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AUGUSTANA CARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
AUGUSTANA CARE (EIN 41-1728753)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201912279349303021
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T15:44:30-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411728753EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTANA CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUGUBusinessNameControlTxt
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHY YOUNGQUISTPersonNm
Person TitleCFOPersonTitleTxt
Phone9528555000PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILY SCHEEVELPreparerPersonNm
PTINP01814921PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-15IPDt
IP Tm09:48:54IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFCD06153B7C3F4186BBEFC76B30654521E54D624AtSubmissionCreationDeviceId
At Submission Filing Device Id64D167D091931D8555FA058DC075EC7E31BCB1E3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerROBERT DAHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,656,011GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AUGUSTANACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE, HOUSING AND COMMMUNITY SERVICES FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1287TotalEmployeeCnt
Total Volunteers387TotalVolunteersCnt
Total Gross UBI$5,005,892TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$115,947NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,236,409PYContributionsGrantsAmt
CY Contributions Grants$5,981,364CYContributionsGrantsAmt
PY Program Service Revenue$40,446,524PYProgramServiceRevenueAmt
CY Program Service Revenue$47,771,784CYProgramServiceRevenueAmt
PY Investment Income$173,872PYInvestmentIncomeAmt
CY Investment Income$172,476CYInvestmentIncomeAmt
PY Other Revenue$347,821PYOtherRevenueAmt
CY Other Revenue$345,210CYOtherRevenueAmt
PY Total Revenue$43,204,626PYTotalRevenueAmt
CY Total Revenue$54,270,834CYTotalRevenueAmt
PY Grants And Similar Paid$1,282,862PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$721,630CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,113,724PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,236,154CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$337,992CYTotalFundraisingExpenseAmt
PY Other Expenses$17,713,330PYOtherExpensesAmt
CY Other Expenses$19,223,858CYOtherExpensesAmt
PY Total Expenses$46,109,916PYTotalExpensesAmt
CY Total Expenses$52,181,642CYTotalExpensesAmt
PY Revenues Less Expenses-$2,905,290PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,089,192CYRevenuesLessExpensesAmt
Total Assets BOY$93,193,431TotalAssetsBOYAmt
Total Assets EOY$98,499,391TotalAssetsEOYAmt
Total Liabilities BOY$80,790,400TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,877,316TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,403,031NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,622,075NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SERVE GOD BY FOSTERING FULLNESS OF LIFE FOR OLDER ADULTS AND OTHER PEOPLE IN NEED THROUGH THE PROVISION OF HEALTH CARE, HOUSING AND OTHER SERVICES IN A CHRISTIAN TRADITION.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,374,033ExpenseAmt
Grant$4,000GrantAmt
Revenue$31,274,826RevenueAmt
DescTHE 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 552 PEOPLE DURING THE PAST FISCAL YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,344,284ExpenseAmt
Grant$20,849GrantAmt
Revenue$11,404,674RevenueAmt
DescTHE 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 PAST FISCAL YEAR, THESE THREE RURAL SKILLED NURSING COMMUNITIES PROVIDED REHABILITATION, SKILLED NURSING AND MEMORY CARE TO 773 PEOPLE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,642,561ExpenseAmt
Grant$696,781GrantAmt
Revenue$5,092,284RevenueAmt
DescAS 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, 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 533 PEOPLE DURING THE PAST FISCAL YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$319,987ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescAUGUSTANA 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$319,987TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$43,680,865TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document240IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1287EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHY YOUNGQUIST - AE CARE SERVICEPersonNm
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
REV DR GARY WILKERSON
CHAIR1.008.00Yes (X)Yes (X)$0$0$0
MARSHALL MACKAY
VICE CHAIR1.008.00Yes (X)Yes (X)$0$0$0
CHARLES PARKS JR
SECRETARY1.008.00Yes (X)Yes (X)$0$0$0
ERIK RICK ELLINGSON
TREASURER1.009.00Yes (X)Yes (X)$0$0$0
BERNIE CABLE-PROKOP
DIRECTOR (THROUGH APRIL 2018)1.001.00Yes (X)$0$0$0
BRUCE CRAWFORD
DIRECTOR1.000.00Yes (X)$0$0$0
JIM EHLEN
DIRECTOR1.008.00Yes (X)$0$0$0
DUANE HETLAND
DIRECTOR1.000.00Yes (X)$0$0$0
TIMOTHY KUCK
DIRECTOR1.000.00Yes (X)$0$0$0
LARRY KULA
DIRECTOR1.000.00Yes (X)$0$0$0
JERRY NYE
DIRECTOR1.008.00Yes (X)$0$0$0
ALLEN OLSON
DIRECTOR (THROUGH APRIL 2018)1.000.00Yes (X)$0$0$0
NIC PUZAK
DIRECTOR (THROUGH APRIL 2018)1.000.00Yes (X)$0$0$0
SCOTT RAMSDALE
DIRECTOR1.008.00Yes (X)$0$0$0
PR DAN SIEDELMANN
DIRECTOR (THROUGH MAY 2018)1.000.00Yes (X)$0$0$0
TOM TURNER
DIRECTOR (THROUGH APRIL 2018)1.000.00Yes (X)$0$0$0
MICHELENE VERLAUTZ
DIRECTOR1.000.00Yes (X)$0$0$0
TIM TUCKER
PRESIDENT/CEO4.5040.50Yes (X)$0$534,949$345,355
CRAIG KITTELSON
VP - FINANCE/CFO4.5040.50Yes (X)$0$355,306$100,645
MATTHEW KERN
VP - OPERATIONS/COO4.5040.50Yes (X)$0$116,025$8,017
KATHERINE KOPP
VP - NEW BUSINESS DEVELOPMENT4.5040.50$0$293,436$58,361Yes (X)
TIM MIDDENDORF
FORMER VP - OPERATIONS/COO4.5040.50$0$234,157$57,998Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,533,873TotReportableCompRltdOrgAmt
Total Other Compensation$570,376TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NETWORK THERAPY SERVICES
8120 PENN AVE S STE 227BLOOMINGTONMN55431THERAPY SERVICES (PT, OT, ST)$10,579,280
A&E CARE SERVICES
7171 OHMS LANEEDINAMN55439MANAGEMENT SERVICES$2,144,082
MILLER ARCHITECTS AND BUILDERS
PO BOX 1228ST CLOUDMN56302CONSTRUCTION OF NEW BROOKSIDE BUILDING$1,067,377
GRAY PLANT MOOTY MOOTY & BENNETT PA
500 IDS CENTER 80 SOUTH 8TH STREETMINNEAPOLISMN55402LEGAL SERVICES$586,147
CLIFTONLARSONALLEN LLP
PO BOX 776376CHICAGOMN60677AUDIT/CONSULTING SERVICES$371,148
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Fundraising$86,311FundraisingAmt
Related Organizations$5,388,745RelatedOrganizationsAmt
Government Grants$285,578GovernmentGrantsAmt
All Other Contributions$220,730AllOtherContributionsAmt
Noncash Contributions$16,525NoncashContributionsAmt
Total Contributions$5,981,364TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ASSISTED LIVING623000$31,274,826$31,274,826
NURSING623000$11,404,674$11,404,674
PAYROLL541200$4,175,581$4,175,581
CONSULTING541610$916,703$916,703
FieldValueIRS element (for citing)
Total Program Service Revenue$47,771,784TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,476TotalRevenueColumnAmt
Exclusion$172,476ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$298,112RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$345,713RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$47,601RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47,601TotalRevenueColumnAmt
Unrelated Business Revenue-$86,392UnrelatedBusinessRevenueAmt
Exclusion$38,791ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,710FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$86,311ContriRptFundraisingEventAmt
Fundraising Direct Expenses$39,464FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,754TotalRevenueColumnAmt
Exclusion-$14,754ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,015GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,015TotalRevenueColumnAmt
Exclusion$3,015ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DIETARY INCOME722210$112,423$112,423
CABLE TV INCOME515100$65,188$65,188
MAINTENANCE INCOME811000$61,474$61,474

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,465TotalRevenueColumnAmt
Exclusion$165,465ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$404,550OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,270,834TotalRevenueColumnAmt
Related Or Exempt Func Income$42,679,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,005,892UnrelatedBusinessRevenueAmt
Exclusion$604,078ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$700,849TotalAmt
Program Services$700,849ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,781TotalAmt
Program Services$20,781ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,683,614TotalAmt
Program Services$24,328,008ProgramServicesAmt
Management And General$3,074,381ManagementAndGeneralAmt
Fundraising$281,225FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$157,511TotalAmt
Program Services$130,200ProgramServicesAmt
Management And General$27,311ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,757,237TotalAmt
Program Services$2,443,347ProgramServicesAmt
Management And General$313,890ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,637,792TotalAmt
Program Services$1,496,427ProgramServicesAmt
Management And General$141,365ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,339,051TotalAmt
Program Services$148,633ProgramServicesAmt
Management And General$2,190,418ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$147,599TotalAmt
Management And General$147,599ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,328TotalAmt
Management And General$104,328ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,576,389TotalAmt
Program Services$1,256,716ProgramServicesAmt
Management And General$310,237ManagementAndGeneralAmt
Fundraising$9,436FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$261,894TotalAmt
Management And General$261,609ManagementAndGeneralAmt
Fundraising$285FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$845,140TotalAmt
Program Services$464,436ProgramServicesAmt
Management And General$366,242ManagementAndGeneralAmt
Fundraising$14,462FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$55,056TotalAmt
Program Services$54,471ProgramServicesAmt
Management And General$585ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,867,904TotalAmt
Program Services$1,867,904ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$609,376TotalAmt
Program Services$492,736ProgramServicesAmt
Management And General$111,736ManagementAndGeneralAmt
Fundraising$4,904FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$156,256TotalAmt
Program Services$122,251ProgramServicesAmt
Management And General$28,782ManagementAndGeneralAmt
Fundraising$5,223FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,792,112TotalAmt
Program Services$2,715,873ProgramServicesAmt
Management And General$76,239ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,354,518TotalAmt
Program Services$3,354,518ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$406,932TotalAmt
Program Services$19,433ProgramServicesAmt
Management And General$387,499ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
NURSING SUPPLIES$2,116,718$2,116,718
DIETARY EXPENSES$1,372,178$1,372,178
LICENSES, PERMITS, FEES$466,767$375,314$89,627$1,826
BAD DEBT EXPENSE$288,275$288,587-$312

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$463,365TotalAmt
Program Services$200,072ProgramServicesAmt
Management And General$242,350ManagementAndGeneralAmt
Fundraising$20,943FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,181,642TotalAmt
Program Services$43,680,865ProgramServicesAmt
Management And General$8,162,785ManagementAndGeneralAmt
Fundraising$337,992FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,382,023BOYAmt
EOY$8,839,641EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$687,794BOYAmt
EOY$69,855EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,234,935BOYAmt
EOY$4,421,562EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$335,279BOYAmt
EOY$937,946EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$101,012,078LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,184,215LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$78,266,257BOYAmt
EOY$75,827,863EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,602,816BOYAmt
EOY$1,603,116EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$366,494BOYAmt
EOY$495,394EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,317,833BOYAmt
EOY$6,304,014EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$93,193,431BOYAmt
EOY$98,499,391EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,074,367BOYAmt
EOY$9,925,957EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,546,118BOYAmt
EOY$31,548,895EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$315,358BOYAmt
EOY$368,461EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$42,244,819BOYAmt
EOY$41,310,881EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,609,738BOYAmt
EOY$4,723,122EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,790,400BOYAmt
EOY$87,877,316EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,512,086BOYAmt
EOY$10,124,729EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$737,495BOYAmt
EOY$343,596EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$153,450BOYAmt
EOY$153,750EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,403,031BOYAmt
EOY$10,622,075EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,193,431BOYAmt
EOY$98,499,391EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,089,192ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$108,370NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,978,518OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,024,078CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,846,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,486,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,207,536CurrentTaxYearMinus1YearAmt
Current Tax Year$5,981,364CurrentTaxYearAmt
Total$23,545,896TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,024,078CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,846,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,486,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,207,536CurrentTaxYearMinus1YearAmt
Current Tax Year$5,981,364CurrentTaxYearAmt
Total$23,545,896TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$23,545,896PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$448,003CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$732,232CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$385,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$400,118CurrentTaxYearMinus1YearAmt
Current Tax Year$470,588CurrentTaxYearAmt
Total$2,435,974TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$8,593CurrentTaxYearMinus1YearAmt
Total$91,733TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$300,443CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$421,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$429,828CurrentTaxYearMinus1YearAmt
Current Tax Year$432,275CurrentTaxYearAmt
Total$2,046,290TotalAmt
FieldValueIRS element (for citing)
Total Support$28,119,893TotalSupportAmt
Gross Receipts Rltd Activities$179,230,857GrossReceiptsRltdActivitiesAmt
Public Support CY1700.83730PublicSupportCY170Pct
Public Support PY1700.81640PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2013 AMOUNT: $ 10,879. 2014 AMOUNT: $ 11,303. 2015 AMOUNT: $ 14,957. 2016 AMOUNT: $ 43,497. 2017 AMOUNT: $ 40,449. DIETARY INCOME - 2013 AMOUNT: $ 96,028. 2014 AMOUNT: $ 114,922. 2015 AMOUNT: $ 118,919. 2016 AMOUNT: $ 117,866. 2017 AMOUNT: $ 112,423. HOUSEKEEPING INCOME - 2013 AMOUNT: $ 75,037. 2014 AMOUNT: $ 69,604. 2015 AMOUNT: $ 67,209. 2016 AMOUNT: $ 44,817. 2017 AMOUNT: $ 55,152. VENDING INCOME - 2013 AMOUNT: $ 544. 2014 AMOUNT: $ 628. 2015 AMOUNT: $ 896. 2016 AMOUNT: $ 708. 2017 AMOUNT: $ 637. CABLE TV INCOME - 2013 AMOUNT: $ 37,534. 2014 AMOUNT: $ 50,047. 2015 AMOUNT: $ 48,559. 2016 AMOUNT: $ 55,919. 2017 AMOUNT: $ 65,188. EMERGENCY PULL CORD INCOME - 2013 AMOUNT: $ 39,369. 2014 AMOUNT: $ 39,612. 2015 AMOUNT: $ 39,612. 2016 AMOUNT: $ 39,612. 2017 AMOUNT: $ 39,612. MAINTENANCE INCOME - 2013 AMOUNT: $ 9,687. 2014 AMOUNT: $ 23,216. 2015 AMOUNT: $ 30,368. 2016 AMOUNT: $ 38,494. 2017 AMOUNT: $ 61,474. PENDANT ALARM INCOME - 2013 AMOUNT: $ 4,680. 2014 AMOUNT: $ 4,856. 2015 AMOUNT: $ 2,396. 2016 AMOUNT: $ 4,481. 2017 AMOUNT: $ 5,196. TELEPHONE INCOME - 2013 AMOUNT: $ 23,272. 2014 AMOUNT: $ 25,948. 2015 AMOUNT: $ 28,192. 2016 AMOUNT: $ 25,840. 2017 AMOUNT: $ 22,895. ANNUITY CONVERSION INCOME - 2014 AMOUNT: $ 1,606. 2015 AMOUNT: $ 1,575. 2016 AMOUNT: $ 1,548. 2017 AMOUNT: $ 1,524. FUNDRAISING EVENT INCOME - 2014 AMOUNT: $ 115,330. 2015 AMOUNT: $ 63,339. 2016 AMOUNT: $ 51,857. 2017 AMOUNT: $ 24,710. GIFT SHOP INCOME - 2013 AMOUNT: $ 3,413. 2014 AMOUNT: $ 5,621. 2015 AMOUNT: $ 5,029. 2016 AMOUNT: $ 5,189. 2017 AMOUNT: $ 3,015.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,450BeginningYearBalanceAmt
Contributions$300ContributionsAmt
End Year Balance$148,750EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,250BeginningYearBalanceAmt
Contributions$200ContributionsAmt
End Year Balance$148,450EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,150BeginningYearBalanceAmt
Contributions$100ContributionsAmt
End Year Balance$148,250EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$147,950BeginningYearBalanceAmt
Contributions$200ContributionsAmt
End Year Balance$148,150EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$147,850BeginningYearBalanceAmt
Contributions$100ContributionsAmt
End Year Balance$147,950EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,656,227OtherCostOrOtherBasisAmt
Book Value$12,656,227BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,655,880OtherCostOrOtherBasisAmt
Depreciation$19,273,090DepreciationAmt
Book Value$60,382,790BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,649,591OtherCostOrOtherBasisAmt
Depreciation$5,911,125DepreciationAmt
Book Value$2,738,466BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,380OtherCostOrOtherBasisAmt
Book Value$50,380BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$75,827,863TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$1,481,053
RESIDENT TRUST FUNDS$29,732
FUNDS HELD IN ESCROW$261,883
BOND FUNDS$4,230,299
TENANT SECURITY DEPOSITS$301,047
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,304,014TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$2,166,533
ASSET RETIREMENT OBLIGATION$53,219
NON-COMPETE AGREEMENT$250,002
NOTES PAYABLE TO AFFILIATES$2,253,368
FieldValueIRS element (for citing)
Total Liability$4,723,122TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: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. THE ORGANIZATION'S ENDOWMENT IS HELD AND ADMINISTERED BY AUGUSTANA CARE FOUNDATION. SEE SCHEDULE R FOR ADDITIONAL DETAILS.
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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$83,604GrossReceiptsEvent1Amt
Charitable Contri Event1$67,764CharitableContriEvent1Amt
Gross Revenue Event1$15,840GrossRevenueEvent1Amt
Non Cash Prizes Event1$500NonCashPrizesEvent1Amt
Rent Facility Costs Event1$8,025RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,138FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$14,720OtherDirectExpensesEvent1Amt
Event2HOLIDAY TREE FESTIVALEvent2Nm
Gross Receipts Event2$18,915GrossReceiptsEvent2Amt
Charitable Contri Event2$12,675CharitableContriEvent2Amt
Gross Revenue Event2$6,240GrossRevenueEvent2Amt
Food And Beverage Event2$3,717FoodAndBeverageEvent2Amt
Entertainment Event2$200EntertainmentEvent2Amt
Other Direct Expenses Event2$249OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$8,502GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$5,872CharitableContriOtherEventsAmt
Gross Revenue Other Events$2,630GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$50NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$2,875FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$990OthDirectExpnssOtherEventsAmt
Gross Receipts Total$111,021GrossReceiptsTotalAmt
Charitable Contributions Tot$86,311CharitableContributionsTotAmt
Gross Revenue Total Events$24,710GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$550NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,025RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,730FoodAndBeverageTotalEventsAmt
Entertainment Total Events$200EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$15,959OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,464DirectExpenseSummaryEventsAmt
Net Income Summary-$14,754NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AUGUSTANA COMMUNITY PARTNERS
7171 OHMS LANEEDINAMN55439411783680501(C)(3)$420,000GENERAL ASSISTANCE
AUGUSTANA HOME OF HASTINGS
7171 OHMS LANEEDINAMN55439311572624501(C)(3)$90,000GENERAL ASSISTANCE
AUGUSTANA CHAPEL VIEW HOMES
7171 OHMS LANEEDINAMN55439410693953501(C)(3)$150,000GENERAL ASSISTANCE
AUGUSTANA MOUNT OLIVET HOSPICE
1015 4TH AVENUE NORTHMINNEAPOLISMN55405464564958501(C)(3)$6,000GENERAL ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient26RecipientCnt
Cash Grant$20,781CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAUGUSTANA 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIM TUCKER
PRESIDENT/CEO$0$426,861$0$78,000$0$30,088$0$314,219$0$31,136$0$880,304$0$0
CRAIG KITTELSON
VP - FINANCE/CFO$0$266,405$0$55,000$0$33,901$0$69,714$0$30,931$0$455,951$0$0
KATHERINE KOPP
VP - NEW BUSINESS DEVELOPMENT$0$223,833$0$46,200$0$23,403$0$28,940$0$29,421$0$351,797$0$0
TIM MIDDENDORF
FORMER VP - OPERATIONS/COO$0$185,684$0$31,360$0$17,113$0$17,634$0$40,364$0$292,155$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3FOR THE PURPOSE OF DETERMINING COMPENSATION, AUGUSTANA CARE RELIED ON A RELATED ORGANIZATION, A&E CARE SERVICES (FORMERLY KNOWN AS AUGUSTANA CARE SERVICES), TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. A&E CARE SERVICES USED THE FOLLOWING PRACTICES TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY A&E CARE SERVICES (FORMERLY KNOWN AS AUGUSTANA CARE SERVICES), A RELATED ORGANIZATION: TIM TUCKER, PRESIDENT AND CEO - $287,793 CRAIG KITTELSON, VICE PRESIDENT OF FINANCE AND CFO - $43,287 KATHERINE KOPP, VICE PRESIDENT OF NEW BUSINESS DEVELOPMENT - $3,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
CITY OF DASSEL MN
A4108517012010-09-15$1,400,000FACILITY DEVELOPMENT000
DAKOTA COUNTY COMMUNITY DEVELOPMENT AGENCY
B4112533022015-03-25$5,060,000REFINANCE SERIES 2007 BOND00023409VDV9
CITY OF DASSEL MN
C4108517012007-08-21$1,500,000ACQUIRE FACILITY000
COLORADO HEALTH FACILITIES AUTHORITY
D8407329322011-03-31$875,000TO REFINANCE SERIES 2011 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtOther Spent ProceedsOtherSpentProceedsAmt
A$385,131$1,400,000$28,000$1,372,000201100Yes (1)Yes (1)
B$645,000$5,060,000$101,2002015Yes (1)0Yes (1)Yes (1)$325,000$4,958,800
C$770,978$1,500,000$30,000$1,470,000200700Yes (1)Yes (1)
D$875,000$875,000201100Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: CITY OF VICTORIA, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 08/20/2018ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF VICTORIA MN
A41099725792627TAT32014-07-31$22,110,000TO REFINANCE SERIES 2009 BONDS000
CARLTON COUNTY MN
B416005767142887BB32015-03-02$5,805,000FACILITY DEVELOPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$2,195,000$22,110,000$1,075,979$442,200$21,667,8002014Yes (1)0Yes (1)Yes (1)
B$530,000$5,805,000$191,680$116,100201700Yes (1)Yes (1)$5,497,263

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OVERALL MISSION FOR AUGUSTANA ENTITIESAUGUSTANA CARE AND ITS SUBSIDIARIES' MISSION IS TO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS AND OTHERS IN NEED THROUGH THE PROVISION OF HEALTHCARE, HOUSING AND OTHER SERVICES IN A CHRISTIAN TRADITION. OUR GOAL IS TO HELP RESIDENTS LIVE THE LIVES THAT MOST INSPIRE THEM. THE PRINCIPLES THAT GUIDE OUR WORK INCLUDE VALUING OLDER GENERATIONS' TALENTS AND EXPERIENCE; WORKING TO PROVIDE THE CARE RESIDENTS NEED, WHEN AND WHERE THEY NEED IT; WORKING TO CONNECT RESIDENTS TO THE PEOPLE AND THINGS THAT MEAN THE MOST TO THEM; AND SUPPORTING RESIDENTS AND FAMILIES WITH SPIRITUAL CARE THAT SPEAKS TO WHO THEY ARE. WE OFFER A BROAD RANGE OF SERVICES TO ANTICIPATE AND ADDRESS THE NEEDS OF OLDER ADULTS. IN OUR 2018 FISCAL YEAR, MORE THAN 16,500 PEOPLE WERE SERVED IN MINNESOTA AND COLORADO. OUR SEVEN HEALTH CARE CENTERS PROVIDED TRANSITIONAL CARE, LONG-TERM AND MEMORY CARE, AND REHABILITATION SERVICES TO MORE THAN 3,900 PEOPLE. AUGUSTANA CARE ALSO PROVIDES VARIOUS HOUSING COMMUNITIES TO SERVE OLDER ADULTS WITH COMFORTABLE LIVING AND CARE OPTIONS, INCLUDING INDEPENDENT LIVING, HOUSING WITH SERVICES, ASSISTED LIVING, AND MEMORY CARE. IN FISCAL YEAR 2018, A TOTAL OF 1,727 RESIDENTS BENEFITED FROM THESE SERVICES. WE ALSO OFFER A RANGE OF COMMUNITY-BASED SERVICES, SUCH AS ADULT DAY PROGRAMS, HOSPICE, AND THERAPY SERVICES, TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS WHO CONTINUE TO LIVE IN THEIR OWN HOMES. MORE THAN 11,213 INDIVIDUALS WERE SERVED THROUGH THESE PROGRAMS IN FISCAL YEAR 2018. FINALLY, MANAGEMENT CONSULTING SERVICES WERE PROVIDED TO NINE OTHER ORGANIZATIONS THAT SERVED 533 OLDER ADULTS IN FISCAL YEAR 2018.
FORM 990, PART III, LINE 2AUGUSTANA SENIOR DEVELOPMENT II, LLC BEGAN MANAGING RIVER BEND ASSISTED LIVING AT THE END OF 2017. RIVER BEND OFFERS ASSISTED LIVING AND MEMORY CARE UNITS IN ROCHESTER, MN. AUGUSTANA SENIOR DEVELOPMENT II, LLC ALSO BEGAN MANAGING SEVERAL NEW PROPERTIES THAT BEGAN CONSTRUCTION IN 2018. THESE INCLUDE PRAHA VILLAGE IN NEW PRAGUE, MN; STONEY POINT MEADOWS IN CEDAR RAPIDS, IA; PARKS' PLACE IN PLYMOUTH, MN; AND OKALEE IN MEDINA, MN. THESE PROPERTIES WILL PROVIDE A VARIETY OF CARE AND SERVICES FOR OLDER ADULTS, INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AND RESPITE CARE OPTIONS.
FORM 990, PART VI, SECTION A, LINE 3THE PURPOSE OF AUGUSTANA CARE SERVICES IS TO MANAGE AUGUSTANA CARE AND ITS RELATED ORGANIZATIONS. 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. EFFECTIVE JANUARY 1, 2018 THE NAME OF THE CORPORATION WAS CHANGED TO A&E CARE SERVICES AND THE ORGANIZATIONAL DOCUMENTS WERE AMENDED TO APPOINT AUGUSTANA CARE AND ELIM CARE, INC. AS THE TWO MEMBERS OF THE CORPORATION. THE PURPOSE OF A&E CARE SERVICES REMAINS THE SAME AS THAT OF AUGUSTANA CARE SERVICES.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S MEMBERSHIP CONSISTS OF LUTHERAN CONGREGATIONS OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA), AND OTHER CONGREGATIONS, AS ARE FROM TIME TO TIME ELECTED BY THE MEMBERS. AT ALL TIMES, A MAJORITY OF THE MEMBER CONGREGATIONS ARE LUTHERAN AND AT LEAST ONE MEMBER CONGREGATION MUST BE A PART OF THE ELCA AT ALL TIMES.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF AUGUSTANA CARE, THROUGH THEIR VOTING DELEGATES, ELECT THE ORGANIZATION'S DIRECTORS AFTER CONSIDERATION OF THE SLATE OF NOMINEES SUBMITTED BY THE NOMINATING AND BOARD DEVELOPMENT COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENTS 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 BY THE AFFIRMATIVE VOTE OF A MAJORITY OF VOTING DELEGATES OF THE MEMBER CONGREGATIONS PRESENT AND VOTING AT WHICH A QUORUM OF MEMBERS IS PRESENT AND VOTING. ANY AMENDMENT WHICH RELATES TO THE REQUIREMENTS FOR AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA) IS SUBMITTED TO THE ELCA PROGRAM UNIT FOR CHURCH IN SOCIETY FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO. THE FORM 990 WAS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS BY THE CFO PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFER FROM CONSOLIDATION -3,978,518.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REPLACEMENT RESERVES LLC
7171 OHMS LANEEDINAMN55439752990222HOME HEALTH SERVICESMN$0$0AUGUSTANA CARE
AUGUSTANA DASSEL LAKESIDE COMMUNITY HOME LLC
439 WILLIAM AVENUE EASTDASSELMN55325208916091NURSING/ASSISTED LIVING FACILITYMN$6,224,647$5,536,032AUGUSTANA CARE
AUGUSTANA SENIOR DEVELOPMENT II LLC
7171 OHMS LANEEDINAMN55439481293891CONSULTINGMN$5,092,284$182,569AUGUSTANA CARE
AUGUSTANA MERCY CARE CENTER LLC
710 S KENWOOD AVENUEMOOSE LAKEMN55767271466676NURSING/ASSISTED LIVING FACILITYMN$7,064,907$6,529,909AUGUSTANA CARE
AUGUSTANA LAND DEVELOPMENT LLC
14650 GARRENTT AVENUEAPPLE VALLEYMN55124271456660LAND DEVELOPMENTMN$0$2,218,284AUGUSTANA CARE
AUGUSTANA ELK RUN LLC
1425 10TH AVENUE SOUTHMINNEAPOLISMN55404273219747ASSISTED LIVINGMN$1,835,125$6,162,111AUGUSTANA CARE
AUGUSTANA EMERALD CARE LLC
451 EAST TRAVELERS TRAILBURNSVILLEMN55337271279704MEMORY CAREMN$11,213,373$21,371,332AUGUSTANA CARE
AUGUSTANA REGENT AT BURNSVILLE LLC
14500 REGENT LANEBURNSVILLEMN55306208915982HOUSING WITH SERVICESMN$7,419,641$18,394,169AUGUSTANA CARE
AUGUSTANA PROPERTIES LLC
1425 10TH AVENUE SOUTHMINNEAPOLISMN55404462166624RENTAL PROPERTIESMN$185,684$2,345,900AUGUSTANA CARE
CASTLE PEAK SENIOR CARE LLC
1425 10TH AVENUE SOUTHMINNEAPOLISMN55404460904337NURSING/ASSISTED LIVING FACILITYMN$5,192,696$22,144,376AUGUSTANA CARE
AUGUSTANA OAKVIEW CARE LLC
300 TALBOT DRIVEMOOSE LAKEMN55767472292912HOUSING WITH SERVICESMN$1,292,531$3,776,280AUGUSTANA CARE
AUGUSTANA CASH MANAGEMENT COMPANY LLC
7171 OHMS LANEEDINAMN55439823725231MANAGING CASH/ACCOUNTS PAYABLE FOR SUBSIDIARIES OF AUGUSTANA CAREMN$29,656$8,149,662AUGUSTANA CARE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
APPLE VALLEY VILLA APARTMENTS
7171 OHMS LANEEDINAMN55439311608691HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
AUGUSTANA APARTMENTS OF HASTINGS
7171 OHMS LANEEDINAMN55439311608701HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
AUGUSTANA CARE FOUNDATION
7171 OHMS LANEEDINAMN55439411360678CHARITABLE FOUNDATIONMN501(C)(3)LINE 12A, IAUGUSTANA CAREYes (1)
A&E CARE SERVICES
7171 OHMS LANEEDINAMN55439411806946MANAGEMENT SERVICESMN501(C)(3)LINE 12C, III-FIAUGUSTANA CARE AND ELIM CARE INC0
AUGUSTANA CHAPEL VIEW HOMES INC
7171 OHMS LANEEDINAMN55439410693953HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
AUGUSTANA COMMUNITY PARTNERS
7171 OHMS LANEEDINAMN55439411783680HOME HEALTH CARE SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
7171 OHMS LANEEDINAMN55439311608696HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
AUGUSTANA HOME OF HASTINGS
7171 OHMS LANEEDINAMN55439311572624HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
OPEN CIRCLE ADULT DAY CENTER
7171 OHMS LANEEDINAMN55439411424801HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10AUGUSTANA CAREYes (1)
BROOKSIDE SENIOR LIVING
804 BENSON ROADMONTEVIDEOMN56265410871848HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTANA SENIOR DEVELOPMENT INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
EIN264136110EIN
Primary ActivitiesCONSULTINGPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTANA CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$265,706ShareOfTotalIncomeAmt
Share Of EOY Assets$521,541ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
APPLE VALLEY VILLA APARTMENTS
C$3,878,745CASH
AUGUSTANA CHAPEL VIEW HOMES
C$680,000CASH
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
C$830,000CASH
AUGUSTANA COMMUNITY PARTNERS
B$420,000CASH
AUGUSTANA HOME OF HASTINGS
B$90,000CASH
AUGUSTANA CHAPEL VIEW HOMES
B$150,000CASH