STRATEGY STUDIO / PUBLIC DATA EXPLORER

BROOKSIDE SENIOR LIVING: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BROOKSIDE SENIOR LIVING (EIN 41-0871848)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202543169349307014
Schema version
2024v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-12T16:18:15-07:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410871848EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKSIDE SENIOR LIVINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBROOBusinessNameControlTxt
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 TitleChief Financial OfficerPersonTitleTxt
Phone9528555000PhoneNum
Signature2025-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW KERNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,741,728GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CASSIALIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE, HOUSING, AND COMMUNITY SERVICES FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee74TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI-$74,736TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,125PYContributionsGrantsAmt
CY Contributions Grants$42,501CYContributionsGrantsAmt
PY Program Service Revenue$2,320,254PYProgramServiceRevenueAmt
CY Program Service Revenue$2,554,706CYProgramServiceRevenueAmt
PY Investment Income$48,011PYInvestmentIncomeAmt
CY Investment Income$65,613CYInvestmentIncomeAmt
PY Other Revenue-$42,065PYOtherRevenueAmt
CY Other Revenue-$52,562CYOtherRevenueAmt
PY Total Revenue$2,362,325PYTotalRevenueAmt
CY Total Revenue$2,610,258CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,144,650PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,274,501CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,066,304PYOtherExpensesAmt
CY Other Expenses$1,087,505CYOtherExpensesAmt
PY Total Expenses$2,210,954PYTotalExpensesAmt
CY Total Expenses$2,362,006CYTotalExpensesAmt
PY Revenues Less Expenses$151,371PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$248,252CYRevenuesLessExpensesAmt
Total Assets BOY$9,931,802TotalAssetsBOYAmt
Total Assets EOY$9,929,094TotalAssetsEOYAmt
Total Liabilities BOY$7,206,887TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,952,885TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,724,915NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,976,209NetAssetsOrFundBalancesEOYAmt
MissionTO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS IN THE SPIRIT OF CHRIST'S LOVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,929,802ExpenseAmt
Grant$0GrantAmt
Revenue$2,554,706RevenueAmt
DescBROOKSIDE SENIOR LIVING WAS ORGANIZED FOR THE PURPOSE OF OPERATING AN ASSISTED LIVING FACILITY FOR THE ELDERLY. IT IS LOCATED IN MONTEVIDEO, MN AND HAS 57 UNITS.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,929,802TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related 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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee74EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHY YOUNGQUIST - CASSIA SERVICESPersonNm
Phone9528555000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROBERT DAHL
PRESIDENT/CEO0.3639.64Yes (X)$0$684,664$137,532
KATHY YOUNGQUIST
CHIEF FINANCIAL OFFICER0.3639.44Yes (X)$0$487,791$96,215
MATTHEW KERN
CHIEF OPERATING OFFICER0.3639.44Yes (X)$0$383,964$103,563
KATHY KOPP
CHIEF STRATEGIC OFFICER0.3639.44Yes (X)$0$332,589$105,002
ANGELA BROWN
CHIEF HUMAN RESOURCE OFFICER0.3639.44Yes (X)$0$280,679$83,403
SHARON WILSON
CHIEF CLINICAL AND COMPLIANCE OFFICER0.3639.44Yes (X)$0$278,093$62,508
KARI HOSKIN
CHAIR & DIRECTOR0.250Yes (X)$0$0$0Yes (X)
SUSAN JERVE
VICE CHAIR & DIRECTOR0.250Yes (X)$0$0$0Yes (X)
DUSTIN CITROWSKE
SECRETARY AND DIRECTOR0.250Yes (X)$0$0$0Yes (X)
NANCY AAGESEN
TREASURER AND DIRECTOR0.250Yes (X)$0$0$0Yes (X)
MATTHEW CRAWFORD
DIRECTOR0.250Yes (X)$0$0$0Yes (X)
TAMI DANIELSON
DIRECTOR0.250$0$0$0Yes (X)
MATTHEW HAUGEN
DIRECTOR0.250Yes (X)$0$0$0Yes (X)
CRAIG KITTLESON
DIRECTOR0.250$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,447,780TotReportableCompRltdOrgAmt
Total Other Compensation$588,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonCASSIA SERVICESPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$169,164CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$40,521GovernmentGrantsAmt
All Other Contributions$1,980AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$42,501TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescASSISTED LIVING REVENUEDesc
Business623311BusinessCd
Total Revenue Column$2,554,706TotalRevenueColumnAmt
Related Or Exempt Func Income$2,554,706RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,554,706TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,716TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$53,716ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,897TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,897ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$710RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$710RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$710TotalRevenueColumnAmt
Related Or Exempt Func Income$710RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Gross Sales Of Inventory$56,734GrossSalesOfInventoryAmt
Cost Of Goods Sold$131,470CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$74,736TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$74,736UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOUSEKEEPING REVENUE561720$10,208$10,208$0$0
GARAGE/PARKING REVENUE812930$6,995$6,995$0$0
MISCELLANEOUS REVENUE900099$3,117$3,117$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,144TotalRevenueColumnAmt
Related Or Exempt Func Income$1,144RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$21,464OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,610,258TotalRevenueColumnAmt
Related Or Exempt Func Income$2,576,880RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$74,736UnrelatedBusinessRevenueAmt
Exclusion$65,613ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,101,242TotalAmt
Program Services$952,231ProgramServicesAmt
Management And General$149,011ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,034TotalAmt
Program Services$8,676ProgramServicesAmt
Management And General$1,358ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$80,708TotalAmt
Program Services$69,787ProgramServicesAmt
Management And General$10,921ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$82,517TotalAmt
Program Services$71,351ProgramServicesAmt
Management And General$11,166ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$169,164TotalAmt
Management And General$169,164ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$944TotalAmt
Management And General$944ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,720TotalAmt
Management And General$1,720ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,352TotalAmt
Management And General$4,352ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,925TotalAmt
Management And General$4,925ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,354TotalAmt
Management And General$6,354ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,479TotalAmt
Management And General$23,479ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,929TotalAmt
Management And General$26,929ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$97,388TotalAmt
Program Services$95,336ProgramServicesAmt
Management And General$2,052ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,669TotalAmt
Program Services$1,586ProgramServicesAmt
Management And General$1,083ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,911TotalAmt
Program Services$3,582ProgramServicesAmt
Management And General$1,329ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$312,174TotalAmt
Program Services$312,174ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$290,255TotalAmt
Program Services$290,255ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,018TotalAmt
Program Services$19,018ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$62,730$61,176$1,554
FOOD$36,036$36,036$0
LICENSES$12,778$0$12,778
BUILDING AND EQUIPMENT REPAIRS$6,934$6,934$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,745TotalAmt
Program Services$1,660ProgramServicesAmt
Management And General$3,085ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,362,006TotalAmt
Program Services$1,929,802ProgramServicesAmt
Management And General$432,204ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,128,646BOYAmt
EOY$1,335,202EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$257,649BOYAmt
EOY$1,068,236EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$140,051BOYAmt
EOY$112,405EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$533BOYAmt
EOY$320EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,257,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,579,186LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,922,476BOYAmt
EOY$6,678,706EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$757,275BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$725,172BOYAmt
EOY$734,225EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,931,802BOYAmt
EOY$9,929,094EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$74,489BOYAmt
EOY$119,106EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,836,236BOYAmt
EOY$6,716,886EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$50,164BOYAmt
EOY$51,469EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$245,998BOYAmt
EOY$65,424EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,206,887BOYAmt
EOY$6,952,885EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,645,830BOYAmt
EOY$2,896,676EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,085BOYAmt
EOY$79,533EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,724,915BOYAmt
EOY$2,976,209EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,931,802BOYAmt
EOY$9,929,094EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$248,252ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$963NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,079OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,831CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,481CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,125CurrentTaxYearMinus1YearAmt
Current Tax Year$42,501CurrentTaxYearAmt
Total$222,241TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,061,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,218,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,368,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,320,254CurrentTaxYearMinus1YearAmt
Current Tax Year$2,554,706CurrentTaxYearAmt
Total$11,522,896TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,135,021CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,253,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,402,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,356,379CurrentTaxYearMinus1YearAmt
Current Tax Year$2,597,207CurrentTaxYearAmt
Total$11,745,137TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$579,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$992,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,057,260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,031,794CurrentTaxYearMinus1YearAmt
Current Tax Year$1,003,741CurrentTaxYearAmt
Total$4,664,944TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$579,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$992,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,057,260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,031,794CurrentTaxYearMinus1YearAmt
Current Tax Year$1,003,741CurrentTaxYearAmt
Total$4,664,944TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,080,193PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,654CurrentTaxYearMinus1YearAmt
Current Tax Year$65,613CurrentTaxYearAmt
Total$92,214TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,654CurrentTaxYearMinus1YearAmt
Current Tax Year$65,613CurrentTaxYearAmt
Total$92,214TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,790CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,798CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,573CurrentTaxYearMinus1YearAmt
Current Tax Year$21,464CurrentTaxYearAmt
Total$59,938TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,146,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,264,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,410,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,391,606CurrentTaxYearMinus1YearAmt
Current Tax Year$2,684,284CurrentTaxYearAmt
Total$11,897,289TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.59511PublicSupportCY509Pct
Public Support PY5090.59603PublicSupportPY509Pct
Investment Income CY0.00775InvestmentIncomeCYPct
Investment Income PY0.00305InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12FormAndLineReferenceDesc
ExplanationOTHER INCOME FOR 2020 INCLUDES: $580 BEAUTY SHOP REVENUE, $655 MAINTENANCE REVENUE, $250 CABLE REVENUE, $1,217 LAUNDRY REVENUE, $375 VENDING REVENUE, AND $236 MISCELLANEOUS REVENUE. OTHER INCOME FOR 2021 INCLUDES: $230 BEAUTY SHOP REVENUE, $780 RENTAL REVENUE, AND $5,780 MISCELLANEOUS REVENUE. OTHER INCOME FOR 2022 INCLUDES: $920 RENTAL REVENUE AND $3,878 MISCELLANEOUS REVENUE. OTHER INCOME FOR 2023 INCLUDES: $13,437 HOUSEKEEPING REVENUE, $6,206 GARAGE/PARKING REVENUE, $350 TELEPHONE AND CABLE REVENUE, $300 SECURITY DEPOSIT WITHHELD, $1,848 RENTAL REVENUE, $13 VENDING MACHINE REVENUE, AND $1,707 MISCELLANEOUS REVENUE. OTHER INCOME FOR 2024 INCLUDES: $10,208 HOUSEKEEPING REVENUE, $6,995 GARAGE/PARKING REVENUE, $600 TELEPHONE AND CABLE REVENUE, $1,090 SECURITY DEPOSIT WITHHELD, AND $1,921 MISCELLANEOUS REVENUE.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,720,684OtherCostOrOtherBasisAmt
Depreciation$1,246,700DepreciationAmt
Book Value$6,473,984BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$433,165OtherCostOrOtherBasisAmt
Depreciation$278,700DepreciationAmt
Book Value$154,465BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$104,043OtherCostOrOtherBasisAmt
Depreciation$53,786DepreciationAmt
Book Value$50,257BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,678,706TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
BOND FUNDS$532,803
REPAIR AND REPLACEMENT FUND$100,009
DUE FROM AFFILIATES$19,760
OTHER RECEIVABLES$22,688
CASH - SECURITY DEPOSITS$58,838
CASH - DONATED RESIDENT ACTIVITY FUND$127
FieldValueIRS element (for citing)
Total Book Value Other Assets$734,225TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE - S.T. - UNRELATED$51,568
DUE FROM AFFILIATES$13,856
FieldValueIRS element (for citing)
Total Liability$65,424TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part IV, Line 2bSECURITY DEPOSITS ARE REQUIRED FOR THE ORGANIZATION'S TENANTS AND INCLUDE RESERVED APARTMENTS IF AMOUNTS ARE PAID BEFORE THE TENANT ACTUALLY MOVES IN.
Schedule D, Part X, Line 2AUGUSTANA 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. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN THE EVALUATION OF 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (6 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
ROBERT DAHL
PRESIDENT/CEO$0$588,985$0$76,959$0$18,721$0$116,567$0$20,965$0$822,197$0$57,020
KATHY YOUNGQUIST
CHIEF FINANCIAL OFFICER$0$351,411$0$12,030$0$124,350$0$75,355$0$20,860$0$584,006$0$112,369
MATTHEW KERN
CHIEF OPERATING OFFICER$0$346,303$0$36,869$0$792$0$74,517$0$29,046$0$487,527$0$0
KATHY KOPP
CHIEF STRATEGIC OFFICER$0$273,597$0$56,962$0$2,030$0$77,759$0$27,243$0$437,591$0$27,386
ANGELA BROWN
CHIEF HUMAN RESOURCE OFFICER$0$231,448$0$8,151$0$41,080$0$53,111$0$30,291$0$364,081$0$22,384
SHARON WILSON
CHIEF CLINICAL AND COMPLIANCE OFFICER$0$242,833$0$30,829$0$4,431$0$52,963$0$9,545$0$340,601$0$22,842

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part IALL OFFICERS' COMPENSATION WAS PAID BY CASSIA SERVICES, THE MANAGEMENT SERVICES COMPANY.
Schedule J, Part I, Line 1aCASSIA AND ITS AFFILIATES PROVIDE VEHICLE BENEFITS FOR SOME OF ITS OFFICERS AND KEY EMPLOYEES. THE EMPLOYEE IS RESPONSIBLE FOR TRACKING BUSINESS VERSUS PERSONAL USE OF THE VEHICLE. THE PERSONAL USAGE OF THE VEHICLES IS TREATED AS TAXABLE COMPENSATION BY CASSIA AND ITS AFFILIATES.
Schedule J, Part I, Line 3THE CORPORATION RELIED ON THE PARENT ORGANIZATION, CASSIA, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. CASSIA USES THE FOLLOWING PRACTICES: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND RECOMMENDATIONS FROM THE CASSIA COMPENSATION COMMITTEE TO THE CASSIA BOARD.
Schedule J, Part I, Line 4THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY CASSIA SERVICES: KATHY YOUNGQUIST, CFO - $9,670 MATTHEW KERN, COO - $35,639 ANGELA BROWN, CHRO - $24,284
Schedule J, Part I, Line 6OFFICERS OF CASSIA SERVICES AND KEY EMPLOYEES OF CASSIA AND ITS AFFILIATES ARE ELIGIBLE TO ACCRUE INCENTIVE BONUSES EACH YEAR THAT ARE CONTINGENT ON PERFORMANCE METRICS AND FINANCIAL GOALS OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF MADISON MINNESOTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005335BondIssuerEIN
CUSIP557842ASOCUSIPNum
Bond Issued2016-11-22BondIssuedDt
Issue Price$7,750,000IssuePriceAmt
PurposeBUILDING CONSTRUCTIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$750,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$7,750,000TotalProceedsAmt
In Reserve Fund$447,834InReserveFundAmt
Capitalized Interest$295,184CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$155,000IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$400,000WorkingCapitalExpendituresAmt
Capital Expenditures$6,129,578CapitalExpendituresAmt
Other Spent Proceeds$22,527OtherSpentProceedsAmt
Unspent$302,712UnspentAmt
Substantial Completion2018SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IV, Line 2c-11/22/2016 7,750,000 CITY OF MADISON MINNESOTAFormAndLineReferenceDesc
ExplanationREBATE COMPUTATION WAS PERFORMED IN 2022 AND NO REBATE WAS DUE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3A RELATED ORGANIZATION, CASSIA SERVICES, MANAGES ITS OWN AFFILIATES, CASSIA, 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 6THE SOLE MEMBER OF THE ORGANIZATION IS AUGUSTANA CARE. THE SOLE MEMBER OF AUGUSTANA CARE IS CASSIA.
Form 990, Part VI, Section A, Line 7aTHE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY A MAJORITY VOTE FROM THE BOARD OF DIRECTORS OF THE SOLE MEMBER, AUGUSTANA CARE AT THE ANNUAL MEETING.
Form 990, Part VI, Section A, Line 7bAUGUSTANA CARE IS THE SOLE MEMBER OF THE CORPORATION. BOARD MEMBERS OF THE CORPORATION ARE APPOINTED BY THE SOLE MEMBER. DECISIONS OF THE CORPORATION ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER. CERTAIN ACTIONS ARE FURTHER SUBJECT TO APPROVAL BY THE CASSIA BOARD, WHICH IS THE PARENT ORGANIZATION.
Form 990, Part VI, Section B, Line 11bTHE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY INTERNAL FINANCE STAFF AND REVIEWED BY THE ORGANIZATION'S CFO. THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS.
Form 990, Part VI, Section B, Line 12cTHE ORGANIZATION ANNUALLY REQUESTS A CONFLICT OF INTEREST DISCLOSURE FROM EACH BOARD MEMBER, KEY EMPLOYEE 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, Line 9OTHER CHANGES IN NET ASSETS INCLUDES: TRANSFERS FROM AFFILIATES $2,080 AND ROUNDING -$1

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CASSIA
7171 OHMS LANEEDINAMN55439831758728PARENT CO/FUND RAISINGMN501(C)(3)12N/A0
CASSIA SERVICES
7171 OHMS LANEEDINAMN55439411806946MANAGEMENT SERVICESMN501(C)(3)120CASSIA
ELIM CARE INC
7171 OHMS LANEEDINAMN55439411694818HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100CASSIA
AUGUSTANA CARE
7171 OHMS LANEEDINAMN55439411728753HEALTH CARE FACILITIES/SERVICESMN501(C)(3)70CASSIA
PIONEER HOUSE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439411927112HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
NEW HARMONY CARE CENTER INC
7171 OHMS LANEEDINAMN55439411821882HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
COUNTRY MEADOWS OF MILACA INC
7171 OHMS LANEEDINAMN55439201723948HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
LAKE RIDGE CARE CENTER OF BUFFALO INC
7171 OHMS LANEEDINAMN55439200507069HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
PARK TERRACE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439204063752HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
EVANGELICAL RETIREMENT HOMES INC
7171 OHMS LANEEDINAMN55439420868449HEALTH CARE FACILITIES/SERVICESIA501(C)(3)100ELIM CARE INC
VILLAGE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439262086933HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
BAPTIST HOME INC
7171 OHMS LANEEDINAMN55439450232943HEALTH CARE FACILITIES/SERVICESND501(C)(3)100ELIM CARE INC
THE BAPTIST APARTMENTS INC
7171 OHMS LANEEDINAMN55439450359794HEALTH CARE FACILITIES/SERVICESND501(C)(3)PF0ELIM CARE INC
ELIM SHORES INC
7171 OHMS LANEEDINAMN55439411625095HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
CORNERSTONE ASSISTED LIVING OF PLYMOUTH INC
7171 OHMS LANEEDINAMN55439412013927HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
HAVEN HOMES INC
7171 OHMS LANEEDINAMN55439416045816HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
ELIM SENIOR HOUSING INC
7171 OHMS LANEEDINAMN55439810754064HEALTH CARE FACILITIES/SERVICESFL501(C)(3)100ELIM CARE INC
NEWTON VILLAGE INC
7171 OHMS LANEEDINAMN55439200044030HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
ELIM HOMES INC
7171 OHMS LANEEDINAMN55439411539761HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM CARE INC
REDEEMER RESIDENCE INC
7171 OHMS LANEEDINAMN55439410711597HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM HOMES INC
PARK VIEW CARE CENTER
7171 OHMS LANEEDINAMN55439410855707HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100ELIM HOMES INC
ELIM CHILDREN'S CENTER INC
7171 OHMS LANEEDINAMN55439411974507CHILD DAYCAREMN501(C)(3)100ELIM CARE INC
ELIM CARE FOUNDATION
7171 OHMS LANEEDINAMN55439411694817CHARITABLE FOUNDATIONMN501(C)(3)120ELIM CARE INC
COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY
7171 OHMS LANEEDINAMN55439363546789CHARITABLE FOUNDATIONMN501(C)(3)PF0ELIM CARE INC
APPLE VALLEY VILLA APARTMENTS
7171 OHMS LANEEDINAMN55439311608691HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100AUGUSTANA CARE
AUGUSTANA CARE FOUNDATION
7171 OHMS LANEEDINAMN55439411360678CHARITABLE FOUNDATIONMN501(C)(3)120AUGUSTANA CARE
AUGUSTANA CHAPEL VIEW HOMES INC
7171 OHMS LANEEDINAMN55439410693953HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100AUGUSTANA CARE
AUGUSTANA COMMUNITY PARTNERS
7171 OHMS LANEEDINAMN55439411783680HOME HEALTH CARE SERVICESMN501(C)(3)100AUGUSTANA CARE
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
7171 OHMS LANEEDINAMN55439311608696HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100AUGUSTANA CARE
AUGUSTANA HOME OF HASTINGS
7171 OHMS LANEEDINAMN55439311572624HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100AUGUSTANA CARE
AUGUSTANA APARTMENTS OF HASTINGS
7171 OHMS LANEEDINAMN55439311608701HEALTH CARE FACILITIES/SERVICESMN501(C)(3)100AUGUSTANA CARE
OPEN CIRCLE ADULT DAY CENTER
7171 OHMS LANEEDINAMN55439411424801ADULT DAYCAREMN501(C)(3)100AUGUSTANA CARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
ELIM PREFERRED SERVICES INC
7171 Ohms LaneEdinaMN55439411681856MEDICAL SALESMNN/AC00
PREFERRED SENIOR SERVICES INC
7171 Ohms LaneEdinaMN55439411942480MANAGEMENT SERVICESMNN/AC00
AUGUSTANA SENIOR DEVELOPMENT
7171 Ohms LaneEdinaMN55439264136110CONSULTINGMNN/AC00
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd