AUGUSTANA CARE: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- AUGUSTANA CARE (EIN 41-1728753)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-08
- IRS object ID
- 202113129349301836
- Schema version
- 2020v4.1
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-08T10:31:59-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S 6TH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411728753 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTANA CARE | 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 | CFO | PersonTitleTxt |
| Phone | 9528555000 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KATHY | PersonFirstNm |
| Person Last | YOUNGQUIST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATT WOCKEN | PreparerPersonNm |
| PTIN | P01598291 | PTIN |
| Phone | 6123764500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $60,401,333 | 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 | 1991 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE, HOUSING AND COMMMUNITY SERVICES FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1856 | TotalEmployeeCnt |
| Total Volunteers | 357 | TotalVolunteersCnt |
| Total Gross UBI | $10,769,069 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $76,096 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,519,913 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,050,654 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,848,027 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,597,867 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53,123 | PYInvestmentIncomeAmt |
| CY Investment Income | $136,722 | CYInvestmentIncomeAmt |
| PY Other Revenue | $209,042 | PYOtherRevenueAmt |
| CY Other Revenue | $175,076 | CYOtherRevenueAmt |
| PY Total Revenue | $15,630,105 | PYTotalRevenueAmt |
| CY Total Revenue | $59,960,319 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $303,082 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $186,578 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,525,334 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,015,894 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $203,692 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,963,174 | PYOtherExpensesAmt |
| CY Other Expenses | $21,003,420 | CYOtherExpensesAmt |
| PY Total Expenses | $14,791,590 | PYTotalExpensesAmt |
| CY Total Expenses | $60,205,892 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $838,515 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$245,573 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $98,716,118 | TotalAssetsBOYAmt |
| Total Assets EOY | $109,644,831 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $85,295,866 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $97,290,559 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,420,252 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,354,272 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | $25,185,475 | ExpenseAmt |
| Grant | $16,219 | GrantAmt |
| Revenue | $28,215,821 | RevenueAmt |
| Desc | THE EXPENSES LISTED ABOVE ARE RELATED TO DIRECT COSTS ASSOCIATED WITH THE PROVISION OF ASSISTED LIVING SERVICES AT AUGUSTANA ELK RUN ASSISTED LIVING IN EVERGREEN, CO, AUGUSTANA REGENT IN BURNSVILLE, MN, AUGUSTANA OAKVIEW CARE IN MOOSE LAKE, MN, CASTLE PEAK SENIOR CARE IN EAGLE, CO, AND THROUGH AUGUSTANA RESIDENTIAL CARE. EXPENSES FOR EMERALD CREST ASSISTED LIVING AND MEMORY CARE, A SPECIALIZED PROGRAM FOR ADULTS WITH MEMORY LOSS AT FOUR SITES IN THE SUBURBAN MINNEAPOLIS AREA ARE ALSO INCLUDED. EMERALD CREST EMPLOYS A MODEL OF STRENGTH-BASED CARE FOR INDIVIDUALS WITH MEMORY LOSS IN SMALLER, HOME-LIKE RESIDENCES WHERE ONE'S DIGNITY, PRIVACY, SAFETY AND QUALITY OF LIFE ARE PRIORITIZED. IN TOTAL, THESE ASSISTED LIVING COMMUNITIES SERVED MORE THAN 521 PEOPLE DURING THE PERIOD ENDING DECEMBER 31, 2020. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,280,733 | ExpenseAmt |
| Grant | $9,200 | GrantAmt |
| Revenue | $16,574,997 | RevenueAmt |
| Desc | THE ABOVE TOTAL INCLUDES OPERATING EXPENSES FOR AUGUSTANA MERCY HEALTH CARE CENTER OF MOOSE LAKE, MN, AUGUSTANA LAKESIDE HEALTH CARE CENTER OF DASSEL, MN, AND CASTLE PEAK SENIOR LIVING OF EAGLE, CO. DURING THE PERIOD ENDING DECEMBER 31, 2020, THESE THREE RURAL SKILLED NURSING COMMUNITIES PROVIDED REHABILITATION, SKILLED NURSING AND MEMORY CARE TO 462 PEOPLE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,321,664 | ExpenseAmt |
| Grant | $161,159 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | AS A LONG-TIME PROVIDER OF HEALTH CARE, HOUSING, AND COMMUNITY-BASED SERVICES, AUGUSTANA CARE APPLIES ITS EXPERIENCE AND IN-DEPTH KNOWLEDGE OF THE HEALTH CARE FIELD TO PROVIDE MANAGEMENT SERVICES FOR OTHER ORGANIZATIONS. AUGUSTANA CASH MANAGEMENT COMPANY, LLC, MANAGES THE CASH INFLOWS AND OUTFLOWS FOR THE AUGUSTANA CARE SUBSIDIARIES. THE EXPENSES LISTED ABOVE ARE FOR AUGUSTANA SENIOR DEVELOPMENT II, LLC, A BUSINESS UNIT OF AUGUSTANA CARE THROUGH WHICH MANAGEMENT SERVICES ARE PROVIDED TO UNRELATED NOT-FOR-PROFIT AND FOR-PROFIT COMMUNITIES IN MINNESOTA. THE NOT-FOR-PROFIT COMMUNITIES INCLUDE AUGUSTANA APARTMENTS AND CARDINAL HOMES IN FERGUS FALLS, AND ST. PAUL'S HOME APARTMENTS, SIGNE BURCKHARDT MANOR, THOMAS FEENEY MANOR, AND HERITAGE PARK ALL LOCATED IN MINNEAPOLIS. THE FOR-PROFIT ASSISTED LIVING COMMUNITIES INCLUDE THE PINES IN RICHFIELD, THE ROSEMOUNT IN ROSEMOUNT, OKALEE IN MEDINA, PARKS PLACE IN PLYMOUTH, PRAHA VILLAGE IN NEW PRAGUE, AND RIVER BEND ASSISTED LIVING IN ROCHESTER. SERVICES INCLUDE CONSULTING, MARKETING, LEADERSHIP DEVELOPMENT, INFORMATION SYSTEMS SUPPORT, HOUSING DEVELOPMENT, AND EMPLOYEE RELATIONS. ALTOGETHER, THESE MANAGED FACILITIES SERVED 892 PEOPLE DURING THE PERIOD ENDING DECEMBER 31, 2020. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | AUGUSTANA CARE'S FORM 990 ALSO INCLUDES FINANCIAL INFORMATION ABOUT A WHOLLY-OWNED SUBSIDIARY OF AUGUSTANA CARE CALLED AUGUSTANA PROPERTIES, LLC. THIS ENTITY OVERSEES EVERYTHING RELATED TO A NUMBER OF RENTAL PROPERTIES THAT HOUSE EMPLOYEES AND MEMBERS OF THE COMMUNITY AT LARGE. | 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 | $50,787,872 | 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 | Yes (1) | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 208 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1856 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 YOUNGQUIST - CASSIA SERVICES | 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 (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT DAHL | ||||||||
| PRESIDENT/CEO | 6.54 | 33.46 | Yes (X) | $0 | $520,872 | $73,644 | ||
| KATHY KOPP | ||||||||
| CHIEF STRATEGY OFFICER | 6.54 | 33.46 | Yes (X) | $0 | $447,607 | $93,161 | ||
| KATHY YOUNGQUIST | ||||||||
| CFO | 6.54 | 33.46 | Yes (X) | $0 | $391,409 | $75,089 | ||
| MATTHEW KERN | ||||||||
| COO | 6.54 | 33.46 | Yes (X) | $0 | $322,194 | $60,097 | ||
| ANGELA BROWN | ||||||||
| CHRO | 6.54 | 33.46 | Yes (X) | $0 | $228,372 | $53,127 | ||
| SHARON WILSON | ||||||||
| CCCO | 6.54 | 33.46 | Yes (X) | $0 | $211,131 | $39,181 | ||
| SHELLY CORNISH | ||||||||
| ADMINISTRATOR | 41.54 | 0.00 | $200,252 | $0 | $25,269 | Yes (X) | ||
| BRIANNE WOLTERS | ||||||||
| ADMINISTRATOR | 40.00 | 0.00 | $120,583 | $0 | $20,085 | Yes (X) | ||
| SHAWNA SMITH | ||||||||
| ADMINISTRATOR | 40.00 | 0.00 | $120,623 | $0 | $2,195 | Yes (X) | ||
| VICKI TOBROXEN | ||||||||
| HOUSING DIRECTOR | 40.77 | 0.00 | $110,968 | $0 | $5,994 | Yes (X) | ||
| RENEE MICALETTI | ||||||||
| DIRECTOR OF NURSING | 41.54 | 0.00 | $105,822 | $0 | $2,114 | Yes (X) | ||
| REV DR GARY WILKERSON | ||||||||
| CHAIR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TIMOTHY KUCK | ||||||||
| VICE CHAIR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARSHALL MACKAY | ||||||||
| VICE CHAIR (THRU JUNE 2020) | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ERIK 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) | |
| BRUCE CRAWFORD | ||||||||
| DIRECTOR (THRU AUGUST 2020) | 0.25 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DUANE HETLAND | ||||||||
| DIRECTOR | 0.25 | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| LARRY KULA | ||||||||
| DIRECTOR | 0.25 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JERRY NYE | ||||||||
| DIRECTOR | 0.25 | 3.50 | $0 | $0 | $0 | Yes (X) | ||
| SCOTT RAMSDALE | ||||||||
| DIRECTOR | 0.25 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| MICHELENE VERLAUTZ | ||||||||
| DIRECTOR | 0.25 | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $658,248 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,121,585 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $449,956 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETWORK THERAPY SERVICES | |||||
| 8120 PENN AVE S SUITE 227 | BLOOMINGTON | MN | 55431 | THERAPY SERVICES (PT, OT, ST) | $3,862,738 |
| CASSIA SERVICES | |||||
| 7171 OHMS LANE | EDINA | MN | 55439 | MANAGEMENT SERVICES | $2,665,431 |
| ANNLEO INC | |||||
| 2501 BOJI BEND DR STE 200 | MILFORD | IA | 51351 | STAFFING SERVICES | $460,768 |
| CLIFTONLARSONALLEN | |||||
| 220 S 6TH ST STE 300 | MINNEAPOLIS | MN | 55402 | PROFESSIONAL SERVICES | $450,919 |
| INTERIM HEALTHCARE | |||||
| 2950 METRO DR STE 115 | BLOOMINGTON | MN | 55425 | STAFFING SERVICES | $424,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $460,000 | RelatedOrganizationsAmt |
| Government Grants | $3,169,198 | GovernmentGrantsAmt |
| All Other Contributions | $421,456 | AllOtherContributionsAmt |
| Total Contributions | $4,050,654 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| ASSISTED LIVING | 623000 | $28,215,821 | $28,215,821 | |
| NURSING | 623000 | $16,574,997 | $16,574,997 | |
| PAYROLL | 541200 | $8,611,905 | $8,611,905 | |
| CONSULTING | 541610 | $2,195,144 | $2,195,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,597,867 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $133,197 | TotalRevenueColumnAmt |
| Exclusion | $133,197 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $256,585 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $441,014 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$184,429 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$184,429 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$37,980 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$146,449 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,525 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,525 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,525 | TotalRevenueColumnAmt |
| Exclusion | $3,525 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $4,035 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,035 | TotalRevenueColumnAmt |
| Exclusion | $4,035 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GAIN ON INVESTMENT IN BUSINESS VE | 900003 | $689,537 | $689,537 |
| DIETARY INCOME | 722210 | $97,421 | $97,421 |
| CABLE TV INCOME | 515100 | $72,471 | $72,471 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$503,959 | TotalRevenueColumnAmt |
| Exclusion | -$503,959 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $355,470 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,960,319 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,790,818 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,769,069 | UnrelatedBusinessRevenueAmt |
| Exclusion | $349,778 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,000 | TotalAmt |
| Program Services | $160,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,578 | TotalAmt |
| Program Services | $26,578 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,951,296 | TotalAmt |
| Program Services | $30,530,531 | ProgramServicesAmt |
| Management And General | $3,259,668 | ManagementAndGeneralAmt |
| Fundraising | $161,097 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,558 | TotalAmt |
| Program Services | $205,867 | ProgramServicesAmt |
| Management And General | $18,691 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,941,619 | TotalAmt |
| Program Services | $2,375,683 | ProgramServicesAmt |
| Management And General | $565,936 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,898,421 | TotalAmt |
| Program Services | $1,737,694 | ProgramServicesAmt |
| Management And General | $160,727 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,887,745 | TotalAmt |
| Management And General | $2,887,745 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,253 | TotalAmt |
| Management And General | $21,253 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,934 | TotalAmt |
| Management And General | $119,934 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,571,217 | TotalAmt |
| Program Services | $2,050,423 | ProgramServicesAmt |
| Management And General | $514,086 | ManagementAndGeneralAmt |
| Fundraising | $6,708 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,940 | TotalAmt |
| Management And General | $202,103 | ManagementAndGeneralAmt |
| Fundraising | $2,837 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $991,616 | TotalAmt |
| Program Services | $614,905 | ProgramServicesAmt |
| Management And General | $369,272 | ManagementAndGeneralAmt |
| Fundraising | $7,439 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,923,842 | TotalAmt |
| Program Services | $1,911,617 | ProgramServicesAmt |
| Management And General | $12,225 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,201 | TotalAmt |
| Program Services | $623,914 | ProgramServicesAmt |
| Management And General | $36,385 | ManagementAndGeneralAmt |
| Fundraising | $1,902 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,747 | TotalAmt |
| Program Services | $97,734 | ProgramServicesAmt |
| Management And General | $10,698 | ManagementAndGeneralAmt |
| Fundraising | $315 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,523,516 | TotalAmt |
| Program Services | $2,520,986 | ProgramServicesAmt |
| Management And General | $2,530 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,584,302 | TotalAmt |
| Program Services | $3,584,302 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,684 | TotalAmt |
| Management And General | $511,684 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| NURSING SUPPLIES | $2,023,907 | $2,023,907 | ||
| DIETARY EXPENSES | $1,554,308 | $1,554,308 | ||
| LICENSES, PERMITS, FEES | $511,872 | $369,357 | $141,344 | $1,171 |
| MISCELLANEOUS | $309,754 | $271,700 | $38,054 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,582 | TotalAmt |
| Program Services | $128,366 | ProgramServicesAmt |
| Management And General | $341,993 | ManagementAndGeneralAmt |
| Fundraising | $22,223 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,205,892 | TotalAmt |
| Program Services | $50,787,872 | ProgramServicesAmt |
| Management And General | $9,214,328 | ManagementAndGeneralAmt |
| Fundraising | $203,692 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,381,170 | BOYAmt |
| EOY | $19,202,702 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,377,914 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,605 | BOYAmt |
| EOY | $307,115 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,977,495 | BOYAmt |
| EOY | $5,031,661 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $786,250 | BOYAmt |
| EOY | $736,250 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,786 | BOYAmt |
| EOY | $306,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $103,918,126 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,223,479 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,472,188 | BOYAmt |
| EOY | $70,694,647 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,403,266 | BOYAmt |
| EOY | $1,603,266 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $971,707 | BOYAmt |
| EOY | $1,426,152 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,145,651 | BOYAmt |
| EOY | $7,958,350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,716,118 | BOYAmt |
| EOY | $109,644,831 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,943,618 | BOYAmt |
| EOY | $5,440,856 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,250,078 | BOYAmt |
| EOY | $25,251,388 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,399 | BOYAmt |
| EOY | $367,290 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,150,669 | BOYAmt |
| EOY | $42,946,097 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,573,102 | BOYAmt |
| EOY | $23,284,928 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,295,866 | BOYAmt |
| EOY | $97,290,559 | 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 | $13,210,830 | BOYAmt |
| EOY | $12,028,017 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,422 | BOYAmt |
| EOY | $326,255 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,420,252 | BOYAmt |
| EOY | $12,354,272 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,716,118 | BOYAmt |
| EOY | $109,644,831 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$245,573 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$20,407 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$800,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,207,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,981,364 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,071,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,519,913 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,050,654 | CurrentTaxYearAmt |
| Total | $15,830,605 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,207,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,981,364 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,071,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,519,913 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,050,654 | CurrentTaxYearAmt |
| Total | $15,830,605 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $15,830,605 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $400,118 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $470,588 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $301,507 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,313 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $346,166 | CurrentTaxYearAmt |
| Total | $1,632,692 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,593 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $147,050 | CurrentTaxYearAmt |
| Total | $155,643 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $429,828 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $432,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $962,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $239,045 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $359,505 | CurrentTaxYearAmt |
| Total | $2,423,519 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $20,042,459 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $181,187,172 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.78990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80570 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2016 AMOUNT: $ 43,497. 2017 AMOUNT: $ 40,449. 2018 AMOUNT: $ 11,384. 2019 AMOUNT: $ 4,033. 2020 AMOUNT: $ 19,534. DIETARY INCOME - 2016 AMOUNT: $ 117,866. 2017 AMOUNT: $ 112,423. 2018 AMOUNT: $ 112,323. 2019 AMOUNT: $ 25,727. 2020 AMOUNT: $ 97,421. HOUSEKEEPING INCOME - 2016 AMOUNT: $ 44,817. 2017 AMOUNT: $ 55,152. 2018 AMOUNT: $ 58,663. 2019 AMOUNT: $ 12,152. 2020 AMOUNT: $ 52,740. VENDING INCOME - 2016 AMOUNT: $ 708. 2017 AMOUNT: $ 637. 2018 AMOUNT: $ 489. 2019 AMOUNT: $ 106. 2020 AMOUNT: $ 964. CABLE TV INCOME - 2016 AMOUNT: $ 55,919. 2017 AMOUNT: $ 65,188. 2018 AMOUNT: $ 76,195. 2019 AMOUNT: $ 19,504. 2020 AMOUNT: $ 72,471. EMERGENCY PULL CORD INCOME - 2016 AMOUNT: $ 39,612. 2017 AMOUNT: $ 39,612. 2018 AMOUNT: $ 40,503. 2019 AMOUNT: $ 10,200. 2020 AMOUNT: $ 40,404. MAINTENANCE INCOME - 2016 AMOUNT: $ 38,494. 2017 AMOUNT: $ 61,474. 2018 AMOUNT: $ 58,876. 2019 AMOUNT: $ 13,865. 2020 AMOUNT: $ 44,799. PENDANT ALARM INCOME - 2016 AMOUNT: $ 4,481. 2017 AMOUNT: $ 5,196. 2018 AMOUNT: $ 7,018. 2019 AMOUNT: $ 1,881. 2020 AMOUNT: $ 5,693. TELEPHONE INCOME - 2016 AMOUNT: $ 25,840. 2017 AMOUNT: $ 22,895. 2018 AMOUNT: $ 22,817. 2019 AMOUNT: $ 11,104. 2020 AMOUNT: $ 46,748. ANNUITY CONVERSION INCOME - 2016 AMOUNT: $ 1,548. 2017 AMOUNT: $ 1,524. 2019 AMOUNT: $ 1,497. 2020 AMOUNT: $ 29,842. FUNDRAISING EVENT INCOME - 2016 AMOUNT: $ 51,857. 2017 AMOUNT: $ 24,710. 2018 AMOUNT: $ 25,873. 2019 AMOUNT: $ 9,375. 2020 AMOUNT: $ 0. GIFT SHOP INCOME - 2016 AMOUNT: $ 5,189. 2017 AMOUNT: $ 3,015. 2018 AMOUNT: $ 1,796. 2019 AMOUNT: $ 217. 2020 AMOUNT: $ 4,035. GAIN ON INVESTMENT IN BUSINESS VENTURES - 2018 AMOUNT: $ 546,929. 2019 AMOUNT: $ 129,384. 2020 AMOUNT: $ 689,537. LOSS ON EXTINGUISHMENT OF DEBT - 2020 AMOUNT: $ -744,683. |
| FORM 990, SCHEDULE A, COLUMN D: | COLUMN D, 2019, IS FOR A SHORT PERIOD THAT BEGAN ON OCTOBER 1, 2019 AND ENDED ON DECEMBER 31, 2019. |
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 | $148,900 | BeginningYearBalanceAmt |
| End Year Balance | $148,900 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $148,750 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $150 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $148,900 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $148,750 | BeginningYearBalanceAmt |
| End Year Balance | $148,750 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $148,450 | BeginningYearBalanceAmt |
| Contributions | $300 | ContributionsAmt |
| End Year Balance | $148,750 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $148,250 | BeginningYearBalanceAmt |
| Contributions | $200 | ContributionsAmt |
| End Year Balance | $148,450 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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) |
|---|---|---|
| Other Cost Or Other Basis | $12,834,725 | OtherCostOrOtherBasisAmt |
| Book Value | $12,834,725 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,142,913 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,983,615 | DepreciationAmt |
| Book Value | $55,159,298 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,671,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,239,864 | DepreciationAmt |
| Book Value | $2,431,408 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $269,216 | OtherCostOrOtherBasisAmt |
| Book Value | $269,216 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $70,694,647 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $4,885,472 |
| RESIDENT TRUST FUNDS | $102,090 |
| FUNDS HELD IN ESCROW | $276,076 |
| BOND FUNDS | $2,537,058 |
| TENANT SECURITY DEPOSITS | $157,654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,958,350 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $18,580,538 |
| ASSET RETIREMENT OBLIGATION | $58,674 |
| NOTES PAYABLE TO AFFILIATES | $2,702,069 |
| DEFERRED COMPENSATION LIABILITY | $797,674 |
| MEDICARE ADVANCE PAYMENT LIABILITY | $1,145,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,284,928 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART V, LINE 4: | WITH THE EXCEPTION OF ITS WHOLLY OWNED, FOR-PROFIT SUBSIDIARY, AUGUSTANA SENIOR DEVELOPMENT, THE CORPORATION AND ITS AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) AND APPLICABLE STATE CODES. THE CORPORATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CORPORATION 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. |
| 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 EVALUATING 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 |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| AUGUSTANA CHAPEL VIEW HOMES | |||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410693953 | 501(C)(3) | $60,000 | N/A | N/A | GENERAL ASSISTANCE |
| AUGUSTANA HOME OF HASTINGS | |||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311572624 | 501(C)(3) | $100,000 | N/A | N/A | GENERAL ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 10 | RecipientCnt |
| Cash Grant | $25,419 | CashGrantAmt |
| 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 | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AUGUSTANA CARE MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. AUGUSTANA CARE AND THE RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITOR THE USE OF THE FUNDS. RECIPIENTS OF SCHOLARSHIPS FROM THE ORGANIZATION AGREE TO THE FOLLOWING TERMS UPON ACCEPTANCE: (1) THE ORGANIZATION WILL DETERMINE THE AMOUNT OF THE SCHOLARSHIP; (2) TUITION AND ASSOCIATED COSTS WILL BE PAID UP TO A STATED AMOUNT UPON PRESENTATION BY THE RECIPIENT OF A BILLING STATEMENT AND A DETAILED VERIFICATION OF THE COST OF BOOKS; (3) THE RECIPIENT WILL COMPLETE THE TRAINING FOR WHICH A SCHOLARSHIP PAYMENT WAS GRANTED WITH PROOF OF A FINAL GRADE OF C OR BETTER, OR RECIPIENT WILL REIMBURSE THE ORGANIZATION FOR THE COST OF THE COURSE; (4) THE RECIPIENT WILL CONTINUE EMPLOYMENT WITH THE ORGANIZATION WHILE COMPLETING COURSEWORK, WITH BOTH PARTIES MAKING EVERY EFFORT TO ACCOMODATE ANY NECESSARY CHANGES IN WORK HOURS; AND (5) UPON COMPLETION TRAINING FOR WHICH SCHOLARSHIP WAS GRANTED, THE RECIPIENT WILL WORK FOR THE ORGANIZATION AT LEAST TWO YEARS AND A MINIMUM OF 2,000 HOURS OR WILL REIMBURSE THE ORGANIZATION A PRORATED AMOUNT OF EACH SCHOLARSHIP PAYMENT RECEIVED DURING THE PREVIOUS ONE YEAR PERIOD, WHICH WILL BE DEDUCTED FOR THEIR LAST PAYCHECK. | 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 | $452,956 | $0 | $47,554 | $0 | $20,362 | $0 | $57,237 | $0 | $16,407 | $0 | $594,516 | $0 | $147,021 |
| KATHY KOPP | ||||||||||||||
| CHIEF STRATEGY OFFICER | $0 | $243,050 | $0 | $16,581 | $0 | $187,976 | $0 | $58,917 | $0 | $34,244 | $0 | $540,768 | $0 | $182,581 |
| KATHY YOUNGQUIST | ||||||||||||||
| CFO | $0 | $311,454 | $0 | $50,389 | $0 | $29,566 | $0 | $51,642 | $0 | $23,447 | $0 | $466,498 | $0 | $21,108 |
| MATTHEW KERN | ||||||||||||||
| COO | $0 | $295,044 | $0 | $19,208 | $0 | $7,942 | $0 | $37,484 | $0 | $22,613 | $0 | $382,291 | $0 | $0 |
| ANGELA BROWN | ||||||||||||||
| CHRO | $0 | $189,303 | $0 | $28,674 | $0 | $10,395 | $0 | $32,464 | $0 | $20,663 | $0 | $281,499 | $0 | $12,788 |
| SHARON WILSON | ||||||||||||||
| CCCO | $0 | $187,957 | $0 | $12,683 | $0 | $10,491 | $0 | $27,521 | $0 | $11,660 | $0 | $250,312 | $0 | $0 |
| SHELLY CORNISH | ||||||||||||||
| ADMINISTRATOR | $168,847 | $0 | $12,080 | $0 | $19,325 | $0 | $2,364 | $0 | $22,905 | $0 | $225,521 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | AUGUSTANA CARE PROVIDES VEHICLE BENEFITS FOR SOME OF ITS OFFICERS AND KEY EMPLOYEES. THE EMPLOYEE IS RESPONSIBLE FOR KEEPING TRACK OF THE BUSINESS VERSUS PERSONAL USE OF THE VEHICLE. THE PERSONAL USAGE OF THE VEHICLES IS TREATED AS A TAXABLE BENEFIT PAID OUT BY CASSIA AND ITS AFFILIATES. |
| 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. |
| PART I, LINE 4B | 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 |
| 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. |
| PART II | ALL OFFICERS' COMPENSATION WAS PAID BY CASSIA SERVICES, THE MANAGEMENT SERVICES COMPANY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| CITY OF DASSEL MN | ||||||||
| A | 410851701 | 2010-09-15 | $1,400,000 | FACILITY DEVELOPMENT | 0 | 0 | 0 | |
| CITY OF DASSEL MN | ||||||||
| B | 410851701 | 2007-08-21 | $1,500,000 | ACQUIRE FACILITY | 0 | 0 | 0 | |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| C | 840732932 | 2011-03-31 | $875,000 | TO REFINANCE SERIES 2011 BONDS | 0 | 0 | 0 | |
| CITY OF VICTORIA MN | ||||||||
| D | 410997257 | 2014-07-31 | $22,110,000 | TO REFINANCE SERIES 2009 BONDS | 0 | 0 | 0 | 92627TAT3 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $536,630 | $1,400,000 | $28,000 | $1,372,000 | 2011 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $1,185,589 | $1,500,000 | $30,000 | $1,470,000 | 2007 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $875,000 | $875,000 | 2011 | 0 | 0 | Yes (1) | Yes (1) | ||||
| D | $3,385,000 | $22,110,000 | $442,200 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,075,979 | $21,667,800 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CITY OF VICTORIA, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 08/20/2018 ISSUER NAME: CARLTON COUNTY, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 03/17/2020 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CARLTON COUNTY MN | ||||||||
| A | 416005767 | 142887BB3 | 2015-03-02 | $5,805,000 | FACILITY DEVELOPMENT | 0 | 0 | 0 |
| CITY OF MILACA MN | ||||||||
| B | 416005370 | 2020-10-01 | $912,000 | TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS | 0 | 0 | Yes (1) | |
| CITY OF LANDFALL VILLAGE MN | ||||||||
| C | 411592821 | 2020-10-01 | $10,000,000 | TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS | 0 | 0 | Yes (1) | |
| CITY OF HAMPTON MN | ||||||||
| D | 411232259 | 2020-10-01 | $10,000,000 | TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS | 0 | 0 | Yes (1) | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $860,000 | $5,805,000 | $191,680 | $116,100 | $5,497,263 | 2017 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $2,672 | $912,000 | $12,689 | $6,113 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $893,198 | |
| C | $29,302 | $10,000,000 | $139,136 | $64,372 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $9,796,492 | |
| D | $29,302 | $10,000,000 | $139,136 | $64,372 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $9,796,492 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 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 4 | THE ARTICLES AND BYLAWS OF AUGUSTANA CARE WERE AMENDED DURING THE YEAR TO CHANGE THE SOLE MEMBER OF THE ORGANIZATION FROM LUTHERAN CONGREGATIONS OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA) TO CASSIA, A MINNESOTA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF 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 AUGUSTANA CARE BOARD OF DIRECTORS FROM THE SLATE OF NOMINEES SUBMITTED BY THE NOMINATING AND BOARD DEVELOPMENT COMMITTEE. AT LEAST A MAJORITY OF THE DIRECTORS SHALL BE MEMBERS OF LUTHERAN CONGREGATIONS, WITH PREFERENCE TO ELCA CONGREGATIONS. |
| FORM 990, PART VI, SECTION A, LINE 7B | AMENDMENTS TO THE ORGANIZATION'S GOVERNING DOCUMENTS MUST BE APPROVED BY AN AFFIRMATIVE VOTE OF A MAJORITY OF THE TOTAL NUMBER OF DIRECTORS HOLDING OFFICE AND FOR CERTAIN ISSUES BY THE AFFIRMATIVE VOTE OF A MAJORITY OF VOTING DELEGATES OF CASSIA, THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM 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 APPROPRIATE 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 ANY MATTERS RELATING TO THE CONFLICT. ALL PROCEEDINGS RELATING TO ACTUAL OR POTENTIAL CONFLICTS ARE NOTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS ROUTINELY RETAINS THE SERVICES OF A COMPENSATION CONSULTANT TO REVIEW THE CURRENT WAGE AND BENEFIT LEVELS OF SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE USES THIS INFORMATION TO MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS. |
| 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: | EQUITY ADJUSTMENT FOR INVESTMENT WRITE-OFF -800,000. |
| FORM 990, PART XII, LINE 2C | OVERSIGHT OF THE AUDIT PROCESS CHANGED IN THE CURRENT YEAR AND IS NOW HANDLED BY THE FINANCE COMMITTEE FOR CASSIA AND ITS AFFILIATES. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| REPLACEMENT RESERVES LLC | |||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 752990222 | HOME HEALTH SERVICES | MN | $0 | $0 | AUGUSTANA CARE |
| AUGUSTANA DASSEL LAKESIDE COMMUNITY HOME LLC | |||||||||
| 439 WILLIAM AVENUE EAST | DASSEL | MN | 55325 | 208916091 | NURSING/ASSISTED LIVING FACILITY | MN | $6,646,287 | AUGUSTANA CARE | |
| AUGUSTANA SENIOR DEVELOPMENT II LLC | |||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 481293891 | CONSULTING | MN | $10,807,049 | $223,098 | AUGUSTANA CARE |
| AUGUSTANA MERCY CARE CENTER LLC | |||||||||
| 710 S KENWOOD AVENUE | MOOSE LAKE | MN | 55767 | 271466676 | NURSING/ASSISTED LIVING FACILITY | MN | $7,795,022 | $6,495,704 | AUGUSTANA CARE |
| AUGUSTANA LAND DEVELOPMENT LLC | |||||||||
| 14650 GARRETT AVENUE | APPLE VALLEY | MN | 55124 | 271456660 | LAND DEVELOPMENT | MN | $0 | $2,219,221 | AUGUSTANA CARE |
| AUGUSTANA ELK RUN LLC | |||||||||
| 31383 FROST WAY | EVERGREEN | CO | 80439 | 273219747 | ASSISTED LIVING | MN | $2,735,736 | $6,166,701 | AUGUSTANA CARE |
| AUGUSTANA EMERALD CARE LLC | |||||||||
| 451 EAST TRAVELERS TRAIL | BURNSVILLE | MN | 55337 | 271279704 | MEMORY CARE | MN | $11,634,622 | $22,573,644 | AUGUSTANA CARE |
| AUGUSTANA REGENT AT BURNSVILLE LLC | |||||||||
| 14500 REGENT LANE | BURNSVILLE | MN | 55306 | 208915982 | HOUSING WITH SERVICES | MN | $7,123,063 | $18,326,655 | AUGUSTANA CARE |
| AUGUSTANA PROPERTIES LLC | |||||||||
| 1425 10TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 462166624 | RENTAL PROPERTIES | MN | $193,950 | $2,569,923 | AUGUSTANA CARE |
| CASTLE PEAK SENIOR CARE LLC | |||||||||
| 1425 10TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 460904337 | NURSING/ASSISTED LIVING FACILITY | MN | $6,705,391 | $20,782,170 | AUGUSTANA CARE |
| AUGUSTANA OAKVIEW CARE LLC | |||||||||
| 300 TALBOT DRIVE | MOOSE LAKE | MN | 55767 | 472292912 | HOUSING WITH SERVICES | MN | $1,136,999 | $3,661,389 | AUGUSTANA CARE |
| AUGUSTANA CASH MANAGEMENT COMPANY LLC | |||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 823725231 | MANAGING CASH/ACCOUNTS PAYABLE FOR SUBSIDIARIES OF AUGUSTANA CARE | MN | $9,388 | $15,868,764 | AUGUSTANA CARE |
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(3) | LINE 7 | N/A | 0 | |
| CASSIA SERVICES | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411806946 | MANAGEMENT SERVICES | MN | 501(3) | LINE 12A, I | 0 | CASSIA | |
| ELIM CARE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694818 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 7 | 0 | CASSIA | |
| PIONEER HOUSE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411927112 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| NEW HARMONY CARE CENTER INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411821882 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| COUNTRY MEADOWS OF MILACA INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 201723948 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 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(3) | LINE 10 | 0 | ELIM CARE INC | |
| PARK TERRACE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 204063752 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| EVANGELICAL RETIREMENT HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 420868449 | HEALTH CARE FACILITIES/SERVICES | IA | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| VILLAGE ASSISTED LIVING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 262086933 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| BAPTIST HOME INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 450232943 | HEALTH CARE FACILITIES/SERVICES | ND | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| THE BAPTIST APARTMENTS INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 450359794 | HEALTH CARE FACILITIES/SERVICES | ND | 501(3) | PF | 0 | ELIM CARE INC | |
| ELIM SHORES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411625095 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| CORNERSTONE ASSISTED LIVING OF PLYMOUTH INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 412013927 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| HAVEN HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 416045816 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| ELIM SENIOR HOUSING INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 810754064 | HEALTH CARE FACILITIES/SERVICES | FL | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| NEWTON VILLAGE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 200044030 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| ELIM HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411539761 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| REDEEMER RESIDENCE INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410711597 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM HOMES INC | |
| PARK VIEW CARE CENTER | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410855707 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | ELIM HOMES INC | |
| THE PARK LANE APARTMENTS INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410972384 | LOW INCOME HOUSING | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| ELIM CHILDREN'S CENTER INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411974507 | CHILD DAYCARE | MN | 501(3) | LINE 10 | 0 | ELIM CARE INC | |
| ELIM CARE FOUNDATION | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411694817 | CHARITABLE FOUNDATION | MN | 501(3) | LINE 12A, I | 0 | ELIM CARE INC | |
| COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 363546789 | CHARITABLE FOUNDATION | MN | 501(3) | PF | 0 | ELIM CARE INC | |
| APPLE VALLEY VILLA APARTMENTS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608691 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA CARE FOUNDATION | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411360678 | CHARITABLE FOUNDATION | MN | 501(3) | LINE 12A, I | 0 | AUGUSTANA CARE | |
| AUGUSTANA CHAPEL VIEW HOMES INC | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410693953 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA COMMUNITY PARTNERS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411783680 | HOME HEALTH CARE SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608696 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA HOME OF HASTINGS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311572624 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| AUGUSTANA APARTMENTS OF HASTINGS | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 311608701 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
| BROOKSIDE SENIOR LIVING | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 410871848 | HEALTH CARE FACILITIES/SERVICES | MN | 501(3) | LINE 10 | N/A | 0 | |
| OPEN CIRCLE ADULT DAY CENTER | |||||||||||
| 7171 OHMS LANE | EDINA | MN | 55439 | 411424801 | ADULT DAYCARE | MN | 501(3) | LINE 10 | 0 | AUGUSTANA CARE | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTANA SENIOR DEVELOPMENT INC | BusinessNameLine1Txt |
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) |
|---|---|---|
| EIN | 264136110 | EIN |
| Primary Activities | CONSULTING | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTANA CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $10 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $406,872 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AUGUSTANA HOME OF HASTINGS | ||
| B | $100,000 | CASH |
| AUGUSTANA CHAPEL VIEW HOMES | ||
| C | $460,000 | CASH |
| AUGUSTANA CHAPEL VIEW HOMES | ||
| B | $60,000 | CASH |