Totals
- Total revenue
- $1,513,230
- Total expenses
- $1,435,875
- Contributions and grants received
- $37,095
- Grants paid
- $0
- Program service revenue
- $1,459,072
- Investment income
- -$937
- Other revenue
- $18,000
- Total assets, end of year
- $734,100
- Total liabilities, end of year
- $1,040,179
- Net assets or fund balances, end of year
- -$306,079
- Program services expenses (Part IX)
- $1,255,301
- Management and general expenses
- $180,574
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,255,301
Program services were 87.4% 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.
-
1d · Related organizations
$36,219
-
1e · Government grants (contributions)
$876
-
2a · Program service revenue: RESIDENT REVENUE
total $1,458,125 · related or exempt $1,458,125
-
2b · Program service revenue: OTHER PROGRAM REVENUE
total $947 · related or exempt $947
-
3 · Investment income
total $4,808 · excluded $4,808
-
6a · Gross rents
real property $18,000
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $18,000
-
6d · Net rental income or loss
total $18,000 · excluded $18,000
-
7b · Less cost or other basis and sales expenses
other assets $5,745
-
7c · Gain or loss
other assets -$5,745
-
7d · Net gain or loss
total -$5,745 · excluded -$5,745
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $692,055 · program services $624,662 · management and general $67,393
-
8 · Pension plan contributions
total $8,244 · program services $7,441 · management and general $803
-
9 · Other employee benefits
total $125,143 · program services $112,957 · management and general $12,186
-
10 · Payroll taxes
total $53,315 · program services $48,123 · management and general $5,192
-
11c · Fees: accounting
total $1,575 · program services $1,422 · management and general $153
-
11g · Fees: other
total $148,756 · program services $134,270 · management and general $14,486
-
12 · Advertising and promotion
total $3,532 · program services $3,188 · management and general $344
-
13 · Office expenses
total $31,561 · program services $28,488 · management and general $3,073
-
16 · Occupancy
total $62,648 · program services $56,547 · management and general $6,101
-
20 · Interest
total $45,145 · management and general $45,145
-
22 · Depreciation, depletion and amortization
total $78,516 · program services $70,870 · management and general $7,646
-
23 · Insurance
total $18,395 · program services $16,604 · management and general $1,791
-
24a · Other expenses: FOOD
total $117,136 · program services $105,729 · management and general $11,407
-
24b · Other expenses: RESIDENT SUPPLIES
total $23,787 · program services $21,471 · management and general $2,316
-
24c · Other expenses: MAINTENANCE & REPAIRS
total $12,824 · program services $11,575 · management and general $1,249
-
24d · Other expenses: DUES & SUBSCRIPTIONS
total $4,383 · program services $3,956 · management and general $427
-
24e · All other expenses
total $8,860 · program services $7,998 · management and general $862
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $458,963 · end of year $334,119
-
2 · Savings and temporary cash investments
beginning of year $3,468 · end of year $3,932
-
4 · Accounts receivable
beginning of year $4,993 · end of year $26,526
-
9 · Prepaid expenses and deferred charges
beginning of year $13,336 · end of year $14,493
-
10a · Land, buildings and equipment: cost or other basis
$3,367,715
-
10b · Land, buildings and equipment: accumulated depreciation
$3,012,685
-
10c · Land, buildings and equipment, net
beginning of year $396,965 · end of year $355,030
-
17 · Accounts payable and accrued expenses
beginning of year $168,454 · end of year $144,588
-
21 · Escrow or custodial account liability
beginning of year $36,016 · end of year $50,480
-
25 · Other liabilities
beginning of year $1,056,689 · end of year $845,111
-
27 · Net assets without donor restrictions
beginning of year -$383,434 · end of year -$306,079
Mission and programs · 2022
Mission
OUR MISSION IS TO PROVIDE AN ENRICHED LIVING ENVIRONMENT FOR THOSE SEEKING PRIVACY AND INDEPENDENCE, WHILE NURTURING CONTINUED GROWTH OF THE HUMAN SPIRIT THROUGH FRIENDSHIP, SERVICES AND NURSE-DIRECTED PROGRAMS.
Activities or mission (Part I)
TO PROVIDE ASSISTED LIVING SERVICES FOR SENIOR ADULTS.
-
THE LODGE IS AN ASSISTED LIVING FACILITY DESIGNED FOR SENIOR ADULTS WHO WISH TO MAINTAIN THEIR INDEPENDENCE IN AN ENRICHED, COMFORTABLE SETTING AMONG FRIENDS, FAMILY AND A DEDICATED STAFF. WE PROVIDE YOU WITH CHOICE, INDEPENDENCE, 24-HOUR SECURITY, SERVICE AS YOU NEED IT, COMPANIONSHIP, HOME-COOKED MEALS, WELLNESS PROGRAMS, MEDICATION SERVICES AND NURSE-DIRECTED PROGRAMS.
Expenses $1,255,301 · Revenue $1,459,072
As filed on the 2022 return.
Listed in Part VII
-
Rajohn Karanjai MDRAJOHN KARANJAI MD
TRUSTEE/CMO
- Total calculated
- $1,090,748
- From this org
- $0
- From related orgs
- $1,090,748
- Other
- $0
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $1,090,748 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $1,090,748 related
-
Leszek Jaszczak MDLESZEK JASZCZAK MD
FORMER OFFICER
- Total calculated
- $713,745
- From this org
- $0
- From related orgs
- $681,078
- Other
- $32,667
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $680,078 related
- Bonus
- $0 + $1,000 related
- Other
- $0
- Deferred
- $0 + $5,861 related
- Nontaxable benefits
- $0 + $26,806 related
- Filer's total
- $0 + $713,745 related
-
Malua Tambi MDMALUA TAMBI MD
CHIEF OF MEDICAL STAFF
- Total calculated
- $589,094
- From this org
- $0
- From related orgs
- $545,166
- Other
- $43,928
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $544,066 related
- Bonus
- $0 + $1,100 related
- Other
- $0
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $34,778 related
- Filer's total
- $0 + $589,094 related
-
Ralf Kiehl MD Chief OfRALF KIEHL MD CHIEF OF
MEDICAL STAFF (THROUGH 12/31/22)
- Total calculated
- $470,350
- From this org
- $0
- From related orgs
- $447,346
- Other
- $23,004
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $446,321 related
- Bonus
- $0 + $1,025 related
- Other
- $0
- Deferred
- $0 + $7,877 related
- Nontaxable benefits
- $0 + $15,127 related
- Filer's total
- $0 + $470,350 related
-
Jen DotyJEN DOTY
CEO
- Total calculated
- $307,916
- From this org
- $0
- From related orgs
- $275,289
- Other
- $32,627
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $272,889 related
- Bonus
- $0 + $2,400 related
- Other
- $0
- Deferred
- $0 + $8,456 related
- Nontaxable benefits
- $0 + $24,171 related
- Filer's total
- $0 + $307,916 related
-
Tina MontgomeryTINA MONTGOMERY
CFO
- Total calculated
- $207,715
- From this org
- $0
- From related orgs
- $182,722
- Other
- $24,993
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $180,472 related
- Bonus
- $0 + $2,250 related
- Other
- $0
- Deferred
- $0 + $5,607 related
- Nontaxable benefits
- $0 + $19,386 related
- Filer's total
- $0 + $207,715 related
-
Lance AverettLANCE AVERETT
PRESIDENT & VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Robert BurnisonROBERT BURNISON
TRUSTEE & PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Randy JohnsonRANDY JOHNSON
VICE PRESIDENT & TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Rebecca BradleyREBECCA BRADLEY
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Eric BeenkenERIC BEENKEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Susan DuffeySUSAN DUFFEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Stephanie LiversSTEPHANIE LIVERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Kevin MayerKEVIN MAYER
TRUSTEE (THROUGH 11/16/22)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Cheryl Van EveryCHERYL VAN EVERY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
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
- 5b · Pay contingent on a related organization's revenues
- 6b · Pay contingent on a related organization's net earnings
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
- 6a · Pay contingent on this organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE CEO OF LONE TREE SENIOR LIVING IS COMPENSATED THROUGH LONE TREE'S RELATED ORGANIZATION, SIDNEY HEALTH CENTER. THE METHODS USED TO DETERMINE THE CEO'S COMPENSATION ARE (A) COMPENSATION SURVERY OR STUDY AND (B) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 5
- SIDNEY HEALTH CENTER PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS, PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES. NO BONUS IS PAID BY LONE TREE SENIOR LIVING.
- PART I, LINE 6
- FOR THE EXECUTIVES, ANNUAL RAISES FROM SIDNEY HEALTH CENTER ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN.
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.
-
501(C)(3) · HOSPITAL · MT
-
FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY
501(C)(3) · FUNDRAISING · MT
Directly controlled by SIDNEY HEALTH CENTER
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441289349300634
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