM.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER INCOME
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:
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IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1LAND/BUILDINGS/EQUIPMENT
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt0TRI-COUNTY HOSPITAL
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt1TRI-COUNTY HOSPITAL
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02014-01-01
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt12014-01-01
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IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt0415 JEFFERSON STREET NORTH
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt1415 JEFFERSON STREET NORTH
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm0WADENA
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm1WADENA
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd0MN
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: THE PRESIDENT/CEO, CFO, AND ALL BOARD MEMBERS.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: THE OFFICERS AND BOARD OF DIRECTORS OF FAIR OAKS LODGE, INC. ARE THE OFFICERS AND BOARD OF DIRECTORS OF TRI-COUNTY HOSPITAL.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART II, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART II, LINE 2E:
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AFFILIATE NAME: TRI-COUNTY HOSPITAL. AFFILIATE ADDRESS: 415 JEFFERSON STREET NORTH WADENA, MN 56482. PURPOSE OF PAYMENT: GENERAL OPERATING SUPPORT. AMOUNT OF PAYMENT: 32,543.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 733,229. END OF YEAR AMOUNT: 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 1,604. END OF YEAR AMOUNT: 0. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 63,478. END OF YEAR AMOUNT: 0. DESCRIPTION: TAX-EXEMPT BOND LIABILITIES. BEG. OF YEAR AMOUNT: 2,205,876. END OF YEAR AMOUNT: 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOEL BEISWENGER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum02186311391
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-09-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FAIR OAKS LODGE INC
ReturnHeader/Filer/BusinessNameControlTxt0FAIR
ReturnHeader/Filer/EIN0200439862
ReturnHeader/Filer/PhoneNum02186311391
ReturnHeader/Filer/USAddress/AddressLine1Txt0415 JEFFERSON STREET N
ReturnHeader/Filer/USAddress/CityNm0WADENA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0220 SOUTH SIXTH STREET SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MINNEAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055402
ReturnHeader/PreparerPersonGrp/PhoneNum06123764500
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DARRYN MCGARVEY
ReturnHeader/ReturnTs02015-09-22T12:46:47-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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