Griggs County Nursing Home

“Nathan Lunde and Mark Lunde have a family relationship.”

“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 HMS until July of 2018. In August of 2018 she became an employee of Griggs County Care Center. As an employee of HMS, she was compensated by HMS for her services to the Organization. During the calendar year 2018, she was compensated by HMS $79,188 in salaries, and $3,959 of pension. Her compensation from Griggs County Care Center is reported in Part VII of the Form 990. Nicole also provides services to Cooperstown Medical Center (CMC), an unrelated organization. 30 percent of her compensation reported in Part VII is billed to and reimbursed by CMC.”

“Members consist of those persons who are 18 years of age or above residing in the area served by the Griggs County Nursing Home.”

“Members elect the members of the governing body.”

“The organization's bylaws allows for an Executive Committee.”

“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.”

“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.”

“Health Management Services (HMS) was managing the Organization's facility through July of 2018. The HMS contract covered service from several other employees as well as the Administrator. The Board approved the HMS contract. The HMS contract did 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 the fiscal year. HMS evaluated comparable wages for the position, area and experience of the Administrator when determining the salary. In August of 2018, the Administrator became an employee of the Organization. She also provides 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. 30 percent of her compensation is billed to and reimbursed by CMC. There are no other officers or key employees.”

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

“Contracted Services: Program service expenses 323,153. Management and general expenses 38,480. Fundraising expenses 0. Total expenses 361,633. Consultant Fees: Program service expenses 6,480. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,480. Other Fees: Program service expenses 2,540. Management and general expenses 2,671. Fundraising expenses 0. Total expenses 5,211. Payroll Services: Program service expenses 0. Management and general expenses 8,416. Fundraising expenses 0. Total expenses 8,416.”