2025-11-13T16:02:18-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2024-01-01 410726174 AUBURN MANOR AUBU 9524489303 501 NORTH OAK STREET CHASKA MN 55318 JULIE MARKS CFO 9202610400 2025-11-13 1 1 KRISTEN DONLEVY P01670215 4144761880 2025-11-13 2024 2025-03-06 01:10:19Z JULIE MARKS 1045 HILL STREET WATERTOWN WI 53098 10415596 0 X WWW.AUBURNHOMES.ORG X 1926 MN OPERATION OF A 61-BED NURSING CARE FACILITY & 55-UNIT ASSISTED LIVING FACILITY FOR THE AGED. 8 8 470 8 0 0 485008 110891 10015340 10080611 0 433 296401 223661 10796749 10415596 1434 0 0 0 7463756 5762149 0 0 0 3433396 5107593 10898586 10869742 -101837 -454146 10940762 7674505 6009733 3197622 4931029 4476883 IN THE SPIRIT OF CHRIST'S LOVE, AUBURN HOMES AND SERVICES ENRICHES THE LIVES OF THOSE WE SERVE THROUGH (W)HOLISTIC CARE AND MINISTRY STRENGTHENED BY COMMUNITY RELATIONSHIPS. 0 0 9382403 0 10080611 AUBURN MANOR, A MINNESOTA 501(C)(3) NONPROFIT CORPORATION, OWNS AND OPERATES A 61-BED LICENSED NURSING FACILITY (AUBURN MANOR), AN ATTACHED 40-UNIT ASSISTED LIVING FACILITY (AUBURN COURTS) AND A 15-UNIT MEMORY CARE FACILITY (AUBURN HOME CARE) LOCATED IN CHASKA,MINNESOTA. AUBURN MANOR ALSO OPERATES A RELATED SENIOR COMMONS BUILDING WHICH INCLUDES ADMINISTRATIVE OFFICES, A CHAPEL, ADDITIONAL THERAPY SPACE, A DINING ROOM, AND A LINK THAT CONNECTS THE NURSING FACILITY TO THE ADJACENT ASSISTED LIVING FACILITY. 9382403 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 470 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 0 0 0 MN X JULIE MARKS 9202610400 1045 HILL STREET WATERTOWN WI 53098 X BRUCE SHOGER CHAIR 1.00 3.00 X X 0 0 0 DANIEL HOKENESS VICE CHAIR 1.00 3.00 X X 0 0 0 STEVE BATTIS SECRETARY 1.00 3.00 X X 0 0 0 ARVIN ZWART TREASURER 1.00 3.00 X X 0 0 0 DALE BEUMER DIRECTOR 1.00 3.00 X 0 0 0 RICHARD NEWSWANGER DIRECTOR 1.00 3.00 X 0 0 0 BRUCE NELSON DIRECTOR 1.00 3.00 X 0 0 0 JILL SANDAU DIRECTOR 1.00 3.00 X 0 0 0 JENNIFER HALL NURSING HOME ADMINISTRATOR 45.00 0.00 X 180216 0 18743 LISA LIEBHARD-SCHNEEKLOTH REGISTERED NURSE 46.00 0.00 X 109862 0 14799 EVITA MELLUMA CLINICAL COORDINATOR 45.00 0.00 X 106780 0 10792 CAROLINE MWARENGE REGISTERED NURSING ASSISTA 80.00 0.00 X 133708 0 15468 BROGAN MARTIN DIRECTOR OF NURSING 41.00 0.00 X 108084 0 13303 638650 0 73105 0 0 0 0 NEW HORIZON FOODS 2894 106TH STREET URBANDALE IA 50322 CONTRACTED DINING PROVIDERS 781861 ILLUMINUS 1045 HILL ST WATERTOWN WI 53098 OPERATIONS/FINANCIAL CONSULTING AND MANA 698070 GRAPETREE 2501 BOJI BEND DR SOUIX FALLS SD 57117 CONTRACTED NURSING 343206 PROGRESSIVE REHAB 200 PARK LN BUFFALO MN 55313 THERAPY 270066 MCKESSON MEDICAL SURGICAL PO BOX 630693 CICINNATTI OH 45263 HEALTHCARE SUPPLIES 172582 8 300 110591 110891 RESIDENT SERVICES 623311 10080611 10080611 10080611 433 433 MEAL INCOME 623311 165441 165441 PHONE REVENUE 900099 19687 19687 MANAGEMENT FEES 623311 19470 19470 19063 19063 223661 10415596 10080611 0 224094 X 4693727 4676830 16897 84921 84615 306 603038 600867 2171 380463 379093 1370 795835 795835 6223 6223 64061 64061 1758505 1757735 770 18852 18852 116911 110072 6839 198181 198181 269041 253302 15739 1246 1246 46935 44189 2746 444823 418801 26022 75947 71504 4443 DIETARY 435383 435383 MEDICAL SUPPLIES 288885 288885 MEDICAID BED ASSESSMENT 168900 168900 BAD DEBT EXPENSE 147997 147997 269868 113130 156738 10869742 9382403 1487339 0 106028 377672 812265 892536 33867 16036395 11853692 4456623 4182703 5531979 2221594 10940762 7674505 1540950 2439525 277857 732642 418178 13558 66296 62062 3656287 0 6009733 3197622 X 4936738 4482592 -5709 -5709 4931029 4476883 10940762 7674505 -454146 0 X X 0 1 X 1 0 X 504351 2229300 235379 485008 110891 3564929 9600865 8088504 9318494 10015340 10080611 47103814 10105216 10317804 9553873 10500348 10191502 50668743 0 647716 2226372 1493471 499358 4866917 647716 2226372 1493471 499358 4866917 45801826 1 433 434 1 433 434 232057 300024 294777 296401 223661 1346920 10337274 10617828 9848650 10796749 10415596 52016097 0.88050 0.88990 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME MEAL INCOME PHONE REVENUE COMMUNITY FEES MANAGEMENT FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1171591 1171591 10955723 8444915 2510808 444465 344480 99985 3420925 3064297 356628 43691 43691 4182703 DUE FROM AFFILIATES 2141797 RESIDENT TRUST FUNDS 79797 2221594 X PART IV, LINE 2B: RESIDENT TRUST FUNDS: AUBURN MANOR IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS. TENANT SECURITY DEPOSITS: AS A CONDITION OF OCCUPANCY, RESIDENTS OF AUBURN COURTS ARE REQUIRED TO MAKE SECURITY DEPOSITS. THE DEPOSITS ARE REFUNDABLE UPON LEAVING; THEREFORE, THEY ARE RECORDED AS A LIABILITY. THESE FUNDS ARE ON DEPOSIT IN A SEPARATE BANK ACCOUNT. PART X, LINE 2: THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FILES INFORMATION RETURNS AS TAX-EXEMPT ENTITIES. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. 0 0 0 0 0 0 0 0 0 JENNIFER HALL NURSING HOME ADMINISTRATOR 180216 0 0 0 0 0 3596 0 15147 0 198959 0 0 0 A CITY OF CHASKA 416006041 2003-06-25 4140000 REFINANCE SERIES 1997 BONDS (AUBURN COURTS PROJECT) 0 0 0 A 3691752 4140000 4140000 2003 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS MADE UP OF THE CHAIR AND TREASURER OF THE CORPORATION AND AT LEAST ONE OTHER MEMBER OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO THE ELECTION OF OFFICERS, THE AMENDMENT OF THE ARTICLES OF INCORPORATION, THE AMENDMENT OF THE BYLAWS, THE FILLING OF VACANCIES OF THE BOARD OF DIRECTORS, AND THE VOLUNTARY DISSOLUTION OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL FULLY REPORT TO THE BOARD OF DIRECTORS AT EACH OF THE LATTER'S REGULAR MEETINGS ON ALL INTERIM ACTION TAKEN BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 ILLUMINUS INC ENTERED A MANAGEMENT AGREEMENT WITH AUBURN HOMES 7/15/2023. ILLUMINUS PROVIDES CENTRALIZED BUSINESS FUNCTIONS INCLUDES ACCOUNT PAYABLE, BILLING, ACCOUNTING, AND BUSINESS CONSULTING. ILLUMINUS PROVIDES DIRECTION ON OPERATIONAL IMPROVEMENTS AND EFFICIENT PROCEDURE IMPLEMENTATION TO MAXIMIZE OPERATIONAL MARGINS WHILE PROVIDING RESIDENTS WITH THE HIGHEST QUALITY OF CARE. FORM 990, PART VI, SECTION A, LINE 6 MORAVIAN CARE MINISTRIES, A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF AUBURN MANOR. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE SOLE MEMBER, MORAVIAN CARE MINISTRIES, AT EACH ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE SOLE MEMBER, MORAVIAN CARE MINISTRIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY ILLUMINUS, THE MANAGEMENT TEAM. IT WAS THEN PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND EMPLOYEES ARE TO REPORT ANY CONFLICTS THAT MAY ARISE TO THE CEO, BOARD CHAIR OR VICE CHAIR. ALL MATTERS WILL THEN BE BROUGHT TO THE BOARD FOR DETERMINING WHETHER A CONFLICT EXISTS AND A DECISION FOR RESOLUTION. THE BOARD WILL DECIDE ABOUT WHAT RESTRICTIONS WOULD BE PLACED ON INDIVIDUALS WHO ARE DETERMINED TO HAVE A CONFLICT. THE PROCEEDINGS RESULTING FROM THE CONFLICTS OF INTEREST WOULD BE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 AUBURN MANOR DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACTED NURSING: PROGRAM SERVICE EXPENSES 525,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525,513. THERAPY: PROGRAM SERVICE EXPENSES 295,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,623. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 917,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 917,856. LAUNDRY: PROGRAM SERVICE EXPENSES 12,398. MANAGEMENT AND GENERAL EXPENSES 770. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,168. CHAPLIN: PROGRAM SERVICE EXPENSES 6,345. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,345. FORM 990, PART XII, LINE 2C THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. MORAVIAN CARE FOUNDATION 501 NORTH OAK STREET CHASKA MN 55318 411773220 MANAGE AND INVEST ASSETS OF AFFILIATED ORGANIZATIONS MN 501(C)(3) LINE 12B, II WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 CHASKA MANOR DBA TALHEIM 407 NORTH OAK STREET CHASKA MN 55318 411402149 SENIOR APARTMENTS MN 501(C)(3) LINE 10 WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 MORAVIAN CARE HOUSING CORP DBA AUBURN MANOR IN WACONIA 501 NORTH OAK STREET CHASKA MN 55387 411838632 NURSING HOME MN 501(C)(3) LINE 10 WESTERN DISTRICT OF THE MORAVIAN CHURCH OF AMERICA 0 MORAVIAN CARE MINISTRIES DBA AUBURN HOMES AND SERVICES 501 NORTH OAK STREET CHASKA MN 55318 411771225 FUNDRAISING AND LONG TERM PLANNING FOR AFFILIATED ORGANIZATIONS MN 501(C)(3) LINE 12B, II N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0