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Nonprofiteer
← 4000 VALLEY SQUARE INC DBA WOODSIDE VILL WHEATLAND TERR

Form 990 for tax year 2022

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

Totals

Total revenue
$28,570,518
Total expenses
$23,801,352
Contributions and grants received
$4,735,675
Grants paid
$0
Program service revenue
$23,593,582
Investment income
$147,498
Other revenue
$93,763
Total assets, end of year
$35,028,363
Total liabilities, end of year
$25,986,373
Net assets or fund balances, end of year
$9,041,990
Program services expenses (Part IX)
$20,686,910
Management and general expenses
$3,114,442
Fundraising expenses
$0
Program service expenses (Part III)
$20,686,910

Program services were 86.9% 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

    $34,475

  • 1e · Government grants (contributions)

    $4,701,200

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

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

    total $19,356,403 · related or exempt $19,330,932 · unrelated business $0 · excluded $25,471

  • 2b · Program service revenue: Assisted Living DBA: Woodside Village

    total $2,944,578 · related or exempt $2,896,728 · unrelated business $0 · excluded $47,850

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

    total $1,291,801 · related or exempt $1,213,058 · unrelated business $0 · excluded $78,743

  • 2f · All other program service revenue

    total $800 · related or exempt $0 · unrelated business $0 · excluded $800

  • 3 · Investment income

    total $147,498 · related or exempt $147,498 · 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

  • 11d · All other revenue

    total $93,763 · related or exempt $93,763 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $93,763

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $300,183 · program services $129,411 · management and general $170,772 · fundraising $0

  • 7 · Other salaries and wages

    total $11,769,238 · program services $11,673,382 · management and general $95,856 · fundraising $0

  • 8 · Pension plan contributions

    total $547,683 · program services $536,671 · management and general $11,012 · fundraising $0

  • 9 · Other employee benefits

    total $1,553,380 · program services $1,522,773 · management and general $30,607 · fundraising $0

  • 10 · Payroll taxes

    total $906,173 · program services $759,294 · management and general $146,879 · fundraising $0

  • 11b · Fees: legal

    total $535 · program services $0 · management and general $535 · fundraising $0

  • 11c · Fees: accounting

    total $1,830 · program services $0 · management and general $1,830 · fundraising $0

  • 11g · Fees: other

    total $766,269 · program services $642,133 · management and general $124,136 · fundraising $0

  • 12 · Advertising and promotion

    total $4,917 · program services $0 · management and general $4,917 · fundraising $0

  • 13 · Office expenses

    total $89,154 · program services $0 · management and general $89,154 · fundraising $0

  • 14 · Information technology

    total $222,784 · program services $0 · management and general $222,784 · fundraising $0

  • 16 · Occupancy

    total $501,632 · program services $426,353 · management and general $75,279 · fundraising $0

  • 17 · Travel

    total $16,892 · program services $14,410 · management and general $2,482 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $43,186 · program services $34,941 · management and general $8,245 · fundraising $0

  • 20 · Interest

    total $1,319,774 · program services $1,319,774 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

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

  • 22 · Depreciation, depletion and amortization

    total $1,731,315 · program services $1,731,315 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $205,776 · program services $205,776 · management and general $0 · fundraising $0

  • 24a · Other expenses: Food

    total $876,002 · program services $876,002 · management and general $0 · fundraising $0

  • 24b · Other expenses: Direct Supplies

    total $781,833 · program services $781,833 · management and general $0 · fundraising $0

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

    total $1,843,995 · program services $0 · management and general $1,843,995 · fundraising $0

  • 24d · Other expenses: Employee Expense

    total $76,069 · program services $0 · management and general $76,069 · fundraising $0

  • 24e · All other expenses

    total $242,732 · program services $32,842 · management and general $209,890 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,438,230 · end of year $5,542,083

  • 2 · Savings and temporary cash investments

    end of year $197,057

  • 4 · Accounts receivable

    beginning of year $1,407,579 · end of year $1,417,838

  • 8 · Inventories for sale or use

    beginning of year $94,114 · end of year $112,727

  • 9 · Prepaid expenses and deferred charges

    beginning of year $8,254 · end of year $8,987

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

    $46,354,415

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

    $29,149,112

  • 10c · Land, buildings and equipment, net

    beginning of year $17,729,501 · end of year $17,205,303

  • 15 · Other assets

    beginning of year $5,170,930 · end of year $10,544,368

  • 17 · Accounts payable and accrued expenses

    beginning of year $913,485 · end of year $1,063,248

  • 20 · Tax-exempt bond liabilities

    beginning of year $25,350,000 · end of year $24,500,000

  • 24 · Unsecured notes and loans payable

    beginning of year $67,245 · end of year $119,358

  • 25 · Other liabilities

    beginning of year $245,054 · end of year $303,767

  • 27 · Net assets without donor restrictions

    beginning of year $4,048,064 · end of year $8,822,761

  • 28 · Net assets with donor restrictions

    beginning of year $224,760 · end of year $219,229

Mission and programs · 2022

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 135 residents with an annual average occupancy of 97.5%. Woodside Village serves the Medicare, Medicaid and Private Pay population

    Expenses $16,881,471 · Revenue $19,356,402

  • Wheatland Terrace a 59 unit assisted living facility. FYE 6/30/2023 Wheatland Terrace served on the average 53 residents with an annual average occupancy of 90%.

    Expenses $2,640,144 · Revenue $2,944,578

  • Country Estates a 60 unit independent living facility. FYE 6/30/2023 Country Estates served on the average 58 residents with an annual average occupancy of 97%.

    Expenses $1,165,295 · Revenue $1,291,801

As filed on the 2022 return.

Listed in Part VII

  • Garth Rydland

    President/CEO

    Total calculated
    $300,429
    From this org
    $0
    From related orgs
    $274,628
    Other
    $25,801
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,406 related
    Bonus
    $0 + $22,222 related
    Other
    $0 + $9,439 related
    Deferred
    $0 + $16,362 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $300,429 related

  • Gina Roller

    Valley Senior Living on 42nd Administrator

    Total calculated
    $190,440
    From this org
    $0
    From related orgs
    $170,772
    Other
    $19,668
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $165,222
    Bonus
    $5,550
    Other
    $9,297
    Deferred
    $10,371
    Nontaxable benefits
    $0
    Filer's total
    $190,440

  • Lorilee A Bott

    CFO

    Total calculated
    $182,556
    From this org
    $0
    From related orgs
    $156,594
    Other
    $25,962
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $156,594 related
    Bonus
    $0
    Other
    $0 + $16,092 related
    Deferred
    $0 + $9,870 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $182,556 related

  • LeeAnn Novak

    LPN Float

    Total calculated
    $179,157
    From this org
    $161,044
    From related orgs
    $0
    Other
    $18,113
    Hours/week
    40

  • Jessica Baumgarten

    Director of Nursing Valley Senior Living on Columbia

    Total calculated
    $156,453
    From this org
    $0
    From related orgs
    $125,277
    Other
    $31,176
    Hours/week
    0 + 40 related

  • Jennifer Schultz

    Director of Nursing Woodside Village

    Total calculated
    $152,515
    From this org
    $129,411
    From related orgs
    $0
    Other
    $23,104
    Hours/week
    40

  • Angela Goulet

    Tufte Manor Administrator and Director PCS

    Total calculated
    $150,967
    From this org
    $0
    From related orgs
    $118,616
    Other
    $32,351
    Hours/week
    0 + 40 related

  • Adam Edwards

    Chief Human Resource Officer

    Total calculated
    $144,801
    From this org
    $0
    From related orgs
    $131,525
    Other
    $13,276
    Hours/week
    0 + 40 related

  • Kari Gerszewski

    RN Care Coordinator

    Total calculated
    $126,643
    From this org
    $109,163
    From related orgs
    $0
    Other
    $17,480
    Hours/week
    40

  • Angie Praska

    Assistant Director of Nursing Woodside Village

    Total calculated
    $116,312
    From this org
    $109,197
    From related orgs
    $0
    Other
    $7,115
    Hours/week
    40

  • Margaret Reed

    Chairperson

    Total calculated
    $0
    Hours/week
    0

  • David Molmen

    Director

    Total calculated
    $0
    Hours/week
    0

  • Peter Hoistad

    Treasurer

    Total calculated
    $0
    Hours/week
    0

  • Karen Brekke

    Secretary

    Total calculated
    $0
    Hours/week
    0

  • Michael Brown

    Director

    Total calculated
    $0
    Hours/week
    0

  • Sarah Raymond

    Director

    Total calculated
    $0
    Hours/week
    0

  • Patrick Moore

    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
  • 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 3
Base salary is determined by comparison to other organizations of similar size and funciton.
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
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202313149349303091

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