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Nonprofiteer
← 4000 VALLEY SQUARE INC DBA WOODSIDE VILL WHEATLAND TERR

Form 990 for tax year 2023

Filed by 4000 VALLEY SQUARE INC DBA WOODSIDE VILL WHEATLAND TERR.

Totals

Total revenue
$26,407,271
Total expenses
$24,078,227
Contributions and grants received
$510,450
Grants paid
$0
Program service revenue
$25,302,378
Investment income
$445,819
Other revenue
$148,624
Total assets, end of year
$36,706,114
Total liabilities, end of year
$25,335,080
Net assets or fund balances, end of year
$11,371,034
Program services expenses (Part IX)
$20,895,925
Management and general expenses
$3,182,302
Fundraising expenses
$0
Program service expenses (Part III)
$20,895,925

Program services were 86.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $49,960

  • 1e · Government grants (contributions)

    $460,490

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Skilled Nursing DBA: Woodside Village

    total $20,628,566 · related or exempt $20,602,382 · unrelated business $0 · excluded $26,184

  • 2b · Program service revenue: Assisted Living DBA: Wheatland Terrace

    total $3,279,045 · related or exempt $3,229,200 · unrelated business $0 · excluded $49,845

  • 2c · Program service revenue: Senior Independent Living DBA: Country Estates

    total $1,393,917 · related or exempt $1,310,997 · unrelated business $0 · excluded $82,920

  • 2f · All other program service revenue

    total $850 · related or exempt $0 · unrelated business $0 · excluded $850

  • 3 · Investment income

    total $445,819 · related or exempt $445,819 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11a · Other revenue: Interest in Net Assets VSL Foundation

    total -$2,484 · related or exempt -$2,484 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $151,108 · related or exempt $151,108 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $148,624

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $12,623,538 · program services $12,332,736 · management and general $290,802 · fundraising $0

  • 8 · Pension plan contributions

    total $561,178 · program services $550,802 · management and general $10,376 · fundraising $0

  • 9 · Other employee benefits

    total $1,511,475 · program services $1,479,190 · management and general $32,285 · fundraising $0

  • 10 · Payroll taxes

    total $1,000,946 · program services $850,577 · management and general $150,369 · fundraising $0

  • 11b · Fees: legal

    total $7,265 · program services $0 · management and general $7,265 · fundraising $0

  • 11c · Fees: accounting

    total $172 · program services $0 · management and general $172 · fundraising $0

  • 11g · Fees: other

    total $102 · program services $102 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $1,968 · program services $0 · management and general $1,968 · fundraising $0

  • 13 · Office expenses

    total $79,852 · program services $0 · management and general $79,852 · fundraising $0

  • 14 · Information technology

    total $235,282 · program services $0 · management and general $235,282 · fundraising $0

  • 16 · Occupancy

    total $384,866 · program services $336,232 · management and general $48,634 · fundraising $0

  • 17 · Travel

    total $29,573 · program services $24,203 · management and general $5,370 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $41,014 · program services $39,035 · management and general $1,979 · fundraising $0

  • 20 · Interest

    total $1,220,135 · program services $1,220,135 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $1,770,003 · program services $1,770,003 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $229,884 · program services $229,884 · management and general $0 · fundraising $0

  • 24a · Other expenses: Contracted Services/Management Fees

    total $2,207,633 · program services $0 · management and general $2,207,633 · fundraising $0

  • 24b · Other expenses: Direct Departmental Supplies

    total $840,639 · program services $840,639 · management and general $0 · fundraising $0

  • 24c · Other expenses: Food and Supplements

    total $844,914 · program services $844,914 · management and general $0 · fundraising $0

  • 24d · Other expenses: Employee Expense

    total $84,435 · program services $0 · management and general $84,435 · fundraising $0

  • 24e · All other expenses

    total $403,353 · program services $377,473 · management and general $25,880 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,542,083 · end of year $7,548,988

  • 2 · Savings and temporary cash investments

    beginning of year $197,057

  • 4 · Accounts receivable

    beginning of year $1,417,838 · end of year $1,265,921

  • 8 · Inventories for sale or use

    beginning of year $112,727 · end of year $119,438

  • 9 · Prepaid expenses and deferred charges

    beginning of year $8,987 · end of year $8,890

  • 10a · Land, buildings and equipment: cost or other basis

    $47,131,335

  • 10b · Land, buildings and equipment: accumulated depreciation

    $30,919,116

  • 10c · Land, buildings and equipment, net

    beginning of year $17,205,303 · end of year $16,212,219

  • 15 · Other assets

    beginning of year $10,544,368 · end of year $11,550,658

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,063,248 · end of year $1,133,583

  • 20 · Tax-exempt bond liabilities

    beginning of year $24,500,000 · end of year $23,610,000

  • 24 · Unsecured notes and loans payable

    beginning of year $119,358 · end of year $141,165

  • 25 · Other liabilities

    beginning of year $303,767 · end of year $450,332

  • 27 · Net assets without donor restrictions

    beginning of year $8,822,761 · end of year $11,154,289

  • 28 · Net assets with donor restrictions

    beginning of year $219,229 · end of year $216,745

Mission and programs · 2023

Mission

4000 Valley Square (DBA: Valley Senior Living on 42nd) provides compassionate care and service from a Christian perspective to enhance the quality of life for those we serve.

Activities or mission (Part I)

Operation of Woodside Village a 138 Bed Skilled Nursing Facility, Operation of Wheatland Terrace a 59 Unit Assisted Living Facility and Operation of Country Estates a 60 Unit Independent Living Facility

  • Woodside Village is a 138 bed skilled nursing facility, including 28 Memory Care beds. FYE 6/30/2023 Woodside Village served on the average 136 residents with an annual average occupancy of 98.3%. Woodside Village serves the Medicare, Medicaid and Private Pay population

    Expenses $17,170,852 · Revenue $20,628,566

  • Wheatland Terrace a 59 unit assisted living facility. FYE 6/30/2023 Wheatland Terrace served on the average 56 residents with an annual average occupancy of 94%.

    Expenses $2,607,382 · Revenue $3,279,045

  • Country Estates a 60 unit independent living facility. FYE 6/30/2023 Country Estates served on the average 59 residents with an annual average occupancy of 97%.

    Expenses $1,117,691 · Revenue $1,393,917

As filed on the 2023 return.

Listed in Part VII

  • Garth Rydland

    President/CEO

    Total calculated
    $306,165
    From this org
    $0
    From related orgs
    $284,405
    Other
    $21,760
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,655 related
    Bonus
    $0 + $18,750 related
    Other
    $0
    Deferred
    $0 + $12,075 related
    Nontaxable benefits
    $0 + $9,685 related
    Filer's total
    $0 + $306,165 related
  • Gina Roller

    Valley Senior Living on 42nd Administrator

    Total calculated
    $208,384
    From this org
    $187,624
    From related orgs
    $0
    Other
    $20,760
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,624
    Bonus
    $8,000
    Other
    $0
    Deferred
    $11,097
    Nontaxable benefits
    $9,663
    Filer's total
    $208,384
  • Lorilee A Bott

    CFO

    Total calculated
    $205,839
    From this org
    $0
    From related orgs
    $177,302
    Other
    $28,537
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,552 related
    Bonus
    $0 + $7,750 related
    Other
    $0
    Deferred
    $0 + $11,416 related
    Nontaxable benefits
    $0 + $17,121 related
    Filer's total
    $0 + $205,839 related
  • Adam Edwards

    Chief Human Resource Officer

    Total calculated
    $199,269
    From this org
    $0
    From related orgs
    $164,735
    Other
    $34,534
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,985 related
    Bonus
    $0 + $8,750 related
    Other
    $0
    Deferred
    $0 + $10,765 related
    Nontaxable benefits
    $0 + $23,769 related
    Filer's total
    $0 + $199,269 related
  • Jessica Baumgarten

    Director of Nursing Valley Senior Living on Columbia

    Total calculated
    $182,323
    From this org
    $0
    From related orgs
    $152,389
    Other
    $29,934
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $143,114 related
    Bonus
    $0 + $9,275 related
    Other
    $0
    Deferred
    $0 + $9,577 related
    Nontaxable benefits
    $0 + $20,357 related
    Filer's total
    $0 + $182,323 related
  • LeeAnn Novak

    LPN Float

    Total calculated
    $168,445
    From this org
    $150,439
    From related orgs
    $0
    Other
    $18,006
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,439
    Bonus
    $0
    Other
    $0
    Deferred
    $3,059
    Nontaxable benefits
    $14,947
    Filer's total
    $168,445
  • Jennifer Schultz

    Director of Nursing Woodside Village

    Total calculated
    $164,511
    From this org
    $141,101
    From related orgs
    $0
    Other
    $23,410
    Hours/week
    40
  • Angela Goulet

    Tufte Manor Administrator and Director PCS

    Total calculated
    $153,618
    From this org
    $0
    From related orgs
    $121,824
    Other
    $31,794
    Hours/week
    0 + 40 related
  • Angie Praska

    Assistant Director of Nursing Woodside Village

    Total calculated
    $123,522
    From this org
    $116,003
    From related orgs
    $0
    Other
    $7,519
    Hours/week
    40
  • Kari Gerszewski

    RN Care Coordinator

    Total calculated
    $117,719
    From this org
    $102,392
    From related orgs
    $0
    Other
    $15,327
    Hours/week
    40
  • Margaret Reed

    Chairperson

    Total calculated
    $0
    Hours/week
    0
  • David Molmen

    Vice Chair

    Total calculated
    $0
    Hours/week
    0
  • Dwight Thompson

    Treasurer

    Total calculated
    $0
    Hours/week
    0
  • Sarah Raymond

    Director

    Total calculated
    $0
    Hours/week
    0
  • Patrick Moore

    Director

    Total calculated
    $0
    Hours/week
    0
  • Michael Brown

    Director

    Total calculated
    $0
    Hours/week
    0
  • Scott Berge

    Director

    Total calculated
    $0
    Hours/week
    0
  • Carol Svendson

    Director

    Total calculated
    $0
    Hours/week
    0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4
Valley Senior Living, a related organization, participates in a 457B plan.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
23 October 2024
IRS schema version
2023v5.0
Source object
202422979349301762

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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