2024-11-15T09:43:54-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 410726174 AUBURN MANOR AUBU 9524489303 501 NORTH OAK STREET CHASKA MN 55318 NICOLE CHWALA CFO 9524489303 2024-11-13 1 0 TYLER JOHNSON P01604007 6123764500 2024-11-13 2023 2024-10-15 13:58:12Z NICOLE CHWALA 501 NORTH OAK STREET CHASKA MN 55318 10796749 0 X WWW.AUBURNHOMES.ORG X 1926 MN OPERATION OF A 61-BED NURSING CARE FACILITY & 55-UNIT ASSISTED LIVING FACILITY FOR THE AGED. 8 8 573 100 0 0 235379 485008 9318494 10015340 0 0 294777 296401 9848650 10796749 6010 1434 0 0 7553707 7463756 0 0 42435 3013443 3433396 10573160 10898586 -724510 -101837 10300985 10940762 5268119 6009733 5032866 4931029 IN THE SPIRIT OF CHRIST'S LOVE, AUBURN HOMES AND SERVICES ENRICHES THE LIVES OF THOSE WE SERVE THROUGH (W)HOLISTIC CARE AND MINISTRY STRENGTHENED BY COMMUNITY RELATIONSHIPS. 0 0 10108179 1434 10015340 AUBURN MANOR, A MINNESOTA 501(C)(3) NONPROFIT CORPORATION, OWNS AND OPERATES A 61-BED LICENSED NURSING FACILITY (AUBURN MANOR), AN ATTACHED 40-UNIT ASSISTED LIVING FACILITY (AUBURN COURTS) AND A 15-UNIT MEMORY CARE FACILITY (AUBURN HOME CARE) LOCATED IN CHASKA,MINNESOTA. AUBURN MANOR ALSO OPERATES A RELATED SENIOR COMMONS BUILDING WHICH INCLUDES ADMINISTRATIVE OFFICES, A CHAPEL, ADDITIONAL THERAPY SPACE, A DINING ROOM, AND A LINK THAT CONNECTS THE NURSING FACILITY TO THE ADJACENT ASSISTED LIVING FACILITY. DURING THE YEAR ENDED 12/31/2023, AUBURN MANOR'S OCCUPANCY WAS 80.1%. DURING THE YEAR ENDED 12/31/2023, AUBURN COURTS' OCCUPANCY WAS 86.3%. 10108179 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 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 1 0 0 0 1 18 0 573 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 MN X NICOLE CHWALA 9524489303 501 N OAK STREET CHASKA MN 55318 BRUCE SHOGER CHAIR 1.00 3.00 X X 0 0 0 DANIEL HOKENESS VICE CHAIR 1.00 3.00 X X 0 0 0 STEVE BATTIS SECRETARY 1.00 3.00 X X 0 0 0 ARVIN ZWART TREASURER 1.00 3.00 X X 0 0 0 DALE BEUMER DIRECTOR 1.00 3.00 X 0 0 0 RICHARD NEWSWANGER DIRECTOR 1.00 3.00 X 0 0 0 BRUCE NELSON DIRECTOR 1.00 3.00 X 0 0 0 JILL SANDAU DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL J SENDEN PRESIDENT/CEO 18.00 22.00 X 128787 0 8367 JENNIFER HALL NURSING HOME ADMINISTRATOR 40.00 0.00 X 116471 0 18297 LISA LIEBHARD-SCHNEEKLOTH REGISTERED NURSE 40.00 0.00 X 124917 0 14613 RUTH MAGETO REGISTERED NURSE 40.00 0.00 X 122906 0 8992 CAROLINE MWARENGE REGISTERED NURSING ASSISTANT 40.00 0.00 X 113949 0 15427 LEAH J SAINA REGISTERED NURSE 40.00 0.00 X 105663 0 10666 712693 0 76362 6 0 0 0 MARQUARDT MANAGEMENT 1045 HILL ST WATERTOWN WI 53098 OPERATIONS/FINANCIAL CONSULTING AND MANA 246927 GRAPETREE 2501 BOJI BEND DR SOUIX FALLS SD 57117 CONTRACTED NURSING 152764 MCKESSON MEDICAL SURGICAL PO BOX 630693 CICINNATTI OH 45263 HEALTHCARE SUPPLIES 150499 PROGRESSIVE REHAB 200 PARK LN BUFFALO MN 55313 THERAPY 118429 TOTAL NETWORK 417 WEST TRAVELERS TRAIL BURNSVILLE MN 55337 IT 101365 5 1924 483084 1924 485008 RESIDENT SERVICES 623311 10015340 10015340 10015340 MEAL INCOME 623311 226720 226720 MANAGEMENT FEES 623311 38940 38940 PHONE REVENUE 900099 28341 28341 2400 2400 296401 10796749 10015340 0 296401 1434 1434 271922 17700 211787 42435 5903205 5884186 19019 169077 168553 524 600793 598932 1861 518759 517151 1608 68 68 452652 452652 537226 537226 14564 14564 237790 233047 4743 117184 117184 325907 306841 19066 6269 5907 362 5340 5340 56604 53313 3291 488625 460040 28585 73399 69105 4294 FOOD 374777 374777 MEDICAL SUPPLIES 315323 315323 LICENSE SURCHARGE 168900 168900 BAD DEBT EXPENSE 128240 128240 130528 130416 112 10898586 10108179 747972 42435 69545 106028 685601 812265 40083 33867 16075391 11618768 4796472 4456623 4709284 5531979 10300985 10940762 1169570 1540950 1027105 732642 16112 13558 107409 66296 2947923 3656287 5268119 6009733 X 5032971 4936738 -105 -5709 5032866 4931029 10300985 10940762 -101837 0 X X 0 1 X 1 0 X 10019 504351 2229300 235379 485008 3464057 9648858 9600865 8088504 9318494 10015340 46672061 9658877 10105216 10317804 9553873 10500348 50136118 0 647716 2226372 1493471 4367559 647716 2226372 1493471 4367559 45768559 3 1 4 3 1 4 170133 232057 300024 294777 296401 1293392 9829013 10337274 10617828 9848650 10796749 51429514 0.88990 0.91840 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME MEAL INCOME PHONE REVENUE COMMUNITY FEES MANAGEMENT FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1 1171591 1171591 10903792 8140330 2763462 444465 325777 118688 3555543 3152661 402882 4456623 DUE FROM AFFILIATES 5519252 RESIDENT TRUST FUNDS 12727 5531979 DUE TO AFFILIATES 3656287 3656287 X PART IV, LINE 2B: RESIDENT TRUST FUNDS: AUBURN MANOR IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS. TENANT SECURITY DEPOSITS: AS A CONDITION OF OCCUPANCY, RESIDENTS OF AUBURN COURTS ARE REQUIRED TO MAKE SECURITY DEPOSITS. THE DEPOSITS ARE REFUNDABLE UPON LEAVING; THEREFORE, THEY ARE RECORDED AS A LIABILITY. THESE FUNDS ARE ON DEPOSIT IN A SEPARATE BANK ACCOUNT. PART X, LINE 2: THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FILES INFORMATION RETURNS AS TAX-EXEMPT ENTITIES. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. 0 SCHOLARSHIP 1 1433 A CITY OF CHASKA 416006041 2003-06-25 4140000 REFINANCE SERIES 1997 BONDS (AUBURN COURTS PROJECT) 0 0 0 A 3432391 4140000 4140000 2003 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS MADE UP OF THE CHAIR AND TREASURER OF THE CORPORATION AND AT LEAST ONE OTHER MEMBER OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO THE ELECTION OF OFFICERS, THE AMENDMENT OF THE ARTICLES OF INCORPORATION, THE AMENDMENT OF THE BYLAWS, THE FILLING OF VACANCIES OF THE BOARD OF DIRECTORS, AND THE VOLUNTARY DISSOLUTION OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL FULLY REPORT TO THE BOARD OF DIRECTORS AT EACH OF THE LATTER'S REGULAR MEETINGS ON ALL INTERIM ACTION TAKEN BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 ILLUMINUS INC ENTERED A MANAGEMENT AGREEMENT WITH AUBURN HOMES 7/15/2023. ILLUMINUS PROVIDES CENTRALIZED BUSINESS FUNCTIONS INCLUDES ACCOUNT PAYABLE, BILLING, ACCOUNTING, AND BUSINESS CONSULTING. ILLUMINUS PROVIDES DIRECTION ON OPERATIONAL IMPROVEMENTS AND EFFICIENT PROCEDURE IMPLEMENTATION TO MAXIMIZE OPERATIONAL MARGINS WHILE PROVIDING RESIDENTS WITH THE HIGHEST QUALITY OF CARE. FORM 990, PART VI, SECTION A, LINE 6 MORAVIAN CARE MINISTRIES, A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF AUBURN MANOR. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE SOLE MEMBER, MORAVIAN CARE MINISTRIES, AT EACH ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE SOLE MEMBER, MORAVIAN CARE MINISTRIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY NICOLE CHWALA, CFO OF ILLUMINUS, MATT MAUTHE, CEO OF ILLUMINUS AND TIM VOGEL, VP OF FINANCE. THE FORM 990 WILL ALSO BE OFFERED TO THE BOARD OF DIRECTORS FOR REVIEW, PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND EMPLOYEES ARE TO REPORT ANY CONFLICTS THAT MAY ARISE TO THE CEO, BOARD CHAIR OR VICE CHAIR. ALL MATTERS WILL THEN BE BROUGHT TO THE BOARD FOR DETERMINING WHETHER A CONFLICT EXISTS AND A DECISION FOR RESOLUTION. THE BOARD WILL DECIDE ABOUT WHAT RESTRICTIONS WOULD BE PLACED ON INDIVIDUALS WHO ARE DETERMINED TO HAVE A CONFLICT. THE PROCEEDINGS RESULTING FROM THE CONFLICTS OF INTEREST WOULD BE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE UTILIZES COMPENSATION DATA FROM COMPARABLE COMPANIES' 990S AND INDUSTRY SALARY SURVEYS IN DETERMINING THE CEO'S COMPENSATION. THE CEO DETERMINES THE ADMINISTRATOR'S COMPENSATION. THE DELIBERATION AND DECISION WOULD BE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 AUBURN MANOR DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. MORAVIAN CARE FOUNDATION 501 NORTH OAK STREET CHASKA MN 55318 411773220 MANAGE AND INVEST ASSETS OF AFFILIATED ORGANIZATIONS MN 501(C)(3) LINE 12B, II WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 CHASKA MANOR DBA TALHEIM 407 NORTH OAK STREET CHASKA MN 55318 411402149 SENIOR APARTMENTS MN 501(C)(3) LINE 10 WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 MORAVIAN CARE HOUSING CORP DBA AUBURN MANOR IN WACONIA 501 NORTH OAK STREET CHASKA MN 55387 411838632 NURSING HOME MN 501(C)(3) LINE 10 WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 MORAVIAN CARE MINISTRIES DBA AUBURN HOMES AND SERVICES 501 NORTH OAK STREET CHASKA MN 55318 411771225 FUNDRAISING AND LONG TERM PLANNING FOR AFFILIATED ORGANIZATIONS MN 501(C)(3) LINE 12B, II N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0