BEK Care LLC

Nonprofit profile at a glance

EIN
464681716
IRS 990 coverage
2017–2024
Forms available
Form 990 2024
Location
Fargo, ND, USA
Phone
7013563803
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$9,145,338
Expenses
$9,215,939
Assets
$4,079,281
Liabilities
$1,611,817

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • Scott Holm (President/Administrator)

Highest reported compensation

  • Kinsey Nelson (Medical Director): $203,373 total reported compensation
  • Scott Holm (President/Administrator): $148,274 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of Ethos Home Health is to enrich the quality of living for those we serve.

What it reported doing in 2024

BEK Care, LLC, dba Ethos Home Care and Hospice began in 2014 to serve the Fargo-Moorhead area with quality home care services. Recognizing the additional need for hospice services in the area, Ethos began offering hospice services in 2018. Ethos Home Care and Hospice was recognized as a 501(c)(3) nonprofit organization in July 2018. In Fiscal Year 2025, Ethos Home Care and Hospice served over 1,415 individuals.(Continued on Schedule O) BEK Care was formed as a partnership among Bethany Retirement Living (Fargo, ND), Eventide Senior Living (Moorhead, MN), and Knute Nelson (Alexandria, MN). Each partner organization, on its own, is widely recognized for providing innovative services to aging adults throughout a continuum of care. Additionally, and most importantly, each partner possesses similar values and is committed to achieving the highest quality of care for their organizations to successfully accomplish their nonprofit missions.The goal of the Home Health Care program is to help individuals stay in their own home as long as possible. Home health care helps individuals of any age with skilled nursing services, physical, speech and occupational therapies, IV therapy, wound care, home health aide, or assessment and management of their medical needs. Hospice cares for people with life-limiting illnesses utilizing a holistic approach, including medical, physical, emotional, social and spiritual care for patients and families. Hospice provides a wide range of services from skilled nursing, medication and pain management, home health aides, physical therapy, occupational therapy, social workers, Chaplain services, and a host of enriching services including music therapy, massage therapy, aromatherapy, and pet therapy. Hospice is provided wherever the patient calls home in their own homes, nursing facilities, or other housing locations. Bereavement services and follow-up care are also a part of the hospice program. Ethos Home Care and Hospice has nearly 60 staff along with many dedicated volunteers (16 in FY 2025) and serves a growing number of individuals with home health care and hospice services. Their service area includes individuals living in the Fargo-Moorhead and Grand Forks (and surrounding) areas.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 85% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 63
  • Transparency & Controls: 71
  • Accountability: 100
  • Sustainability: 29
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 71%; rating input score 71
  • Program expense ratio: 70.4%; rating input score 70
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 8 of 8 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.8%; rating input score 30; 30th percentile among comparable filings
  • Total-asset coverage ratio: 0.44; rating input score 15; 15th percentile among comparable filings
  • Liabilities to assets ratio: 0.4; rating input score 27; 27th percentile among comparable filings
  • Officer compensation ratio: 3.8%; rating input score 63; 63rd percentile among comparable filings

Growth

  • Program expense growth: 20.6% per year; rating input score 100; 86th percentile among comparable filings
  • Revenue growth: 17.2% per year; rating input score 100; 85th percentile among comparable filings
  • Asset growth: 13.1% per year; rating input score 100; 69th percentile among comparable filings

Details

  • Where the money goes: 71% of revenue deployed · 70.4% of spending went to programs
  • Governance: 9 of 9 board members independent · 8 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $6.5M in reported program spending
  • Leadership: top reported pay $203K · 11 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $762K reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 6 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 8 filing years from 2017 to 2024
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Sustainability: Operating margin scored 30/100.
  • High — Sustainability: Total-asset coverage ratio scored 15/100.
  • High — Sustainability: Liabilities to assets ratio scored 27/100.