Civic Intelligence

Griggs County Nursing Home

990 • Fiscal year 2015 • EIN 90-0741090

Jul 01, 2014 to Jun 30, 2015 • Filed on Dec 14, 2015

1200 Roberts Ave NECooperstown, ND 58425

(701) 797-2221

Siviq Scores

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

Liabilities / Assets

70th percentile

0.47x

Higher debt load relative to assets than 70% of similar nonprofits.

2015 filings • NTEE E • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

44th percentile

0.11x

Higher debt load relative to revenue than 44% of similar nonprofits.

2015 filings • NTEE E • $1M-$5M nonprofits • Source year 2015

Net Margin

70th percentile

12%

Higher net margin than 70% of similar nonprofits.

2015 filings • NTEE E • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

48th percentile

$81,018

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

2015 filings • NTEE E • $1M-$5M nonprofits • Source year 2015

Asset Growth

89th percentile

36%

Faster asset growth than 89% of similar nonprofits.

2015 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

25th percentile

-7.3%

Faster revenue growth than 25% of similar nonprofits.

2015 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$902,704

Up $241,139 (+36%) from 2014

Net Assets

Up

$478,695

Up $430,447 (+892%) from 2014

Liabilities

Down

$424,009

Down $189,308 (-31%) from 2014

Revenue

Down

$3,735,268

Down $293,693 (-7.3%) from 2014

Expenses

Down

$3,304,821

Down $526,031 (-14%) from 2014

Net Income

Up

$430,447

Up $232,338 (+117%) from 2014

Historical Trend

Balance Sheet Trend

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

$15M$10M$5.0M$0-$5.0MAssets 2012: $493,540Liabilities 2012: $830,149Net Assets 2012: -$336,6092012Assets 2013: $702,073Liabilities 2013: $851,934Net Assets 2013: -$149,8612013Assets 2014: $661,565Liabilities 2014: $613,317Net Assets 2014: $48,2482014Assets 2015: $902,704Liabilities 2015: $424,009Net Assets 2015: $478,6952015Assets 2016: $1,042,471Liabilities 2016: $237,616Net Assets 2016: $804,8552016Assets 2017: $875,973Liabilities 2017: $220,040Net Assets 2017: $655,9332017Assets 2018: $853,030Liabilities 2018: $340,027Net Assets 2018: $513,0032018Assets 2019: $853,137Liabilities 2019: $255,024Net Assets 2019: $598,1132019Assets 2020: $1,595,391Liabilities 2020: $905,257Net Assets 2020: $690,1342020Assets 2021: $1,581,046Liabilities 2021: $622,267Net Assets 2021: $958,7792021Assets 2022: $1,983,101Liabilities 2022: $292,047Net Assets 2022: $1,691,0542022Assets 2023: $12,335,234Liabilities 2023: $9,177,027Net Assets 2023: $3,158,2072023Assets 2024: $13,064,784Liabilities 2024: $10,173,699Net Assets 2024: $2,891,0852024

Highlighted filing

2015

Assets$902,704
Liabilities$424,009
Net Assets$478,695

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2012: $3,644,5512012Expenses 2013: $3,593,1372013Revenue 2014: $4,028,961Expenses 2014: $3,830,852Net Income 2014: $198,1092014Revenue 2015: $3,735,268Expenses 2015: $3,304,821Net Income 2015: $430,4472015Revenue 2016: $3,892,119Expenses 2016: $3,565,959Net Income 2016: $326,1602016Revenue 2017: $3,379,038Expenses 2017: $3,527,960Net Income 2017: -$148,9222017Revenue 2018: $3,686,290Expenses 2018: $3,829,220Net Income 2018: -$142,9302018Revenue 2019: $3,837,056Expenses 2019: $3,751,946Net Income 2019: $85,1102019Revenue 2020: $4,039,397Expenses 2020: $3,947,376Net Income 2020: $92,0212020Revenue 2021: $4,359,612Expenses 2021: $4,090,967Net Income 2021: $268,6452021Revenue 2022: $4,899,093Expenses 2022: $4,166,818Net Income 2022: $732,2752022Revenue 2023: $5,971,245Expenses 2023: $4,504,092Net Income 2023: $1,467,1532023Revenue 2024: $5,056,038Expenses 2024: $5,323,160Net Income 2024: -$267,1222024

Highlighted filing

2015

Revenue$3,735,268
Expenses$3,304,821
Net Income$430,447
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Dec 14, 2015
Return Version
2014v5.0
Gross Receipts
$3,735,268
Mission and Program Overview

Mission

None

To provide 24 hour skilled nursing care services for individuals with degenerative conditions, dementia, and a variety of medically complex conditions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$607,917$312,158▼ $295,759
Land, Buildings, and Equipment, Net$42,503$78,936▲ $36,433
Savings and Temporary Cash Investments$5,651$66,382▲ $60,731
Inventories for Sale or Use-$33,161-
Prepaid Expenses and Deferred Charges$3,405$9,110▲ $5,705
Total Assets$661,565$902,704▲ $241,139
Other Assets Total$2,089$402,957▲ $400,868
Liabilities
Accounts Payable and Accrued Expenses$302,927$220,426▼ $82,501
Mortgage Notes Payable Secured by Investment Property$289,635$178,370▼ $111,265
Deferred Revenue$18,666$18,941▲ $275
Escrow Account Liability$2,089$6,272▲ $4,183
Total Liabilities$613,317$424,009▼ $189,308
Net Assets / Fund Balance
Unrestricted Net Assets$48,248$478,695▲ $430,447
Total Net Assets Fund Balance$48,248$478,695▲ $430,447
Total Liabilities and Net Assets / Fund Balance$661,565$902,704▲ $241,139

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$48,752$37,522$86,274
Leasehold Improvements$30,184$2,960$33,144
Other Assets Org$402,957--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicole JohnsonCEO/AdministratorPT$79,429$1,589$81,018

Board Members and Trustees

NameTitle
Kent DickPresident
Helene FossumVice President
Jayne OttDirector
Carol FredricksonDirector (March-Dec)
Nathan LundeDirector (starting Dec)
Pam VenhuizenSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Health Management ServicesManagement Services1001 S 24th St W 311, Billings, MT 59102$140,500
Revenue and Support

Revenue Composition

Contributions and Grants
$48,614
Program Service Revenue
$3,638,554
Investment Income
$100
Other Revenue
$48,000
All Other Contributions
$48,614
Change in Net Assets
$430,447

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Clothing and Household Goods-$39,900Actual cost
Other Non Cash Contri Table1$7,900Actual cost
Other Non Cash Contri Table1$434Actual cost
Total Noncash Contributions2$48,234-

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,735,268
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$3,735,268
Total Revenue per Form 990
$3,735,268
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,154,197
Other Expenses$1,150,624
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,736,265$19,877-$1,756,142
Occupancy$430,146--$430,146
Other Employee Benefits$188,592$7,275-$195,867
Fees for Services Management-$152,467-$152,467
Fees for Services Other$113,541$22,564-$136,105
Payroll Taxes$124,959$5,204-$130,163
Current Officers, Directors, Trustees, and Key Employees-$53,762-$53,762
Office Expenses$48,053$2,011-$50,064
Information Technology$43,193$283-$43,476
Insurance$24,059--$24,059
Fees for Services Accounting-$21,527-$21,527
Pension Plan Contributions$18,263--$18,263
Depreciation Depletion$14,607--$14,607
All Other Expenses$13,220$823-$14,043
Interest$10,542--$10,542
Other Expenses$9,750--$9,750
Conferences and Meetings$4,794$994-$5,788
Travel$3,542$1,771-$5,313
Advertising$2,552--$2,552
Total Functional Expenses$3,016,263$288,558$0$3,304,821

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$3,304,821
Total Expenses per Audited Statements$3,304,821
Total Expenses per Form 990$3,304,821
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

The Organization has an agreement with an unrelated management company, Health Management Services (HMS). HMS selects the Administrator for the Organization. The Organization's governing board is then given the opportunity to formally interview all candidates for the position of Administrator and make recommendations to HMS. HMS has the ultimate decision. HMS also provides other services such as administrative services, facility management and oversight services and obligations. Nicole Johnson, the Administrator, was an employee of Griggs County Care Center for all of calendar year 2014, During the calendar year 2014, she was compensated by the Organization $79,429 in salaries, $1,589 of pension and $423 in other benefits. However, beginning in February, 2015 she became an employee of HMS. As an employee of HMS, she was compensated by HMS for her services to the Organization.

Form 990, Part VI, Section A, line 6

Members 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 7A

Members elect the members of the governing body.

Form 990, Part VI, Section A, line 8B

The organization's bylaws allows for an executive committee, however they did not have one during the year with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11

The 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 12C

Board 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 15

Health Management Services (HMS) was managing the Organization's facility during both the calendar year 2014 and for the FYE 2015. The HMS contract covers service from several other employees as well as the Administrator. The Board approves the HMS contract. The HMS contract does not contain any specific individual's compensation amount, but instead just one contract amount for all services. HMS determined what the Administrator's compensation would be for both the calendar year 2014 and for the FYE 2015, however her compensation was paid by the Organization during calendar year 2014. HMS evaluates comparable wages for the position, area and experience of the Administrator when determining the salary. There are no other officers or key employees.

Form 990, Part VI, Section C, line 19

All governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Griggs County Nursing Home
EIN
90-0741090
Phone
7017972221
Address
1200 Roberts Ave NE, Cooperstown, ND 58425
Doing Business As
Griggs County Care Center

Signing Officer

Name
Nicole Johnson
Title
CEO/Administrator
Phone
7017972221
Signed
2015-12-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nicole Johnson
Formed
2011
Legal Domicile
Nd
Voting Board Members
5
Independent Board Members
5
Employees
118
Volunteers
70

Preparer

Firm
Eide Bailly Llp
Address
4310 17TH AVE S PO BOX 2545, FARGO, ND 58108-2545
Preparer
Lisa Chaffee CPA
Phone
7012398500
Supplemental Narrative

Financial Statement Notes

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 $6,272 and $2,089 at June 30, 2015 and 2014.

Part X, Line 2:

The Care Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Care Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Care Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Care Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Return (Form 990T) with the IRS. 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.

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IRS990/Desc0A 48-bed nursing 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 15,006 bed days of service for individuals.
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IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt0178370
IRS990/NetAssetsOrFundBalancesBOYAmt048248
IRS990/NetAssetsOrFundBalancesEOYAmt0478695
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoncashContributionsAmt048234
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0430146
IRS990/OccupancyGrp/TotalAmt0430146
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02011
IRS990/OfficeExpensesGrp/ProgramServicesAmt048053
IRS990/OfficeExpensesGrp/TotalAmt050064
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt02089
IRS990/OtherAssetsTotalGrp/EOYAmt0402957
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt07275
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0188592
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0195867
IRS990/OtherExpensesGrp/Desc0Food
IRS990/OtherExpensesGrp/Desc1Medical Supplies
IRS990/OtherExpensesGrp/Desc2Bad Debt Expenses
IRS990/OtherExpensesGrp/Desc3Equipment Lease
IRS990/OtherExpensesGrp/ProgramServicesAmt0144261
IRS990/OtherExpensesGrp/ProgramServicesAmt151924
IRS990/OtherExpensesGrp/ProgramServicesAmt234000
IRS990/OtherExpensesGrp/ProgramServicesAmt39750
IRS990/OtherExpensesGrp/TotalAmt0144261
IRS990/OtherExpensesGrp/TotalAmt151924
IRS990/OtherExpensesGrp/TotalAmt234000
IRS990/OtherExpensesGrp/TotalAmt39750
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0Proceeds from Sale of
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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt048000
IRS990/OtherRevenueTotalAmt048000
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt019877
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01736265
IRS990/OtherSalariesAndWagesGrp/TotalAmt01756142
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt05204
IRS990/PayrollTaxesGrp/ProgramServicesAmt0124959
IRS990/PayrollTaxesGrp/TotalAmt0130163
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt018263
IRS990/PensionPlanContributionsGrp/TotalAmt018263
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt03405
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt09110
IRS990/PrincipalOfficerNm0Nicole Johnson
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/BusinessCd1623000
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/BusinessCd3623990
IRS990/ProgramServiceRevenueGrp/Desc0Net Resident Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Contract Health Servic
IRS990/ProgramServiceRevenueGrp/Desc2Guest Meals Revenue
IRS990/ProgramServiceRevenueGrp/Desc3Other Operating Revenu
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03520164
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1107428
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt210597
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3365
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03520164
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1107428
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt210597
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3365
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt066
IRS990/PYOtherExpensesAmt01169667
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04028895
IRS990/PYRevenuesLessExpensesAmt0198109
IRS990/PYSalariesCompEmpBnftPaidAmt02661185
IRS990/PYTotalExpensesAmt03830852
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04028961
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0430447
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt03686554
IRS990/SavingsAndTempCashInvstGrp/BOYAmt05651
IRS990/SavingsAndTempCashInvstGrp/EOYAmt066382
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt048614
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt020000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt014556
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt083170
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0100
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt066
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt096
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt021
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0283
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt03686554
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt04028895
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt03759712
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt03293365
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt014768526
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt077
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt077
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0100
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt066
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt096
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt021
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0283
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt09887945
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt01699695
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt01821679
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt01442454
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt04963828
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt01699695
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt01821679
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt01442454
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt04963828
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt03735168
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt04028895
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt03779789
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt03307921
IRS990ScheduleA/Total509Grp/TotalAmt014851773
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt03735268
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt04028961
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt03779885
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt03307942
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt014852056
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/AgentTrusteeEtcInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt048752
IRS990ScheduleD/EquipmentGrp/DepreciationAmt037522
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt086274
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt03304821
IRS990ScheduleD/ExplanationProvidedInd0X
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd01
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt030184
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt02960
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt033144
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0402957
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Cooperstown Medical Center Receivable
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt03735268
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The 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 $6,272 and $2,089 at June 30, 2015 and 2014.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1The Care Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Care Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Care Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Care Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Return (Form 990T) with the IRS. 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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part IV, Line 2b:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt078936
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0402957
IRS990ScheduleD/TotalExpensesPerForm990Amt03304821
IRS990ScheduleD/TotalRevenuePerForm990Amt03735268
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt03735268
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt03304821
IRS990/ScheduleJRequiredInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/ClothingAndHouseholdGoodsGrp/MethodOfDeterminingRevenuesTxt0Actual cost
IRS990ScheduleM/ClothingAndHouseholdGoodsGrp/NonCashCheckboxInd0X
IRS990ScheduleM/ClothingAndHouseholdGoodsGrp/NoncashContributionsRptF990Amt039900
IRS990ScheduleM/Form8283ReceivedCnt00
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt11
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0Carpet Cleaning Machine
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc1Wheelchair
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0Actual cost
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt1Actual cost
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd1X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt07900
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt1434
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Organization has an agreement with an unrelated management company, Health Management Services (HMS). HMS selects the Administrator for the Organization. The Organization's governing board is then given the opportunity to formally interview all candidates for the position of Administrator and make recommendations to HMS. HMS has the ultimate decision. HMS also provides other services such as administrative services, facility management and oversight services and obligations. Nicole Johnson, the Administrator, was an employee of Griggs County Care Center for all of calendar year 2014, During the calendar year 2014, she was compensated by the Organization $79,429 in salaries, $1,589 of pension and $423 in other benefits. However, beginning in February, 2015 she became an employee of HMS. As an employee of HMS, she was compensated by HMS for her services to the Organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Members consist of those persons who are 18 years of age or above residing in the area served by the Griggs County Nursing Home.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Members elect the members of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The organization's bylaws allows for an executive committee, however they did not have one during the year with authority to act on behalf of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Board 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Health Management Services (HMS) was managing the Organization's facility during both the calendar year 2014 and for the FYE 2015. The HMS contract covers service from several other employees as well as the Administrator. The Board approves the HMS contract. The HMS contract does not contain any specific individual's compensation amount, but instead just one contract amount for all services. HMS determined what the Administrator's compensation would be for both the calendar year 2014 and for the FYE 2015, however her compensation was paid by the Organization during calendar year 2014. HMS evaluates comparable wages for the position, area and experience of the Administrator when determining the salary. There are no other officers or key employees.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7All governing documents, conflict of interest policy, and financial statements are available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.1$10.2$2.89$5.06$5.32$0.27
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.3$9.18$3.16$5.97$4.50$1.47
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.98$0.29$1.69$4.90$4.17$0.73
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.58$0.62$0.96$4.36$4.09$0.27
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.60$0.91$0.69$4.04$3.95$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.85$0.26$0.60$3.84$3.75$0.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.85$0.34$0.51$3.69$3.83$0.14
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.88$0.22$0.66$3.38$3.53$0.15
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.04$0.24$0.80$3.89$3.57$0.33
2015Detailed filing. Detailed filing data is available for this year.$0.90$0.42$0.48$3.74$3.30$0.43
2014Detailed filing. Detailed filing data is available for this year.$0.66$0.61$0.05$4.03$3.83$0.20
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.70$0.85$0.15$3.59
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.49$0.83$0.34$3.64