2024-05-09T13:42:34-05:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450459483 Four Seasons Health Care Center Inc FOUR 7017246211 483 4th ST SW Forman ND 58032 Nathan Schlecht President 7017246211 2024-05-09 1 Nathan Schlecht 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Nathan Schlecht 483 4th ST SW Forman ND 58032 3565588 0 X https://fourseasonshcc.com/ X 2001 ND Four Seasons Healthcare Center, Inc. provides nursing care to the elderly. 6 6 95 9 0 0 189157 1196 3311887 3563934 25 458 0 0 3501069 3565588 50 50 0 0 1805785 2021134 0 0 0 1032399 1764548 2838234 3785732 662835 -220144 3244092 2296964 2780540 1614031 463552 682933 Four Seasons Health Care Center, Inc. provides nursing care to the elderly. 0 0 3110335 50 3563934 Operation of a 33-bed bed long-term care facility to provide long-term nursing care to the elderly in the Forman, ND area in furtherance of their tax-exempt status. 3110335 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 95 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 0 0 0 1 0 1 1 1 0 0 X Brittany Butler 7017246211 483 4th St SW Forman ND 58032 Nathan Schlecht President 0.20 X X 0 0 0 Deb Banish Secretary/Treasurer 0.20 X X 0 0 0 Sara Planteen Director 0.20 X 0 0 0 Patty Ellefson Director 0.20 X 0 0 0 David Martinsen Director 0.20 X 0 0 0 Karen Euscher Director 0.20 X 0 0 0 Stephen Schmitz Administrator (Jul-Dec) 40.00 X 62692 0 7411 Craig Christianson Interim Administrator (Dec-Jun) 40.00 X 127400 0 340 Dixie Bopp Director of Nursing 52.00 X 112913 0 3404 303005 0 11155 2 0 0 0 0 1196 1196 Resident Service Reven 623000 3512528 3512528 Other Supporting Reven 900099 51406 51406 3563934 458 458 3565588 3563934 0 458 X 50 50 164870 164870 1596645 1524275 72370 14707 12841 1866 98246 91522 6724 146666 128061 18605 10331 10331 89352 89352 520807 500163 20644 5784 5784 388936 309495 79441 37852 37852 176674 176674 35411 12150 23261 10139 6073 4066 48875 48875 172443 155199 17244 64827 64827 Bad Debt Expense 183888 183888 Food Supplements 4552 4552 Staff Appreciation 992 992 13685 5392 8293 3785732 3110335 675397 0 258371 1356373 486002 24790 3921947 2369356 1862929 1552591 3244092 2296964 1411875 272835 2954 1536 1365711 1339660 2780540 1614031 X 463552 682933 463552 682933 3244092 2296964 -220144 439525 0 X X 1 X 0 0 0 X 14851 33291 64885 189157 1196 303380 2639651 2774114 2579032 3311887 3563934 14868618 2654502 2807405 2643917 3501044 3565130 15171998 0 1491413 1604432 1303504 1574432 1788079 7761860 1491413 1604432 1303504 1574432 1788079 7761860 7410138 3029 9 1 25 458 3522 3029 9 1 25 458 3522 2657531 2807414 2643918 3501069 3565588 15175520 0.48830 0.43560 0.00020 0.00020 X 0 1 X 35332 35332 3340064 1957214 1382850 546551 412142 134409 1552591 Part IV, Line 2b: We have a resident trust account that is managed by the business manager and the social services designee. The business manager puts the deposits in to PCC and the bank and the social worker inputs the purchases per resident. Form 990, Part VI, Section A, line 6 The organization has shareholders. All shares are currently held by Forman Community Development Corporation. Form 990, Part VI, Section A, line 7a Three directors are appointed by the directors of the Forman Community Development Corporation (FCDC) from amongst non-FCDC directors who are members of the community serviced by the organization. The other directors are members of the FCDC Board of Directors and are elected by directors of FCDC annually. Form 990, Part VI, Section A, line 8b There were no committees with authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The Administrator reviewed the Form 990. A copy was provided to the board members for their review prior to the 990 being filed. Form 990, Part VI, Section B, line 15a The Administrator's compensation was reviewed, approved and recorded in the board minutes. Comparability data was used with the North Dakota Long Term Care Association Survey. The board reviewed the Administrator's compensation for reasonableness as he transitioned into the role. There are no other officers or key employees of the organization. Form 990, Part VI, Section C, line 19 The governing documents and financial statements are available to the public upon request. Form 990, Part IX, line 11g Consulting Fees: Program service expenses 11,763. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,763. Contracted Services: Program service expenses 481,308. Management and general expenses 0. Fundraising expenses 0. Total expenses 481,308. Other Fees: Program service expenses 7,092. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,092. Purchased Services-Admin.: Program service expenses 0. Management and general expenses 20,644. Fundraising expenses 0. Total expenses 20,644. Form 990, Part XII, Line 2 The Organization's financial statements are required to be audited annually. As of the filing date of this return, the audits for the years ending June 30, 2022, and June 30, 2023 were not complete. A compilation has been completed for the years ending June 30, 2022, and June 30, 2023. Because the financial audit for the year ending June 30, 2023 was not complete, a prior period adjustment was required to reconcile beginning of year net assets. The Form 990 for the year ending June 30, 2023, was prepared based on the compilation that was available. It is anticipated that during the financial statement audit for the year ending June 30, 2023, adjustments will be made to the financial information reported on the Form 990, which may result in the filing of an amended Form 990. Forman Community Development Corporation PO Box 195 Forman ND 58032 450427053 Economic Development ND 501(c)(4) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0