AUGUSTANA CHAPEL VIEW HOMES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- AUGUSTANA CHAPEL VIEW HOMES INC (EIN 41-0693953)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202203149349305025
- Schema version
- 2021v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T10:25:07-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410693953 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTANA CHAPEL VIEW HOMES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AUGU | BusinessNameControlTxt |
| Phone | 9528555000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 Ohms Lane | AddressLine1Txt |
| City | Edina | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHY YOUNGQUIST | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9528555000 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Profile Password Change | Yes (X) | ProfilePasswordChangeInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Dahl | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 Ohms Lane | AddressLine1Txt |
| City | Edina | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,672,436 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cassialife.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE, HOUSING, AND COMMUNITY SERVICES FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 310 | TotalEmployeeCnt |
| Total Volunteers | 31 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,533,652 | PYContributionsGrantsAmt |
| CY Contributions Grants | $158,031 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,049,882 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,463,609 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,740,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,113 | CYInvestmentIncomeAmt |
| PY Other Revenue | $791,769 | PYOtherRevenueAmt |
| CY Other Revenue | $718,415 | CYOtherRevenueAmt |
| PY Total Revenue | $40,115,986 | PYTotalRevenueAmt |
| CY Total Revenue | $20,387,168 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,969,975 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,406 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,929,520 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,801,854 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,474,296 | PYOtherExpensesAmt |
| CY Other Expenses | $9,782,557 | CYOtherExpensesAmt |
| PY Total Expenses | $25,373,791 | PYTotalExpensesAmt |
| CY Total Expenses | $20,594,817 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,742,195 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$207,649 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,452,560 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,780,899 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,373,649 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,706,567 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,078,911 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,074,332 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS IN THE SPIRIT OF CHRIST'S LOVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,215,478 | ExpenseAmt |
| Grant | $10,406 | GrantAmt |
| Revenue | $12,887,393 | RevenueAmt |
| Desc | AUGUSTANA CHAPEL VIEW HOMES, INC. WAS ORGANIZED FOR THE PURPOSE OF PROVIDING NURSING HOME CARE FOR THE ELDERLY. IT HAS 108 BEDS AND IS LOCATED IN HOPKINS, MN. DURING 2021, TOTAL RESIDENT DAYS WERE 32,529 (82.52% OCCUPANCY). UTILIZATION BY PAYOR SOURCE WAS AS FOLLOWS: 39% MEDICAL ASSISTANCE, 11% MEDICARE, 27% PRIVATE PAY AND 23% HMO. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,501,843 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,586,216 | RevenueAmt |
| Desc | AUGUSTANA CHAPEL VIEW HOMES, INC. WAS ORGANIZED FOR THE PURPOSE OF OPERATING TWO ASSISTED LIVING FACILITIES FOR THE ELDERLY. THEY ARE LOCATED IN MINNEAPOLIS AND HOPKINS, MN AND HAD 428 UNITS DURING 2021. THE TOTAL RESIDENT DAYS WERE 131,549 (85.3% OCCUPANCY). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,717,321 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 310 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHY YOUNQUIST | PersonNm |
| Phone | 9528555000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 OHMS LANE | AddressLine1Txt |
| City | EDINA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT DAHL | ||||||||
| PRESIDENT/CEO | 2.06 | 37.94 | Yes (X) | $0 | $569,472 | $79,039 | ||
| KATHY YOUNGQUIST | ||||||||
| CFO | 2.06 | 37.94 | Yes (X) | $0 | $385,391 | $82,587 | ||
| MATTHEW KERN | ||||||||
| COO | 2.06 | 37.94 | Yes (X) | $0 | $324,672 | $83,458 | ||
| KATHY KOPP | ||||||||
| CHIEF STRATEGY OFFICER | 2.06 | 37.94 | Yes (X) | $0 | $267,750 | $90,300 | ||
| ANGELA BROWN | ||||||||
| CHRO | 2.06 | 37.94 | Yes (X) | $0 | $236,279 | $60,827 | ||
| SHARON WILSON | ||||||||
| CHIEF CLINICAL AND COMPLIANCE | 2.06 | 37.94 | Yes (X) | $0 | $241,179 | $42,698 | ||
| GEORGE SERRA | ||||||||
| CORP FOOD SERVICE DIRECTOR | 40.74 | 0 | $129,251 | $0 | $31,989 | Yes (X) | ||
| PATRICIA LEEMAN | ||||||||
| DIRECTOR OF NURSING | 42.31 | 0 | $124,867 | $0 | $27,876 | Yes (X) | ||
| PAULA SPARLING | ||||||||
| NURSING HOME ADMINISTRATOR | 41.54 | 0 | $119,713 | $0 | $30,136 | Yes (X) | ||
| JARED NYANSIMORA | ||||||||
| REGISTERED NURSE | 46.05 | 0 | $128,472 | $0 | $15,858 | Yes (X) | ||
| REV DR GARY WILKERSON | ||||||||
| CHAIR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TIMOTHY KUCK | ||||||||
| VICE CHAIR | 0.25 | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RICK ELLINGSON | ||||||||
| TREASURER | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHIP PARKS | ||||||||
| SECRETARY | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JERRY NYE | ||||||||
| DIRECTOR | 0.25 | 3.5 | $0 | $0 | $0 | Yes (X) | ||
| SCOTT RAMSDALE | ||||||||
| DIRECTOR | 0.25 | 2 | $0 | $0 | $0 | Yes (X) | ||
| LARRY KULA | ||||||||
| DIRECTOR | 0.25 | 0.5 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $502,303 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,024,743 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $544,768 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CASSIA SERVICES | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7171 OHMS LANE | AddressLine1Txt |
| City | EDINA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55439 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT SERVICES | ServicesDesc |
| Compensation | $1,188,734 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $158,031 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $158,031 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NURSING | 623000 | $12,877,393 | $12,877,393 | $0 | $0 |
| ASSISTED LIVING | 623000 | $6,586,216 | $6,586,216 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,463,609 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,113 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $315,174 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $285,268 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,906 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,906 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,906 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| SPACE RENTAL - FROM RELATED PARTY | 900099 | $93,145 | $0 | $0 | $93,145 |
| OTHER MISC REVENUE | 900099 | $238,136 | $0 | $0 | $238,136 |
| Gain on Discontinued Operations | 900099 | $357,228 | $0 | $0 | $357,228 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $688,509 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,387,168 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,463,609 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $765,528 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,406 | TotalAmt |
| Program Services | $10,406 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,080,563 | TotalAmt |
| Program Services | $8,318,053 | ProgramServicesAmt |
| Management And General | $762,510 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,401 | TotalAmt |
| Program Services | $149,999 | ProgramServicesAmt |
| Management And General | $11,402 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $929,208 | TotalAmt |
| Program Services | $857,009 | ProgramServicesAmt |
| Management And General | $72,199 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,682 | TotalAmt |
| Program Services | $578,226 | ProgramServicesAmt |
| Management And General | $52,456 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,169,824 | TotalAmt |
| Management And General | $1,169,824 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,278 | TotalAmt |
| Management And General | $4,278 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,134 | TotalAmt |
| Management And General | $26,134 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,906,123 | TotalAmt |
| Program Services | $1,724,157 | ProgramServicesAmt |
| Management And General | $181,966 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,114 | TotalAmt |
| Management And General | $48,114 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,119 | TotalAmt |
| Program Services | $31,317 | ProgramServicesAmt |
| Management And General | $156,802 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,365 | TotalAmt |
| Program Services | $10,219 | ProgramServicesAmt |
| Management And General | $53,146 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,738 | TotalAmt |
| Program Services | $868,425 | ProgramServicesAmt |
| Management And General | $30,313 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,258 | TotalAmt |
| Management And General | $2,258 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,605 | TotalAmt |
| Management And General | $36,605 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,777 | TotalAmt |
| Program Services | $366,002 | ProgramServicesAmt |
| Management And General | $12,775 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,681 | TotalAmt |
| Program Services | $1,404,651 | ProgramServicesAmt |
| Management And General | $49,030 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,687 | TotalAmt |
| Program Services | $289,579 | ProgramServicesAmt |
| Management And General | $10,108 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| NURSING SUPPLIES | $1,354,121 | $1,340,972 | $13,149 | $0 |
| LICENSE SURCHARGE | $1,014,156 | $1,014,156 | $0 | $0 |
| DIETARY | $754,150 | $754,150 | $0 | $0 |
| BAD DEBT | $184,427 | $0 | $184,427 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,594,817 | TotalAmt |
| Program Services | $17,717,321 | ProgramServicesAmt |
| Management And General | $2,877,496 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,486 | BOYAmt |
| EOY | $286,096 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,295 | BOYAmt |
| EOY | $588,467 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,927,856 | BOYAmt |
| EOY | $3,046,752 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,630 | BOYAmt |
| EOY | $48,708 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,172,977 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,482,853 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,882,288 | BOYAmt |
| EOY | $12,690,124 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,776 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,594,229 | BOYAmt |
| EOY | $9,120,752 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,452,560 | BOYAmt |
| EOY | $25,780,899 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,208,509 | BOYAmt |
| EOY | $792,753 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,982 | BOYAmt |
| EOY | $50,199 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,618,341 | BOYAmt |
| EOY | $9,698,239 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,572 | BOYAmt |
| EOY | $330,259 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,739,245 | BOYAmt |
| EOY | $2,835,117 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,373,649 | BOYAmt |
| EOY | $13,706,567 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,346,250 | BOYAmt |
| EOY | $9,311,273 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,732,661 | BOYAmt |
| EOY | $2,763,059 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,078,911 | BOYAmt |
| EOY | $12,074,332 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,452,560 | BOYAmt |
| EOY | $25,780,899 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$207,649 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,284 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$5,803,214 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $848,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,801 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $215,334 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,534,269 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $158,031 | CurrentTaxYearAmt |
| Total | $2,870,965 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,234,351 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,903,491 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,819,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,374,185 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,777,798 | CurrentTaxYearAmt |
| Total | $135,109,672 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,082,881 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,018,292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,035,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,908,454 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,935,829 | CurrentTaxYearAmt |
| Total | $137,980,637 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $137,980,637 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,195,131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,221,952 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $199,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $770,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,113 | CurrentTaxYearAmt |
| Total | $3,433,857 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,195,131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,221,952 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $199,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $770,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,113 | CurrentTaxYearAmt |
| Total | $3,433,857 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $115,438 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $139,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $537,697 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $332,266 | CurrentTaxYearAmt |
| Total | $1,276,006 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,393,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,379,386 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,386,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,216,193 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,315,208 | CurrentTaxYearAmt |
| Total | $142,690,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96699 | PublicSupportCY509Pct |
| Public Support PY509 | 0.965 | PublicSupportPY509Pct |
| Investment Income CY | 0.02407 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0281 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 | FormAndLineReferenceDesc |
| Explanation | SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME MISCELLANEOUS INCOME FROM TENANTS 2017 AMOUNT 21,131 2018 AMOUNT 44,892 2019 AMOUNT 124,071 2020 AMOUNT 29,485 2021 AMOUNT 275,497 TELEPHONE INCOME FROM TENANTS 2017 AMOUNT 24,592 2018 AMOUNT 24,536 2019 AMOUNT 5,398 2020 AMOUNT 11,051 2021 AMOUNT 39,205 DIETARY INCOME FROM TENANTS 2017 AMOUNT 41,742 2018 AMOUNT 36,697 2019 AMOUNT 8,639 2020 AMOUNT 618,776 2021 AMOUNT - LAUNDRY INCOME FROM TENANTS 2017 AMOUNT 2,716 2018 AMOUNT 5,486 2019 AMOUNT 1,519 2020 AMOUNT 3,162 2021 AMOUNT - VENDING MACHINE INCOME FROM TENANTS 2017 AMOUNT 9,729 2018 AMOUNT 9,237 2019 AMOUNT 1,845 2020 AMOUNT 1,190 2021 AMOUNT 2,402 ANNUITY CONVERSION INCOME 2017 AMOUNT 15,528 2018 AMOUNT 17,954 2019 AMOUNT 9,931 2020 AMOUNT 15,154 2021 AMOUNT - TELEVISION INCOME TENANTS 2017 AMOUNT 15,528 130,966 115,438 2018 AMOUNT 17,954 156,756 139,142 2019 AMOUNT 9,931 161,334 151,463 2020 AMOUNT 15,154 693,972 537,697 2021 AMOUNT 15,162 332,266 332,266 - COLUMN C, 2019, IS FOR A SHORT PERIOD THAT BEGAN ON OCTOBER 1, 2019 AND ENDED ON DECEMBER 31, 2019. Note that 2019 is for a short period that began on October 1, 2019 and ended on December 31, 2019. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,042,954 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $7,248 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,050,202 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,026,981 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $15,973 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,042,954 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,023,283 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $3,698 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,026,981 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,023,283 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,023,283 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,020,770 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,513 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,023,283 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,586,366 | OtherCostOrOtherBasisAmt |
| Book Value | $1,586,366 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $38,883,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,608,652 | DepreciationAmt |
| Book Value | $10,274,358 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $9,703,601 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,874,201 | DepreciationAmt |
| Book Value | $829,400 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,690,124 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $6,901,974 |
| CONSTRUCTION IN PROGRESS | $815,160 |
| BENEFICIAL INT IN FOUNDATION | $1,403,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,120,752 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $2,403,228 |
| DUE TO CATHOLIC CHARITIES | $333,333 |
| MC COVID-19 ADVANCE PAYABLE | $13,871 |
| ASSET RETIREMENT OBLIGATIONS | $17,513 |
| ANNUITY OBLIGATIONS | $17,825 |
| RESIDENT TRUST LIABILITY | $28,354 |
| OTHER L/T DEBT-INVESTOR LIABILITY | $20,993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,835,117 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 2b | THE ORGANIZATION HOLDS, IN TRUST, FUNDS ADVANCED BY RESIDENTS TO BE USED AT EACH RESIDENT'S DISCRETION. THE FUNDS ARE MAINTAINED IN A SEPARATE INTEREST-BEARING SAVINGS ACCOUNT AND THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. SECURITY DEPOSITS ARE REQUIRED FOR THE ORGANIZATION'S TENANTS AND INCLUDE RESERVED APARTMENTS IF AMOUNTS ARE PAID BEFORE THE TENANT ACTUALLY MOVES IN. |
| Schedule D, Part V, Line 4 | THE PRINCIPAL WILL BE INVESTED AND KEPT INTACT FOR PERPETUITY TO PROVIDE AN ADDITIONAL SOURCE OF INCOME. THE INCOME GENERATED WILL BE USED TO SUPPORT THE FUND DESIGNATED PROGRAM. A PORTION OF THE ORGANIZATION'S ENDOWMENT IS HELD AND ADMINISTERED BY AUGUSTANA CARE FOUNDATION/ELIM CARE FOUNDATION. SEE SCHEDULE R FOR ADDITIONAL DETAILS. |
| Schedule D, Part X, Line 2 | AUGUSTANA CARE AND ITS AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THESE 501(c)(3) ORGANIZATIONS HAVE BEEN CLASSIFIED AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A). THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATION THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. AUGUSTANA CARE AND ITS AFFILIATES' INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP | GrantTypeTxt |
| Recipient | 12 | RecipientCnt |
| Cash Grant | $10,406 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | RECIPIENTS OF SCHOLARSHIPS FROM THE ORGANIZATION AGREE TO CERTAIN TERMS UPON ACCEPTANCE. IF THE TERMS ARE NOT MET, THE EMPLOYEE IS REQUIRED TO REIMBURSE THE ORGANIZATION FOR THE COST OF THE COURSE. THE RECIPIENT WILL WORK FOR THE ORGANIZATION FOR A STIPULATED TIME AND WILL REIMBURSE THE ORGANIZATION A PRORATED AMOUNT OF EACH SCHOLARSHIP PAYMENT RECEIVED IF THE FULL TIME PERIOD IS CASSIA ENSURED THAT TRANSFERRED FUNDS WERE USED APPROPRIATELY THROUGH COMMON MANAGEMENT AND BOARD OVERSIGHT BETWEEN THE ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT DAHL | ||||||||||||||
| PRESIDENT/CEO | $0 | $494,499 | $0 | $48,337 | $0 | $26,636 | $0 | $60,077 | $0 | $18,962 | $0 | $648,511 | $0 | $48,337 |
| KATHY KOPP | ||||||||||||||
| CHIEF STRATEGY OFFICER | $0 | $250,790 | $0 | $11,059 | $0 | $5,901 | $0 | $50,739 | $0 | $39,561 | $0 | $358,050 | $0 | $0 |
| KATHY YOUNGQUIST | ||||||||||||||
| CFO | $0 | $317,931 | $0 | $10,000 | $0 | $57,460 | $0 | $58,286 | $0 | $24,301 | $0 | $467,978 | $0 | $32,615 |
| MATTHEW KERN | ||||||||||||||
| COO | $0 | $304,172 | $0 | $12,273 | $0 | $8,227 | $0 | $48,009 | $0 | $35,449 | $0 | $408,130 | $0 | $0 |
| ANGELA BROWN | ||||||||||||||
| CHRO | $0 | $195,671 | $0 | $10,000 | $0 | $30,608 | $0 | $37,914 | $0 | $22,913 | $0 | $297,106 | $0 | $18,838 |
| SHARON WILSON | ||||||||||||||
| CHIEF CLINICAL AND COMPLIANCE | $0 | $195,286 | $0 | $30,867 | $0 | $15,026 | $0 | $27,967 | $0 | $14,731 | $0 | $283,877 | $0 | $19,279 |
| GEORGE SERRA | ||||||||||||||
| CORP FOOD SERVICE DIRECTOR | $129,251 | $0 | $0 | $0 | $0 | $0 | $5,499 | $0 | $26,490 | $0 | $161,240 | $0 | $0 | $0 |
| PATRICIA LEEMAN | ||||||||||||||
| DIRECTOR OF NURSING | $124,867 | $0 | $0 | $0 | $0 | $0 | $5,220 | $0 | $22,656 | $0 | $152,743 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | CASSIA AND IT'S AFFILIATES PROVIDE VEHICLE BENEFITS FOR SOME OF ITS OFFICERS AND KEY EMPLOYEES. THE EMPLOYEE IS RESPONSIBLE FOR TRACKING BUSINESS VERSUS PERSONAL USE OF THE VEHICLE. THE PERSONAL USEAGE OF THE BEHICLES IS TREATED AS TAXABLE COMPENSATION BY CASSIA AND ITS AFFILIATES. |
| Schedule J, Part I, Line 3 | THE CORPORATION RELIED ON THE PARENT ORGANIZATION, CASSIA, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. CASSIA USES THE FOLLOWING PRACTICES: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND RECOMMENDATIONS FROM THE CASSIA COMPENSATION COMMITTEE TO THE CASSIA BOARD. |
| Schedule J, Part I, Line 4 | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY CASSIA SERVICES: KATHY KOPP, CSO - $48,475; KATHY YOUNGQUIST, CFO - $40,242; MATTHEW KERN, COO - $26,084; ANGELA BROWN, CHRO - $24,172 |
| Schedule J, Part I, Line 6 | OFFICERS OF CASSIA SERVICES AND KEY EMPLOYEES OF CASSIA AND ITS AFFILIATES ARE ELIGIBLE TO ACCRUE INCENTIVE BONUSES EACH YEAR THAT ARE CONTINGENT ON PERFORMANCE METRICS AND FINANCIAL GOALS OF THE ORGANIZATION. |
| Schedule J, Part II | ALL OFFICERS' COMPENSATION WAS PAID BY CASSIA SERVICES, THE MANAGEMENT COMPANY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | ||||||||
| A | 416009115 | 2012-12-28 | $6,612,000 | REFINANCE SERIES 2004 BONDS AND CA | 0 | 0 | 0 | |
| CITY OF HOPKINS MINNESOTA | ||||||||
| B | 416005247 | 2013-06-11 | $5,290,000 | REFINANCE SERIES 2006 BONDS | 0 | 0 | 0 | |
| CITY OF INDEPENDENCE MINNESOTA | ||||||||
| C | 410958873 | 2017-12-13 | $4,760,000 | REFINANCE SERIES 2005 BONDS AND CA | 0 | 0 | 0 | 45363KAM3 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,274,060 | $0 | $6,612,000 | $0 | $0 | $121,634 | $0 | $1,173,812 | $5,316,554 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $2,671,137 | $0 | $5,290,000 | $0 | $0 | $102,275 | $0 | $5,187,725 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | $0 | |
| C | $610,000 | $0 | $4,760,000 | $0 | $0 | $95,200 | $0 | $551,971 | $3,933,829 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $179,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.012 | 0.012 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.012 | 0.012 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column a-12/28/2012 6,612,000 MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | (A) ISSUER NAME: MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY (C) ISSUER NAME: CITY OF INDEPENDENCE, MINNESOTA |
| Schedule K, Part I, Column f-12/28/2012 6,612,000 MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | (A) DESCRIPTION OF PURPOSE: REFINANCE SERIES 2004 BONDS AND CAPITAL PURCHASES (C) DESCRIPTION OF PURPOSE: REFINANCE SERIES 2005 BONDS AND CAPITAL IMPROVEMENTS |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3 | A RELATED ORGANIZATION, CASSIA SERVICES, MANAGES ITS OWN AFFILIATES, ELIM CARE, INC. AUGUSTANA CARE, AND ALL ELIM/AUGUSTANA AFFILIATES. SERVICES PROVIDED INCLUDE FINANCIAL ACCOUNTING, OPERATIONAL OVERSIGHT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CLINICAL NURSING CONSULTATION, CORPORATE COMPLIANCE, COORDINATED ADVERTISING AND MARKETING, PHILANTHROPY, AND NEW BUSINESS DEVELOPMENT. |
| Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF THE ORGANIZATION IS AUGUSTANA CARE. THE SOLE MEMBER OS AUGUSTANA CARE IS CASSIA. |
| Form 990, Part VI, Section A, Line 7a | THE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY A MAJORITY VOTE FROM THE BOARD OF DIRECTORS OF THE SOLE MEMBER, AUGUSTANA CARE, AT THE ANNUAL MEETING. |
| Form 990, Part VI, Section A, Line 7b | AUGUSTANA CARE IS THE SOLE MEMBER OF THE CORPORATION. BOARD MEMBERS OF THE CORPORATION ARE APPOINTED BY THE SOLE MEMBER. DECISIONS OF THE CORPORATION ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER. CERTAIN ACTIONS ARE FURTHER SUBJECT TO APPROVAL BY THE CASSIA BOARD, WHICH IS THE PARENT ORGANIZATION. |
| Form 990, Part VI, Section B, Line 11b | THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY INTERNAL FINANCE STAFF AND REVIEWED BY THE ORGANIZATION'S CFO. THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. |
| Form 990, Part VI, Section B, Line 12c | THE ORGANIZATION ANNUALLY REQUESTS A CONFLICT OF INTEREST DISCLOSURE FROM EACH BOARD MEMBER AND OFFICER. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND KEY EMPLOYEES. ALL COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT AND TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE APPROPRIATED LEVEL OF MANAGEMENT OR TO THE BOARD OF DIRECTORS AS OUTLINED IN THE POLICY, BASED ON THE INDIVIDUAL'S POSITION WITHIN THE ORGANIZATION. CONFLICTS ARE DETERMINED AT THE APPROPRIATE LEVEL OF MANAGEMENT OR BY THE BOARD OF DIRECTORS. INDIVIDUALS WITH ACTUAL OR POTENTIAL CONFLICTS WILL ABSTAIN FROM DISCUSSING OR VOTING ON MATTERS RELATING TO THE CONFLICT. ALL PROCEEDINGS RELATING TO ACTUAL OR POTENTIAL CONFLICTS ARE NOTED IN THE MEETING MINUTES. |
| Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, Line 9 | TRANSFER TO AFFILATES ($8,442,006 ); TRANSFER FROM AFFILIATES $2,643,491; CONTRIBUTION DIVIDEND - G&A ($13,290); OTHER $8,591 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASSIA | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 831758728 | PARENT CO/FUND RAISING | MN | 501(C)(3) | 7 | N/A | 0 | |
| CASSIA SERVICES | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411806946 | MANAGEMENT SERVICES | MN | 501(C)(3) | 12 | 0 | CASSIA | |
| ELIM CARE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694818 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 7 | 0 | CASSIA | |
| AUGUSTANA CARE | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411728753 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 7 | 0 | CASSIA | |
| PIONEER HOUSE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411927112 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| NEW HARMONY CARE CENTER INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411821882 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| COUNTRY MEADOWS OF MILACA INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 201723948 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| LAKE RIDGE CARE CENTER OF BUFFALO INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 200507069 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| PARK TERRACE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 204063752 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| EVANGELICAL RETIREMENT HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 420868449 | HEALTH CARE FACILITIES/SERVICES | IA | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| VILLAGE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 262086933 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| BAPTIST HOME INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 450232943 | HEALTH CARE FACILITIES/SERVICES | ND | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| THE BAPTIST APARTMENTS INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 450359794 | HEALTH CARE FACILITIES/SERVICES | ND | 501(C)(3) | PF | 0 | ELIM CARE INC | |
| ELIM SHORES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411625095 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| CORNERSTONE ASSISTED LIVING OF PLYMOUTH INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 412013927 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| HAVEN HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 416045816 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| ELIM SENIOR HOUSING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 810754064 | HEALTH CARE FACILITIES/SERVICES | FL | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| NEWTON VILLAGE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 200044030 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| ELIM HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411539761 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| REDEEMER RESIDENCE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410711597 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM HOMES INC | |
| PARK VIEW CARE CENTER | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410855707 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | ELIM HOMES INC | |
| THE PARK LANE APARTMENTS INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410972384 | LOW INCOME HOUSING | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| ELIM CHILDREN'S CENTER INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411974507 | CHILD DAYCARE | MN | 501(C)(3) | 10 | 0 | ELIM CARE INC | |
| ELIM CARE FOUNDATION | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694817 | CHARITABLE FOUNDATION | MN | 501(C)(3) | 12 | 0 | ELIM CARE INC | |
| COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 363546789 | CHARITABLE FOUNDATION | MN | 501(C)(3) | PF | 0 | ELIM CARE INC | |
| APPLE VALLEY VILLA APARTMENTS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608691 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA CARE FOUNDATION | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411360678 | CHARITABLE FOUNDATION | MN | 501(C)(3) | 12 | 0 | AUGUSTANA CARE | |
| AUGUSTANA COMMUNITY PARTNERS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411783680 | HOME HEALTH CARE SERVICES | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608696 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA HOME OF HASTINGS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311572624 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA APARTMENTS OF HASTINGS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608701 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
| BROOKSIDE SENIOR LIVING | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410871848 | HEALTH CARE FACILITIES/SERVICES | MN | 501(C)(3) | 10 | N/A | 0 | |
| OPEN CIRCLE ADULT DAY CENTER | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411424801 | ADULT DAYCARE | MN | 501(C)(3) | 10 | 0 | AUGUSTANA CARE | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELIM PREFERRED SERVICES INC | ||||||||||||
| 7171 Ohms Lane | Edina | MN | 55439 | 411681856 | MEDICAL SALES | MN | N/A | C | $0 | $0 | 0 | 0 |
| PREFERRED SENIOR SERVICES INC | ||||||||||||
| 7171 Ohms Lane | Edina | MN | 55439 | 411942480 | MANAGEMENT SERVICES | MN | N/A | C | $0 | $0 | 0 | 0 |
| AUGUSTANA SENIOR DEVELOPMENT | ||||||||||||
| 7171 Ohms Lane | Edina | MN | 55439 | 264136110 | CONSULTING | MN | N/A | C | $0 | $0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |