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Nonprofiteer
← ELLENDALE EVERGREEN PLACE INC

Form 990 for tax year 2022

Filed by ELLENDALE EVERGREEN PLACE INC.

Totals

Total revenue
$1,046,170
Total expenses
$996,696
Contributions and grants received
$0
Grants paid
$3,114
Program service revenue
$994,522
Investment income
$1,576
Other revenue
$50,072
Total assets, end of year
$1,256,303
Total liabilities, end of year
-$103,084
Net assets or fund balances, end of year
$1,359,387
Program services expenses (Part IX)
$797,222
Management and general expenses
$199,474
Fundraising expenses
$0
Program service expenses (Part III)
$797,222

Program services were 80.0% 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.

  • 2a · Program service revenue: RESIDENT REVENUE

    total $994,522 · related or exempt $994,522

  • 3 · Investment income

    total $1,576 · excluded $1,576

  • 11a · Other revenue: MISCELLANEAOUS REVENUE

    total $50,072 · excluded $50,072

  • 11e · Other revenue, total

    $50,072

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,114 · program services $3,114

  • 7 · Other salaries and wages

    total $495,678 · program services $408,543 · management and general $87,135

  • 8 · Pension plan contributions

    total $7,500 · program services $7,500

  • 9 · Other employee benefits

    total $74,929 · program services $74,929

  • 10 · Payroll taxes

    total $34,106 · program services $34,106

  • 11a · Fees: management

    total $58,328 · management and general $58,328

  • 11b · Fees: legal

    total $369 · management and general $369

  • 11c · Fees: accounting

    total $13,659 · management and general $13,659

  • 11g · Fees: other

    total $71,347 · program services $66,445 · management and general $4,902

  • 12 · Advertising and promotion

    total $799 · management and general $799

  • 13 · Office expenses

    total $4,448 · program services $2,095 · management and general $2,353

  • 16 · Occupancy

    total $84,667 · program services $78,210 · management and general $6,457

  • 17 · Travel

    total $1,241 · program services $1,163 · management and general $78

  • 22 · Depreciation, depletion and amortization

    total $27,691 · program services $27,691

  • 23 · Insurance

    total $12,198 · management and general $12,198

  • 24a · Other expenses: MEALS

    total $64,611 · program services $64,611

  • 24b · Other expenses: MEDICAL SUPPLY EXPENSE

    total $25,390 · program services $24,322 · management and general $1,068

  • 24c · Other expenses: OTHER

    total $13,477 · program services $1,945 · management and general $11,532

  • 24d · Other expenses: TRAINING

    total $1,981 · program services $1,385 · management and general $596

  • 24e · All other expenses

    total $1,163 · program services $1,163

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $593,360 · end of year $620,739

  • 2 · Savings and temporary cash investments

    beginning of year $348,222 · end of year $348,221

  • 4 · Accounts receivable

    beginning of year $123,400 · end of year $74,120

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

    $950,897

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

    $740,907

  • 10c · Land, buildings and equipment, net

    beginning of year $207,088 · end of year $209,990

  • 12 · Investments: other securities

    end of year $3,233

  • 15 · Other assets

    beginning of year $155,910

  • 17 · Accounts payable and accrued expenses

    beginning of year $39,391 · end of year $31,554

  • 19 · Deferred revenue

    beginning of year $50,072

  • 21 · Escrow or custodial account liability

    beginning of year $4,077 · end of year $5,465

  • 25 · Other liabilities

    beginning of year $24,527 · end of year -$140,103

  • 27 · Net assets without donor restrictions

    beginning of year $1,309,913 · end of year $1,359,387

Mission and programs · 2022

Mission

SEE SCHEDULE OEVERGREEN IS A CATHOLIC ORGANIZATION ENTRUSTED WITH ADVANCING THE HEALTH CARE MINISTRY OF THE BENEDICTINE SISTERS OF DULUTH, MINNESOTA. OUR MISSION IS TO WITNESS TO GOD'S LOVE BY PROVIDING COMPASSIONATE, QUALITY CARE WITH SPECIAL CONCERN FOR THE UNDERSERVED AND THOSE IN NEED.

Activities or mission (Part I)

OUR MISSION IS TO WITNESS TO GOD'S LOVE BY PROVIDING COMPASSIONATE, QUALITY CARE WITH SPECIAL CONCERN FOR THE UNDERSERVED AND THOSE IN NEED.

  • OPERATION OF EVERGREEN PLACE, IS A 20 UNIT BASIC CARE FACILITY AND EVERGREEN APARTMENTS, A 6-UNIT INDEPENDENT LIVING COMMUNITY IN ELLENDALE, NORTH DAKOTA. THE FACILITIES HAD A COMBINED 96.4% OCCUPANCY AND SERVED 28 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/23.

    Expenses $797,222 · Grants $3,114 · Revenue $994,522

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tia Bowe

    VP OF BHS/PRESIDENT

    Total calculated
    $200,261
    From this org
    $0
    From related orgs
    $196,124
    Other
    $4,137
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $196,124 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,137 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $200,261 related

  • Taylar Hack

    VP OF BHS/PRESIDENT

    Total calculated
    $218,110
    From this org
    $0
    From related orgs
    $161,789
    Other
    $56,321
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $155,302 related
    Bonus
    $0 + $6,487 related
    Other
    $0
    Deferred
    $0 + $30,013 related
    Nontaxable benefits
    $0 + $26,308 related
    Filer's total
    $0 + $218,110 related

  • Bridget Henning

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jeff Peterson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jodi Bruns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Rose Sell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jerry Carley

    CEO OF BHS

    Total calculated
    $703,483
    From this org
    $0
    From related orgs
    $545,170
    Other
    $158,313
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $531,906 related
    Bonus
    $0 + $13,264 related
    Other
    $0
    Deferred
    $0 + $134,579 related
    Nontaxable benefits
    $0 + $23,734 related
    Filer's total
    $0 + $703,483 related

  • Kevin Rymanowski

    CFO & TREASURER

    Total calculated
    $434,411
    From this org
    $0
    From related orgs
    $350,678
    Other
    $83,733
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,257 related
    Bonus
    $0 + $6,421 related
    Other
    $0
    Deferred
    $0 + $65,610 related
    Nontaxable benefits
    $0 + $18,123 related
    Filer's total
    $0 + $434,411 related

  • Naomi Grueneich

    EXEC DIR OF BLC-ELLENDALE

    Total calculated
    $102,653
    From this org
    $0
    From related orgs
    $94,122
    Other
    $8,531
    Hours/week
    5

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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)

PART III - ADDITIONAL INFORMATION
BENEDICTINE HEALTH SYSTEM'S (EIN: 41-1531892) CEO AND CFO, JERRY CARLEY AND KEVIN RYMANOWSKI, SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS. SEE SCHEDULE R FOR INFORMATION ON RELATED ORGANIZATIONS. THE CEO IS COMPENSATED BY BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION. THIS ORGANIZATION USES THE FOLLOWING TO SET CEO/ ADMINISTRATIVE COMPENSATIONS: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BENEDICTINE GROUP SELF-INSURANCE ASSOCIATION

    S · WORKERS' COMPENSATION PROGRAM · MN

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202421309349302307

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