2024-01-17T15:45:39-06:00 2023-04-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2022-05-01 470538957 NORTHFIELD RETIREMENT COMMUNITIES NORT 3086324342 2100 CIRCLE DRIVE SCOTTSBLUFF NE 69361 JANE SCHANEMAN BOARD PRESIDENT 3086324342 2024-01-15 1 JANE SCHANEMAN 999009999 0 STEVEN K PLACKE P00078534 3083827850 2024-01-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JANE SCHANEMEN 2100 CIRCLE DRIVE SCOTTSBLUFF NE 69361 12145457 0 X WWW.NORTHFIELDRETIREMENT.NET X 1970 NE PROVIDING LIFE CARE FACILITIES FOR OCCUPANTS OF 90 RESIDENTIAL RETREMENTS APARTMENTS AND 42 ASSISTED LIVING UNITS, AND NURSING CARE TO RESIDENTS OF THE 66-BED HEALTH CARE FACILITY. 12 12 221 0 0 0 369549 1805360 8123955 9203898 600298 283407 75062 115054 9168864 11407719 0 0 0 0 4635607 5012693 0 0 0 4962496 5953962 9598103 10966655 -429239 441064 13048953 14909324 5320443 7020561 7728510 7888763 TO OFFER LIFE CARE AND OTHER QUALITY RETIREMENT LIVING CHOICES FOR OUR COMMUNITY. 0 0 8315999 9203898 PROVIDING LIFE CARE FACILITIES FOR OCCUPANTS OF 90 RESIDENTIAL RETREMENTS APARTMENTS AND 42 ASSISTED LIVING UNITS, AND NURSING CARE TO RESIDENTS OF THE 66-BED HEALTH CARE FACILITY. 8315999 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 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 1 50 0 1 221 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 3086324342 2100 CIRCLE DRIVE SCOTTSBLUFF NE 69361 JANE SCHANEMEN PRESIDENT 1.50 X X 0 0 0 DAVID JENKINS VICE PRESIDENT 1.50 X X 0 0 0 SHARYN WOHLERS TREASURER 1.50 X X 0 0 0 GRANT HINZE BOARD MEMBER 1.50 X 0 0 0 LILE SHAFER BOARD MEMBER 1.50 X 0 0 0 CONNIE RUSSEL SECRETARY 1.50 X X 0 0 0 BILL KNAPPER BOARD MEMBER 1.50 X 0 0 0 DAN SMITH BOARD MEMBER 1.50 X 0 0 0 ANDY DOLL BOARD MEMBER 1.50 X 0 0 0 PAM O'NEAL BOARD MEMBER 1.50 X 0 0 0 JOE SCHUMACHER BOARD MEMBER 1.50 X 0 0 0 STEPHANIE HAWLEY BOARD MEMBER 1.50 X 0 0 0 BILL JOHNSON CHIEF EXECUTIVE OFFICER 45.00 X 128901 0 15757 SHAINA STRICKER CHIEF FINANCIAL OFFICER 45.00 X 120209 0 15757 249110 0 31514 2 0 0 0 LUX TRAVEL NURSE INC 13126 COOL BREEZE RD HOT SPRINGS SD 57747 AGENCY NURSE STAFFING 683445 INDEPENDENCE REHAB LLC 5314 N RIVER RUN DRIVE PROVO UT 84604 THERAPY SERVICES 472516 ROCK MEDICAL GROUP 10707 PACIFIC ST STE 200 OMAHA NE 68114 AGENCY NURSE STAFFING 270694 PACHECO LLC DBA GARYS CLEANING 1817 17TH AVE SCOTTSBLUFF NE 69361 CLEANING SERVICES 134008 4 1805360 1805360 NURSING - PRIVATE 623000 2658352 2658352 INDEPENDENT CARE 623000 2209250 2209250 NURSING - MEDICARE 623000 1859123 1859123 NURSING - MEDICAID 623000 1485730 1485730 ENTRANCE ENDOWMENTS 623000 991443 991443 9203898 54746 54746 965905 494 737738 0 228167 494 228661 228661 THERAPY 623000 63772 63772 MISCELLANEOUS 623000 28456 28456 BARBER AND BEAUTY 623000 20954 20954 1872 1872 115054 11407719 9203898 0 398461 X 280624 280624 3827380 3215899 611481 77035 54859 22176 524226 461674 62552 303428 240216 63212 6855 6855 84270 84270 18472 18472 727204 676025 51179 205308 1907 203401 657052 480312 176740 6138 6016 122 13296 13296 467992 467992 306953 306953 POOL NURSING 1485560 1485560 SUPPLIES 753568 580789 172779 FOOD 431031 431031 REPAIRS & MAINTENANCE 258015 256900 1115 532248 424811 107437 10966655 8315999 2650656 0 151716 145887 838221 670272 82475 72995 20594182 11605700 7833819 8988482 4138344 3321332 4378 1710356 13048953 14909324 823665 990360 3913366 3971939 565000 2009929 18412 48333 5320443 7020561 X 3586345 4566965 4142165 3321798 7728510 7888763 13048953 14909324 441064 -280811 0 X X 0 1 X 1 0 X 48788 368 1070477 369549 1805360 3294542 8633167 8562705 7949001 8123955 9267670 42536498 8681955 8563073 9019478 8493504 11073030 45831040 0 29397 54972 84369 29397 54972 84369 45746671 88961 88028 56599 52575 63274 349437 88961 88028 56599 52575 63274 349437 48437 9804 38225 75062 51282 222810 8819353 8660905 9114302 8621141 11187586 46403287 0.98580 0.97850 0.00750 0.01440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4138344 234 140 800000 17386 3321332 5529227 14950 -430558 950000 25275 4138344 4209505 3508 1380011 40341 23456 5529227 4387984 368 90830 243901 25776 4209505 4417597 823 281242 289000 22678 4387984 1.00000 0 0 266629 266629 16666139 9374836 7291303 2020131 2230864 -210733 1641283 1641283 8988482 DEPOSITS 207 DEFERRED EQUITY CREDITS 4171 ERC RECEIVABLE 1705978 1710356 REFUNDABLE PORTION OF ENDOWMENT FEES 48333 48333 X 11095140 -280811 -280811 11375951 31768 31768 11407719 10934887 0 10934887 31768 31768 10966655 PART V, LINE 4: FOR THE REDUCTION AND PAYMENT OF ANY MORTGAGE DEBT, BOND INDEBTEDNESS, OR BANK LOAN INDEBTEDNESS. AFTER PAYMENT OF INDEBTEDNESS, ANY SUMS REMAINING SHALL BE HELD IN A RESERVE ACCOUNT TO BE USED FOR THE FOLLOWING PURPOSES: A) MAINTENANCE AND REPAIRS TO ANY IMPROVEMENTS OR EQUIPMENT OWNED BY THE NRC, B) RENOVATION AND REMODELING OF EXISTING STRUCTURES AND/OR CONSTRUCTION OF NEW FACILITIES AND PURCHASE OF NEW ADDITIONAL EQUIPMENT, C) REPLACEMENT OF EQUIPMENT, D) FOR ANY IN-HOUSE TRAINING PROGRAMS MANDATED BY ANY REGULATORY ENTITY TO KEEP NURSES AND AIDES IN COMPLIANCE WITH REGULATIONS, AND E) GENERAL REPAIRS TO GROUNDS, STREETS, AND SPRINKLER SYSTEMS. PART X, LINE 2: THE COMMUNITY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACTIVITIES NOT DIRECTLY RELATED TO ITS TAX EXEMPT PURPOSE ARE SUBJECT TO INCOME TAXES. THERE WAS NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED APRIL 30, 2023 AND 2022. THE COMMUNITY BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE APRIL 30, 2020. FORM 990, PART VI, SECTION A, LINE 7A RESIDENT COUNCILS ELECT RESIDENT REPRESENTATIVES WHO SIT ON THE BOARD OF DIRECTORS. RESIDENT COUNCILS HAVE NO VOTING POWER. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO THE RETURN BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS SET SALARY LEVELS FOR ALL MANAGEMENT-LEVEL EMPLOYEES INCLUDING THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC FOR REVIEW UPON REQUEST. FORM 990, PART IX, LINE 24E CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 215,650. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,650. PHARMACY: PROGRAM SERVICE EXPENSES 145,767. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,767. TELEPHONE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 77,552. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,552. LAUNDRY: PROGRAM SERVICE EXPENSES 42,462. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,462. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 12,345. MANAGEMENT AND GENERAL EXPENSES 26,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,120. DUES, LICENSES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 5,894. MANAGEMENT AND GENERAL EXPENSES 3,110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,004. LINENS: PROGRAM SERVICE EXPENSES 2,693. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,693. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.