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SENIOR CARE COMMUNITIES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SENIOR CARE COMMUNITIES INC (EIN 65-0639567)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202303189349311335
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T14:22:44-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6TH ST 2300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650639567EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENIOR CARE COMMUNITIES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSENIBusinessNameControlTxt
Phone6512876408PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1161 ST ANTHONY AVENUE 825AddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN LANDWEHR MARSHALLPersonNm
Person TitlePRESIDENT AND TREASURERPersonTitleTxt
Phone6512876408PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSANPersonFirstNm
Person LastLANDWEHR MARSHALLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN A GRIESPreparerPersonNm
PTINP00078514PTIN
Phone6128764500PhoneNum
Preparation2023-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN LANDWEHR MARSHALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1161 ST ANTHONY AVENUE 825AddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$79,624,926GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SENIORCARECOMMUNITIES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.TO DEVELOP AND MAINTAIN QUALITY AGED, HANDICAPPED, AND LOW AND MODERATE INCOME HOUSING AND SERVICES.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee779TotalEmployeeCnt
Total Volunteers51TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,527,215PYContributionsGrantsAmt
CY Contributions Grants$1,106,652CYContributionsGrantsAmt
PY Program Service Revenue$56,371,326PYProgramServiceRevenueAmt
CY Program Service Revenue$55,782,131CYProgramServiceRevenueAmt
PY Investment Income$275,042PYInvestmentIncomeAmt
CY Investment Income$8,447,072CYInvestmentIncomeAmt
PY Other Revenue$554,136PYOtherRevenueAmt
CY Other Revenue$478,556CYOtherRevenueAmt
PY Total Revenue$62,727,719PYTotalRevenueAmt
CY Total Revenue$65,814,411CYTotalRevenueAmt
PY Grants And Similar Paid$57,814PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$61,962CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,150,709PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,281,503CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,803,296PYOtherExpensesAmt
CY Other Expenses$30,874,966CYOtherExpensesAmt
PY Total Expenses$61,011,819PYTotalExpensesAmt
CY Total Expenses$58,218,431CYTotalExpensesAmt
PY Revenues Less Expenses$1,715,900PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,595,980CYRevenuesLessExpensesAmt
Total Assets BOY$79,379,682TotalAssetsBOYAmt
Total Assets EOY$64,840,713TotalAssetsEOYAmt
Total Liabilities BOY$80,281,423TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,223,856TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$901,741NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,616,857NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PRIMARY MISSION OF SENIOR CARE COMMUNITIES, INC. IS TO HOUSE AND CARE FOR SENIOR RESIDENTS IN A VARIETY OF SETTINGS INCLUDING RENTAL APARTMENTS, ASSISTED LIVING, LONG TERM NURSING, REHABILITATION FACILITIES AND MEMORY CARE UNITS. WE ARE ALSO COMMITTED TO SERVING OUR RESIDENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THROUGH PROGRAMMING, PARTNERSHIPS AND FUNDING OF CHARITABLE ENDEAVORS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$48,569,234ExpenseAmt
Grant$61,962GrantAmt
Revenue$55,782,131RevenueAmt
DescSENIOR CARE COMMUNITIES, INC.'S PRIMARY MISSION IS TO HOUSE AND CARE FOR SENIOR RESIDENTS IN A VARIETY OF SETTINGS, INCLUDING RENTAL APARTMENTS, ASSISTED LIVING, LONG TERM SKILLED NURSING, REHABILITATION FACILITIES, AND MEMORY CARE UNITS. SENIOR CARE COMMUNITIES IS ALSO COMMITTED TO SERVING ITS RESIDENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THROUGH PROGRAMMING, PARTNERSHIPS, AND FUNDING FOR CHARITABLE ENDEAVORS. DURING THE 2022, THE EFFECT OF THE WORLDWIDE PANDEMIC WAS WANING, HOWEVER THE STAFF AND MANAGEMENT TEAMS AT THE SENIOR CARE COMMUNITIES PROPERTIES STILL HAD TO WORK DILIGENTLY TO KEEP BOTH STAFF AND RESIDENTS SAFE. MANAGEMENT CONTINUED TO PROCURE PERSONAL PROTECTION EQUIPMENT (PPE), IMPLEMENT CDC AND MINNESOTA DEPARTMENT OF HEALTH INFECTION CONTROL GUIDELINES, AND KEPT STAFFING AT ACCEPTABLE LEVELS WHILE STAFF WERE QUARANTINED. COMMUNITY LIFE STAFF ADAPTED ACTIVITIES TO ENGAGE WITH RESIDENTS WHILE MAINTAINING SOCIAL DISTANCING GUIDELINES. OUR FRONTLINE HEROES WORKED EVERY SHIFT WEARING PPE AND ADAPTING PROCEDURES TO SUPPORT CHANGING GUIDANCE, AS WELL AS FREQUENT COVID-19 LAB TESTING. THE COMMUNITIES INVESTED HUMAN AND FINANCIAL RESOURCES INTO TOOLS AND EQUIPMENT TO HELP RESIDENTS STAY CONNECTED TO THEIR LOVED ONES, INCLUDING ADDITIONAL VIDEO EQUIPMENT, IPADS, AND OTHER DEVICES TO ALLOW FOR TWO-WAY COMMUNICATIONS. THE FOLLOWING ARE THE SENIOR CARE COMMUNITIES, INC PROPERTIES: THE WOODBURY SENIOR LIVING CAMPUS IN WOODBURY, MINNESOTA INCLUDES WOODBURY VILLA, A 75-UNIT INDEPENDENT AND ASSISTED LIVING COMMUNITY; WOODBURY ESTATES, A 64-UNIT ASSISTED LIVING COMMUNITY; AND WOODBURY HEALTH CARE CENTER, A 155-BED LICENSED SKILLED NURSING FACILITY. IN 2022, WOODBURY HEALTHCARE CENTER PROVIDED CARE FOR AN AVERAGE OF 105 RESIDENTS PER DAY, APPROXIMATELY 52% OF WHICH WERE IN THE LOW-INCOME CATEGORY, AS DEFINED BY THEIR ENROLLMENT IN THE MINNESOTA MEDICAL ASSISTANCE PROGRAM. THE FACILITY HAS 40 TRANSITIONAL CARE BEDS AVAILABLE, 12 OF WHICH ARE TRANSITIONAL CARE SUITES. IT ALSO HAS 52 MEMORY CARE BEDS. A SEPARATE ISOLATION UNIT WAS ESTABLISHED AND IS STILL MAINTAINED IN THE HCC.WOODBURY VILLA HOUSED AND PROVIDED SERVICES TO AN AVERAGE OF 71 RESIDENTS PER DAY IN 2022, WITH AN ESTIMATED 48% OF THE TENANTS IN THE LOW-INCOME CATEGORY. WOODBURY ESTATES HOUSED AND PROVIDED SERVICES TO AN AVERAGE OF 59 TENANTS PER DAY WITH 17 LOW-INCOME RESIDENTS INCLUDED IN THAT AVERAGE. BIRCHWOOD SENIOR LIVING CAMPUS IN FOREST LAKE, MINNESOTA INCLUDES BIRCHWOOD ARBORS, A 46-UNIT ASSISTED LIVING COMMUNITY AND BIRCHWOOD HEALTH CARE CENTER, A 100-BED SKILLED NURSING FACILITY. IN 2022, BIRCHWOOD HEALTHCARE CENTER CARED FOR AN AVERAGE OF 72 RESIDENTS PER DAY WITH OVER 62.5% OF THAT POPULATION IN THE LOW-INCOME CATEGORY. BIRCHWOOD ARBORS HOUSED AND PROVIDED SERVICES TO AN AVERAGE OF 35 RESIDENTS PER DAY WITH 68.5% IN THE LOW-INCOME CATEGORY. PROVIDENCE PLACE IN MINNEAPOLIS, MINNESOTA IS A 190-BED SKILLED NURSING FACILITY. IN 2022, PROVIDENCE PLACE PROVIDED CARE FOR AN AVERAGE OF 159 RESIDENTS PER DAY WITH APPROXIMATELY 73% OF THE POPULATION IN THE LOW-INCOME CATEGORY. IN 2021, DURING THE WORLDWIDE PANDEMIC, THE FACILITY ESTABLISHED A TEMPORARY COVID ISOLATION UNIT WHICH IS STILL MAINTAINED TO DATE.INTEGRATIVE CARE IS PROVIDED AT EACH OF THE THREE CAMPUSES BY TRAINED STAFF. INTEGRATIVE SERVICES INCLUDE COMPLEMENTARY CARE SUCH AS MASSAGE, AROMATHERAPY, IMAGERY AND VISUALIZATION, MOVEMENT AND BREATHWORK, GUIDED MEDITATION, AND MUSIC THERAPY. THE GOALS OF THESE NON-PHARMACOLOGICAL INTERVENTIONS ARE DECREASING ANXIETY, NAUSEA, AND PAIN AS WELL AS IMPROVING A GENERAL SENSE OF HEALTH AND WELLBEING. SENIOR CARE COMMUNITIES RECOGNIZES AND IS COMMITTED TO THE SPIRITUAL HEALTH AND WELLBEING OF ALL ITS RESIDENTS AND TEAM MEMBERS. SENIOR CARE COMMUNITIES PROVIDES FUNDING FOR CHAPLAINS AT ALL THE COMMUNITIES. CHAPLAINS PROVIDE VISITATION, WORSHIP, AND EDUCATION EXPERIENCES. IN EACH PROPERTY, WEEKLY NON-DENOMINATIONAL WORSHIP SERVICES ARE PROVIDED FOR ALL RESIDENTS. THE BOARD ALSO PROVIDES STIPENDS FOR CATHOLIC PARISHES TO PROVIDE PRIESTS FOR MASS.Desc
Total Program Service Expenses$48,569,234TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee779EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLLY TOULOUSE CO LIFESPARK LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9523458770PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15320 W 23RD ST SUITE 130AddressLine1Txt
CitySAINT LOUIS PARKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55416ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN LANDWEHR MARSHALL
PRESIDENT & TREASURER6.00Yes (X)Yes (X)$78,000$0$0
RICHARD H MARTIN
SECRETARY5.00Yes (X)Yes (X)$16,194$0$0
SANDRA L HESSE
VICE PRESIDENT1.00Yes (X)Yes (X)$5,000$0$0
JIM MONTEZ
DIRECTOR1.00Yes (X)$0$0$0
JOHN MARSHALL
DIRECTOR1.00Yes (X)$0$0$0
TONY YEBOAH
REGISTERED NURSE101.00$178,203$0$0Yes (X)
MICHAEL KAREL
EXEC DIR-WOODBURY SENIOR LIV.40.00$162,303$0$4,539Yes (X)
NOEL LOVAS
EXEC DIR-PROVIDENCE PLACE40.00$145,303$0$3,029Yes (X)
DARCI FIALA
REGISTERED NURSE40.00$143,203$0$3,029Yes (X)
XINLAN WANG
REGISTERED NURSE59.00$131,029$0$1,823Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$859,235TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$12,420TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CURA HOSPITALITY LLC
300 SOUTH TRYON STREET STE 400CHARLOTTENC28202DIETARY SERVICES$4,603,943
AEGIS THERAPIES INC
1000 BEVERLY WAYFORT SMITHAZ72919THERAPY SERVICES$2,849,304
TWSL LLC
5320 WEST 23RD STREET SUITE 130SAINT LOUIS PARKMN55416HEALTHCARE MANAGEMENT$2,616,350
HEALTHEAST MEDICAL LABORATORY
69 W EXCHANGE STREETST PAULMN55102LABORATORY SERVICES$1,930,293
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE STE 300BENSALEMPA19020HOUSEKEEPING SERVICES$1,730,239
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Government Grants$1,106,652GovernmentGrantsAmt
Total Contributions$1,106,652TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$55,782,131TotalRevenueColumnAmt
Related Or Exempt Func Income$55,782,131RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$55,782,131TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,827TotalRevenueColumnAmt
Exclusion$132,827ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,214RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,214RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,214TotalRevenueColumnAmt
Exclusion$6,214ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$22,124,760OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$13,810,515OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$8,314,245OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,314,245TotalRevenueColumnAmt
Exclusion$8,314,245ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business623000BusinessCd
Total Revenue Column$472,342TotalRevenueColumnAmt
Exclusion$472,342ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$472,342OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,814,411TotalRevenueColumnAmt
Related Or Exempt Func Income$55,782,131RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,925,628ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$61,812TotalAmt
Program Services$61,812ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Program Services$150ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$99,194TotalAmt
Management And General$99,194ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,583,825TotalAmt
Program Services$21,524,912ProgramServicesAmt
Management And General$2,058,913ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,770,855TotalAmt
Program Services$1,609,486ProgramServicesAmt
Management And General$161,369ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,827,629TotalAmt
Program Services$1,661,087ProgramServicesAmt
Management And General$166,542ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,678,280TotalAmt
Management And General$2,678,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$167,422TotalAmt
Management And General$167,422ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$156,935TotalAmt
Management And General$156,935ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,477,296TotalAmt
Program Services$12,164,898ProgramServicesAmt
Management And General$312,398ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$169,456TotalAmt
Program Services$169,456ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,512,988TotalAmt
Program Services$1,157,966ProgramServicesAmt
Management And General$1,355,022ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$329,522TotalAmt
Program Services$329,522ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,567,732TotalAmt
Program Services$1,404,279ProgramServicesAmt
Management And General$1,163,453ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,890TotalAmt
Management And General$27,890ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$137,900TotalAmt
Management And General$137,900ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,900,300TotalAmt
Program Services$2,702,215ProgramServicesAmt
Management And General$198,085ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,430,824TotalAmt
Program Services$3,165,930ProgramServicesAmt
Management And General$264,894ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$679,982TotalAmt
Program Services$679,982ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SURCHARGE$1,262,618$1,262,618
BAD DEBT EXPENSE$700,900$0$700,900
LICENSES$255,204$255,204
DUES & SUBSCRIPTIONS$104,684$104,684

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$315,033TotalAmt
Program Services$315,033ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$58,218,431TotalAmt
Program Services$48,569,234ProgramServicesAmt
Management And General$9,649,197ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,097,846BOYAmt
EOY$9,267,229EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,142,707BOYAmt
EOY$3,050,369EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,099,131BOYAmt
EOY$6,043,812EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$500,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$581,382BOYAmt
EOY$419,264EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,090,346LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,031,465LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,026,115BOYAmt
EOY$34,058,881EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,896,969BOYAmt
EOY$4,672,363EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,035,532BOYAmt
EOY$6,828,795EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$79,379,682BOYAmt
EOY$64,840,713EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,771,849BOYAmt
EOY$4,788,240EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,942,546BOYAmt
EOY$14,318,020EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$390,901BOYAmt
EOY$355,648EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$36,584,935BOYAmt
EOY$38,211,689EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$591,192BOYAmt
EOY$550,259EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,281,423BOYAmt
EOY$58,223,856EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$989,516BOYAmt
EOY$6,529,022EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$87,775BOYAmt
EOY$87,835EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$901,741BOYAmt
EOY$6,616,857EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,379,682BOYAmt
EOY$64,840,713EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,595,980ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$110,597NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$33,215OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$90,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$110,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,190,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,527,215CurrentTaxYearMinus1YearAmt
Current Tax Year$1,106,652CurrentTaxYearAmt
Total$10,024,544TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,503,067CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,829,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,678,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,371,326CurrentTaxYearMinus1YearAmt
Current Tax Year$55,782,131CurrentTaxYearAmt
Total$292,164,376TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,005CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,057CurrentTaxYearMinus3YearsAmt
Total$16,062TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,602,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,946,735CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,868,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,898,541CurrentTaxYearMinus1YearAmt
Current Tax Year$56,888,783CurrentTaxYearAmt
Total$302,204,982TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$302,204,982PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$559,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$361,024CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$343,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283,465CurrentTaxYearMinus1YearAmt
Current Tax Year$132,827CurrentTaxYearAmt
Total$1,680,307TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$559,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$361,024CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$343,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283,465CurrentTaxYearMinus1YearAmt
Current Tax Year$132,827CurrentTaxYearAmt
Total$1,680,307TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$459,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$315,580CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$416,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,351CurrentTaxYearMinus1YearAmt
Current Tax Year$472,342CurrentTaxYearAmt
Total$2,213,298TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,621,405CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,623,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,628,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,731,357CurrentTaxYearMinus1YearAmt
Current Tax Year$57,493,952CurrentTaxYearAmt
Total$306,098,587TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98730PublicSupportCY509Pct
Public Support PY5090.98770PublicSupportPY509Pct
Investment Income CY0.00550InvestmentIncomeCYPct
Investment Income PY0.00570InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,411,495OtherCostOrOtherBasisAmt
Book Value$2,411,495BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,292,034OtherCostOrOtherBasisAmt
Depreciation$37,934,449DepreciationAmt
Book Value$29,357,585BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,357,068OtherCostOrOtherBasisAmt
Depreciation$7,097,016DepreciationAmt
Book Value$2,260,052BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,749OtherCostOrOtherBasisAmt
Book Value$29,749BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,058,881TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COVENIRE CARE NOKOMIS, LLC$1,349,533C
THE WATERS OF EDEN PRAIRIE INVESTERS, LLC$2,417,943F
THE WATERS OF PEWAUKEE JV MEMBER, LLC$904,887F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$4,672,363TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
RESIDENT TRUST FUND$355,648
ESCROW DEPOSITS$782,562
REPLACEMENT RESERVE$2,004,770
RESIDUAL RECEIPTS RESERVE$1,939,003
FUNDS HELD UNDER BOND INDENTURE$1,149,443
ESCROW HOLDBACK RELATING TO WOHP SALE$597,369
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,828,795TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED RENT$512,783
UNCLAIMED PROPERTY$33,092
FIXED ASSET CLEARING$4,384
FieldValueIRS element (for citing)
Total Liability$550,259TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE RESIDENT TRUST FUNDS ARE PATIENT PERSONAL FUNDS THAT ARE HELD BY THE FACILITY. THE FUNDS BELONG TO THE RESIDENTS AND FACILITY MAINTAINS DETAIL ON DEPOSITS/WITHDRAWALS PER MN DHS GUIDELINES.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THAT THE ORGANIZATION EVALUATE TAX POSITIONS AND RECOGNIZE A LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE ORGANIZATION HAS ANALYZED ITS TAX POSITIONS AND CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021 THERE WERE NO UNCERTAIN TAX POSITIONS TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDIT BY TAX AUTHORITIES, HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY OPEN TAX PERIODS IN PROGRESS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NORMANDALE COMMUNITY COLLEGEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19700 FRANCE AVENUE SOUTHAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55431ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411295802RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$35,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT THE ORGANIZATION'S MISSION IN MAKING HIGHER EDUCATION ACCESSIBLE TO ALL.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationEMPLOYEE SCHOLARSHIPS AND GRANTS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION UPON RECEIPT OF A LETTER OF ACCEPTANCE OR AN INVOICE. FOR GRANTS TO OTHER ORGANIZATIONS, SENIOR CARE COMMUNITIES DOES NOT HAVE A FORMAL MONITORING PROCESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TONY YEBOAH
REGISTERED NURSE$178,203$0$0$0$0$0$0$0$0$0$178,203$0$0$0
MICHAEL KAREL
EXEC DIR-WOODBURY SENIOR LIV.$162,303$0$0$0$0$0$0$0$4,539$0$166,842$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON COUNTY COMMUNITY DEVELOPMENT AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN411408079BondIssuerEIN
CUSIP93778CAD0CUSIPNum
Bond Issued2016-08-19BondIssuedDt
Issue Price$17,685,000IssuePriceAmt
PurposeREFINANCE SERIES 2007 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,075,000RetiredAmt
Total Proceeds$17,685,000TotalProceedsAmt
In Reserve Fund$1,146,806InReserveFundAmt
Refunding Escrow$15,924,477RefundingEscrowAmt
Issuance Costs From Proceeds$348,200IssuanceCostsFromProceedsAmt
Working Capital Expenditures$265,516WorkingCapitalExpendituresAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyYes (1)OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: WASHINGTON COUNTY COMMUNITY DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/01/2021ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
TWSL LLC
MAJOR CONTRIBUTOR$2,616,350HEALTHCARE MANAGEMENT SERVICES0
THE WATERS SENIOR LIVING
MAJOR CONTRIBUTOR$484,024HEALTHCARE MANAGEMENT SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3SENIOR CARE COMMUNITIES DELEGATED RESPONSIBILITY FOR THE MANAGEMENT OF THEIR FACILITIES TO TWSL, LLC AND THE WATERS SENIOR LIVING.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS PREPARED BY INDEPENDENT ACCOUNTS FOR INTERNAL REVIEW. ONCE COMPLETE, THE FORM WAS SENT OUT ELECTRONICALLY TO THE FULL BOARD TO REVIEW AND APPROVE THE FORM BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CSR. CARE COMMUNITIES APPROVED THE FOLLOWING CONFLICT OF INTEREST POLICY ON 5/7/2009. THE FOLLOWING PERSONS ARE "KEY PERSONS" FOR THE PURPOSES OF THE CONFLICT OF INTEREST POLICY: A MEMBER OF THE BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE WITH POWERS DELEGATED BY THE BOARD OF DIRECTORS, AN OFFICER OF THE CORPORATION, A FAMILY MEMBER DEFINED AS A SPOUSE, PARENT, CHILD, SIBLING OR SPOUSE OF A SIBLING. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. ONCE A POTENTIAL CONFLICT OF INTEREST HAS BEEN DISCLOSED: THE KEY PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH THE TRANSACTION WILL BE DISCUSSED, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, OBTAIN AND RELY ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DECISION WHETHER OR NOT TO PARTICIPATE IN THE PROPOSED TRANSACTION OR ARRANGEMENT. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL USE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. AFTER CONSIDERATION, THE BOARD OR COMMITTEE MAY DETERMINE THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF SO, THE BOARD OR COMMITTEE MAY DECIDE, BY A MAJORITY VOTE, TO ENTER INTO A TRANSACTION INVOLVING A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE OFFICERS RECEIVE MINIMAL COMPENSATION FOR THEIR SERVICES TO SENIOR CARE COMMUNITIES, INC. DETERMINATION OF THEIR COMPENSATION IS BASED ON THE AMOUNT OF TIME DEDICATED TO THE ORGANIZATION IN THE PRIOR YEAR AND INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THIS PROCESS WAS LAST UNDERTAKEN FOR ALL OFFICERS IN 2020.
FORM 990, PART VI, SECTION C, LINE 18THE 990 IS AVAILABLE UPON REQUEST OR AT WWW.GUIDESTAR.ORG WHILE OTHER DOCUMENTS ARE ONLY AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE ON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL AND PATIENT SERVICES: PROGRAM SERVICE EXPENSES 10,539,000. MANAGEMENT AND GENERAL EXPENSES 312,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,851,398. REGISTRY: PROGRAM SERVICE EXPENSES 1,625,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,625,898.
FORM 990, PART XI, LINE 9:GAIN ON EQUITY METHOD INVESTMENTS 33,215.
FORM 990, PART XII, LINE 2C:NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SENIOR CARE PROVIDENCE LLC
370 23RD AVENUE SOUTHMINNEAPOLISMN55407260429826SKILLED NURSINGDE$19,560,398$17,510,297SENIOR CARE COMMUNITIES INC
SENIOR CARE FOREST LAKE LLC
604 NE FIRST STREETFOREST LAKEMN55025208316264SKILLED NURSING AND ASSISTED LIVINGDE$10,972,541$10,437,365SENIOR CARE COMMUNITIES INC
SENIOR CARE WOODBURY LLC
7012 LAKE DRIVEWOODBURYMN55125208316216SKILLED NURSING AND ASSISTED LIVINGDE$23,283,329$23,722,195SENIOR CARE COMMUNITIES INC
THE WATERS OF HIGHLAND PARK LLC
678 SNELLING AVENUE SST PAULMN55116471154954ASSISTED LIVINGMN$2,876,620$597,369SENIOR CARE COMMUNITIES INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE WATERS OF EDEN PRAIRIE INVESTORS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 HOPKINS CROSSROADAddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd
FieldValueIRS element (for citing)
EIN474586845EIN
Primary ActivitiesASSISTED LIVINGPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$465,530ShareOfTotalIncomeAmt
Share Of EOY Assets$8,138,046ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.71510OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd