SENIOR CARE COMMUNITIES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SENIOR CARE COMMUNITIES INC (EIN 65-0639567)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-08
- IRS object ID
- 201312209349300716
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-08T09:28:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650639567 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SENIOR CARE COMMUNITIES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SENI | NameControl |
| Phone | 6512876408 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 ST ANTHONY AVENUE NO 825 | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55103 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN LANDWEHR | Name |
| Title | CHAIRPERSON | Title |
| Phone | 6512876408 | Phone |
| Date Signed | 2013-08-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MIKE PRIGGE | Name |
| PTIN | P00749265 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SUSAN LANDWEHR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 ST ANTHONY AVENUE NO 825 | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50839941 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SENIORCARECOMMUNITIES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | DC | StateLegalDomicile |
| Activity Or Mission Description | TO DEVELOP AND MAINTAIN QUALITY AGED, HANDICAPPED, AND LOW AND MODERATE INCOME HOUSING AND SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1126 | TotalNbrEmployees |
| Total Nbr Volunteers | 387 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 46942 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 55126 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 46141576 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 49845517 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 283644 | InvestmentIncomePriorYear |
| Investment Income Current Year | 256985 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 417273 | OtherRevenuePriorYear |
| Other Revenue Current Year | 637317 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46889435 | TotalRevenuePriorYear |
| Total Revenue Current Year | 50794945 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 35663 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 29354 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23507718 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24349371 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 41541 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23498820 | OtherExpensePriorYear |
| Other Expenses Current Year | 25945985 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 47042201 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50324710 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -152766 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 470235 | RevenuesLessExpensesCY |
| Total Assets BOY | 67066878 | TotalAssetsBOY |
| Total Assets EOY | 68021474 | TotalAssetsEOY |
| Total Liabilities BOY | 66786408 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 67235884 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 280470 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 785590 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE PRIMARY MISSION OF SENIOR CARE COMMUNITIES, INC. IS TO HOUSE AND CARE FOR SENIOR RESIDENTS IN A VARIETY OF SETTINGS INCLUDING RENTAL APARTMENTS, ASSISTED LIVING, LONG TERM NURSING, REHABILITATION FACILITIES AND MEMORY CARE UNITS. WE ARE ALSO COMMITTED TO SERVING OUR RESIDENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THROUGH PROGRAMMING, PARTNERSHIPS AND FUNDING OF CHARITABLE ENDEAVORS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 43854472 | Expense |
| Grants | 29354 | Grants |
| Revenue | 49845517 | Revenue |
| Description | IN KEEPING WITH THAT MISSION, SENIOR CARE COMMUNITIES HAS MADE A SIGNIFICANT INVESTMENT IN REAL ESTATE WITH THE CAPACITY TO HOUSE THE ELDERLY INCLUDING:THE WOODBURY SENIOR LIVING CAMPUS, WOODBURY, MINNESOTA WHICH INCLUDES WOODBURY VILLA, A 75 UNIT INDEPENDENT AND ASSISTED LIVING FACILITY; WOODBURY ESTATES, A 64 UNIT ASSISTED LIVING FACILITY; AND WOODBURY HEALTH CARE CENTER, A 190 BED LICENSED SKILLED NURSING FACILITY. IN 2012, WOODBURY HEALTHCARE CENTER PROVIDED CARE FOR AN AVERAGE OF 171 RESIDENTS PER DAY WITH APPROXIMATELY 57% OF THE POPULATION BEING LOW INCOME AS DEFINED BY THEIR ENROLLMENT IN THE MINNESOTA MEDICAL ASSISTANCE PROGRAM. THE 32 BED TRANSITIONAL CARE UNIT (TCU) WHICH FOCUSES ON HIGHER ACUITY RESIDENTS REQUIRING INTENSIVE REHABILITATION SERVICES AVERAGED 28.8 RESIDENTS PER DAY. THE SERVICES THAT RESIDENTS RECEIVE IN THE TCU HELP THEM TO RETURN TO HOME OR TO AS INDEPENDENT OF A SETTING AS POSSIBLE. THE PROPERTY ALSO HAS APPROXIMATELY ONE THIRD OF THEIR BEDS DEDICATED TO A MEMORY CARE UNIT. WOODBURY VILLA HOUSED AND PROVIDED SERVICES TO APPROXIMATELY 73 RESIDENTS PER DAY IN 2012 WITH AN ESTIMATED 49% OF THE TENANTS BEING LOW INCOME. WOODBURY ESTATES HOUSED AND PROVIDED SERVICES TO APPROXIMATELY 62 TENANTS A DAY. BIRCHWOOD SENIOR LIVING CAMPUS, FOREST LAKE, MINNESOTA, WHICH INCLUDES BIRCHWOOD ARBORS, A 46 UNIT ASSISTED LIVING FACILITY AND BIRCHWOOD HEALTH CARE CENTER, A 120 BED SKILLED NURSING FACILITY.IN 2012, BIRCHWOOD HEALTHCARE CENTER CARED FOR AN AVERAGE OF 104 RESIDENTS PER DAY WITH OVER 63.5% OF THAT POPULATION BEING LOW INCOME. THE PROPERTY HAS A 20 BED REHABILITATION UNIT AND A 32 BED MEMORY CARE UNIT. BIRCHWOOD ARBORS HOUSED AND PROVIDED SERVICES TO APPROXIMATELY 45 RESIDENTS PER DAY WITH AN ESTIMATED 65% BEING LOW INCOME. PROVIDENCE PLACE, MINNEAPOLIS, MINNESOTA IS A 204 BED SKILLED NURSING FACILITY. IN 2012 PROVIDENCE PLACE PROVIDED CARE FOR AN AVERAGE OF 183 RESIDENTS PER DAY WITH APPROXIMATELY 72% OF THE POPULATION BEING LOW INCOME. THE 35 BED TRANSITIONAL CARE UNIT (TCU) WHICH FOCUSES ON HIGHER ACUITY RESIDENTS REQUIRING INTENSIVE REHABILITATION SERVICES AVERAGED 27 RESIDENTS PER DAY. THE SERVICES THAT RESIDENTS RECEIVE IN THE TCU HELP THEM TO RETURN TO HOME OR TO AS INDEPENDENT OF A SETTING AS POSSIBLE. THE PROPERTY ALSO HAS TWO UNITS DEDICATED TO MEMORY CARE, WITH ONE OF THE UNITS BEING AN ALL FEMALE UNIT. SE ROLLING HILLS, IS A 144 UNIT INDEPENDENT AND ASSISTED LIVING FACILITY WITH A 25 BED TRANSITIONAL CARE UNIT FACILITY, WHICH IS JOINTLY OWNED WITH EBENEZER SOCIETY, A MINNESOTA NONPROFIT CORPORATION AND 501(C)(3) TAX-EXEMPT ORGANIZATION. FOLLOWING THE REFINANCING OF THE PROPERTY THE OPERATIONS OF BOTH THE ASSISTED LIVING AND TRANSITIONAL CARE UNIT BECAME A WHOLLY OWNED LLC OF SENIOR CARE COMMUNITIES, INC, THE COLONY OF EDEN PRAIRIE, LLC. IN 2012, THE ASSISTED AND INDEPENDENT LIVING FACILITY HOUSED AND PROVIDED SERVICES TO AN AVERAGE OF 142 RESIDENTS WHILE THE TRANSITIONAL CARE UNIT CARED FOR AN AVERAGE OF 21 RESIDENTS PER DAY. SENIOR CARE COMMUNITIES, INC HAS VERY ACTIVE AND SUCCESSFUL VOLUNTEER PROGRAMS AT EACH OF THEIR PROPERTIES. OVER 387 INDIVIDUALS DONATED APPROXIMATELY 10,921 HOURS OF SERVICE ON AN ANNUAL BASIS. VOLUNTEERS PERFORM MANY VALUABLE SERVICES FOR THE RESIDENTS WHO HAVE ENTRUSTED THEIR CARE TO SENIOR CARE COMMUNITIES, INC. THESE INDIVIDUALS LEAD OR ASSIST IN MANY DAY AND EVENING ENTERTAINMENT ACTIVITIES FOR THE RESIDENTS. WE ARE COMMITTED TO WELLNESS BOTH PHYSICAL AS WELL AS SPIRITUAL. WE HAVE FUNDED NEW PROGRAM INITIATIVES THAT INCLUDE EQUIPMENT, STAFFING AND NEW PROGRAMS (E.G. ARTHRITIC YOGA, INTEGRATIVE THERAPIES AS WELL AS A CREATIVE ARTS PROGRAM THAT INCLUDES PAINTING, POETRY AND DANCE). WELLNESS COMMITTEES HAVE BEEN ESTABLISHED AT EACH OF OUR COMMUNITIES TO MONITOR AND RECOMMEND PROGRAMS AND DIRECTION. WHEN YOU VISIT A PROPERTY, YOU WILL SEE VOLUNTEERS PLAYING GAMES WITH RESIDENTS, READING TO RESIDENTS, HOSTING ICE CREAM SOCIALS, WORKING IN THE CAFE, SINGING OR PLAYING MUSICAL INSTRUMENTS, TAKING RESIDENTS ON OUTINGS AND A HOST OF OTHER FUN ACTIVITIES. VOLUNTEERS WILL OFTEN ESCORT NEW RESIDENTS TO THE DINING ROOM FOR THEIR FIRST MEAL IN A NEW SETTING AND TO HELP THEM BECOME ACQUAINTED WITH OTHER RESIDENTS. SENIOR CARE COMMUNITIES, INC. IS VERY APPRECIATIVE OF ALL THE SERVICES THAT VOLUNTEERS PROVIDE. THESE DONATED SERVICES HELP TO PROVIDE RESIDENTS WITH A HIGHER LEVEL OF PERSONALIZED ATTENTION. SENIOR CARE COMMUNITIES HAS A COMMITMENT TO SPIRITUAL PROGRAMMING AND SEES IT AS AN ESSENTIAL ELEMENT IN THE OVERALL WELLNESS OF THE INDIVIDUALS THAT ARE CARED FOR IN THEIR PROPERTIES. SENIOR CARE COMMUNITIES FUNDS CHAPLAINS AT EACH OF OUR PROPERTIES AND PROVIDES STIPENDS TO LOCAL CATHOLIC PARISHES TO ENSURE ALL RESIDENTS ARE BEING SERVED BY THE LOCAL PARISH. EACH PROPERTY HAS NON-DENOMINATIONAL SERVICES ON A WEEKLY BASIS FOR THE RESIDENTS. SEVERAL CHURCHES SUPPORT THE PROPERTIES WITH VOLUNTEERS AND PROGRAMMING THAT HELP TO MEET THE SPIRITUAL NEEDS OF THE RESIDENTS. THEY HELP ESCORT RESIDENTS TO WORSHIP SERVICES, LEAD BIBLE STUDIES, LEAD REMINISCING GROUPS AND ASSIST THE CHAPLAINS IN MINISTERING TO THE UNIQUE INDIVIDUAL NEEDS OF THE RESIDENTS. | Description |
| Total Program Service Expense | 43854472 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 144 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1126 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWSL LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9528881974 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7400 WEST 109TH STREET | AddressLine1 |
| City | BLOOMINGTON | City |
| State | MN | State |
| ZIP Code | 55438 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SUSAN M LANDWEHR | |||||||
| CHAIRMAN/TREASURER | 2.00 | X | X | 30000 | 0 | 0 | |
| RICHARD H MARTIN | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 18000 | 0 | 0 | |
| SANDRA L HESSE | |||||||
| SECRETARY | 1.00 | X | X | 5000 | 0 | 0 | |
| TERESA HEITMANN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN MARSHALL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GREGORY WAINMAN | |||||||
| DIRECTOR OF NURSING | 40.00 | 104620 | 0 | 20770 | X | ||
| GREGORY ANDERSON | |||||||
| ADMINISTRATOR | 40.00 | 113293 | 0 | 18283 | X | ||
| JOEL KELSH | |||||||
| ADMINISTRATOR | 40.00 | 110617 | 0 | 25447 | X | ||
| CULLEEN CHARLES | |||||||
| NURSING - PIPP GRANT | 40.00 | 101535 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 483065 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 64500 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NEW HORIZON FOODS | |||||
| 211 2ND ST NW | ST MICHAEL | MN | 55376 | DIETARY SERVICES | 3140526 |
| AEGIS THERAPIES | |||||
| 1000 BEVERLY WAY | FORT SMITH | AZ | 72919 | THERAPY SERVICES | 2854328 |
| TWSL | |||||
| 7400 WEST 109TH STREET | BLOOMINGTON | MN | 55438 | PERSONNEL/MANAGEMENT SERVICES | 2674661 |
| HDC DEVELOPMENT CO LLC | |||||
| 703 19TH AVE NE | ST JOSEPH | MN | 56374 | CONSTRUCTION | 379502 |
| TEXTILE CARE SERVICES | |||||
| 225 WOODLAKE DRIVE SE | ROCHESTER | MN | 55904 | LAUNDRY SERVICES | 347938 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Fundraising Events | 55126 | FundraisingEvents |
| Total Contributions | 55126 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 49845517 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49845517 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 49845517 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 256985 | TotalRevenueColumn |
| Exclusion | $256,985 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 8339 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 55126 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 44996 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -36657 | TotalRevenueColumn |
| Exclusion | -$36,657 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 673974 | TotalRevenueColumn |
| Exclusion | $673,974 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 673974 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50794945 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49845517 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $894,302 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29354 | Total |
| Program Services | 29354 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53000 | Total |
| Management And General | 53000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21215622 | Total |
| Program Services | 19504482 | ProgramServices |
| Management And General | 1711140 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1273381 | Total |
| Program Services | 1141683 | ProgramServices |
| Management And General | 131698 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1807368 | Total |
| Program Services | 1658778 | ProgramServices |
| Management And General | 148590 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2674661 | Total |
| Management And General | 2674661 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224042 | Total |
| Management And General | 224042 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129589 | Total |
| Management And General | 129589 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8615852 | Total |
| Program Services | 8615852 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154159 | Total |
| Program Services | 48627 | ProgramServices |
| Management And General | 105532 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2710291 | Total |
| Program Services | 2660740 | ProgramServices |
| Management And General | 49551 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158021 | Total |
| Management And General | 158021 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2003160 | Total |
| Program Services | 1859156 | ProgramServices |
| Management And General | 144004 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28385 | Total |
| Program Services | 18492 | ProgramServices |
| Management And General | 9893 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33614 | Total |
| Management And General | 33614 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3540167 | Total |
| Program Services | 3236014 | ProgramServices |
| Management And General | 304153 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2589927 | Total |
| Program Services | 2357712 | ProgramServices |
| Management And General | 232215 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451606 | Total |
| Program Services | 451606 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SURCHARGE | 1470368 | 1470368 | |
| PROVISION FOR BAD DEBTS | 356158 | 356158 | |
| MISCELLANEOUS | 240165 | 240165 | |
| REPAIRS & MAINTENANCNE | 142328 | 142328 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 423492 | Total |
| Program Services | 303122 | ProgramServices |
| Management And General | 78829 | ManagementAndGeneral |
| Fundraising | 41541 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50324710 | Total |
| Program Services | 43854472 | ProgramServices |
| Management And General | 6428697 | ManagementAndGeneral |
| Fundraising | 41541 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1320333 | BOY |
| EOY | 2324654 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1127176 | BOY |
| EOY | 880902 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4852818 | BOY |
| EOY | 5841383 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388400 | BOY |
| EOY | 1388400 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62342 | BOY |
| EOY | 37967 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63307891 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 18198338 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46276599 | BOY |
| EOY | 45109553 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1645040 | BOY |
| EOY | 1580450 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10394170 | BOY |
| EOY | 10858165 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67066878 | BOY |
| EOY | 68021474 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4749450 | BOY |
| EOY | 6815366 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61079839 | BOY |
| EOY | 60072785 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203829 | BOY |
| EOY | 194801 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 288226 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465064 | BOY |
| EOY | 152932 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66786408 | BOY |
| EOY | 67235884 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280470 | BOY |
| EOY | 750705 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 34885 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280470 | BOY |
| EOY | 785590 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67066878 | BOY |
| EOY | 68021474 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 470235 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 34885 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19808 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 145801 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46942 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55126 | CurrentTaxYear |
| Total | 302627 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 46864611 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47733224 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46205955 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46141576 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49845517 | CurrentTaxYear |
| Total | 236790883 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 46884419 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47768174 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46351756 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46188518 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49900643 | CurrentTaxYear |
| Total | 237093510 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 237093510 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 404784 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 162152 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 167554 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 283644 | CurrentTaxYearMinus1Year |
| Current Tax Year | 256985 | CurrentTaxYear |
| Total | 1275119 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 404784 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 162152 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 167554 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 283644 | CurrentTaxYearMinus1Year |
| Current Tax Year | 256985 | CurrentTaxYear |
| Total | 1275119 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 219653 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 257713 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1157267 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 438698 | CurrentTaxYearMinus1Year |
| Current Tax Year | 673974 | CurrentTaxYear |
| Total | 2747305 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 47508856 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 48188039 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 47676577 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46910860 | CurrentTaxYearMinus1Year |
| Current Tax Year | 50831602 | CurrentTaxYear |
| Total | 241115934 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98330 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98330 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00530 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00680 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2123780 | OtherCostOrOtherBasis |
| Book Value | 2123780 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 56133007 | OtherCostOrOtherBasis |
| Depreciation | 15202210 | Depreciation |
| Book Value | 40930797 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4816996 | OtherCostOrOtherBasis |
| Depreciation | 2996128 | Depreciation |
| Book Value | 1820868 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 234108 | OtherCostOrOtherBasis |
| Book Value | 234108 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45109553 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND FUNDS | 10591632 |
| RESIDENT TRUST FUND | 131846 |
| SECURITY DEPOSITS | 94687 |
| OTHER ASSETS | 40000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 10858165 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CHECKS WRITTEN IN EXCESS OF CASH | Description |
| Amount | $152,932 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 152932 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE RESIDENT TRUST FUNDS ARE PATIENT PERSONAL FUNDS THAT ARE HELD BY THE FACILITY. THE FUNDS BELONG TO THE RESIDENTS AND FACILITY MAINTAINS DETAIL ON DEPOSITS/WITHDRAWALS PER MN DHS GUIDELINES. THE SECURITY DEPOSITS ARE HELD AS DEPOSITS BY SCC WHILE THEY ARE HOLDING THEM. | |
| PART X, LINE 2: | SENIOR CARE COMMUNITIES, INC. AND ITS WHOLLY OWNED LLCS HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. THE ORGANIZATION FOLLOWS GUIDANCE REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S 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 IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXERCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS BEGINNING BEFORE 2009 ARE NO LONGER OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE TAXING AUTHORITIES. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 63465 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 55126 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 8339 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 12770 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 12188 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 15553 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 2556 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 1929 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 63465 | GrossReceiptsTotal |
| Charitable Contributions Total | 55126 | CharitableContributionsTotal |
| Gross Revenue Total Events | 8339 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 12770 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 12188 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 15553 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2556 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 1929 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 44996 | DirectExpenseSummaryEvents |
| Net Income Summary | -36657 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | FUNDRAISING EVENT | ReturnReference |
| Explanation | SENIOR CARE COMMUNITIES, INC. ANNUAL GOLF TOURNAMENT INCLUDES A SILENT AUCTION. THE 2012 SILENT AUCTION INCLUDED 10 ITEMS WITH A TOTAL FAIR MARKET VALUE OF APPROXIMATELY $2,258. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 18 | NumberOfRecipients |
| Amount Of Cash Grant | 29354 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: EMPLOYEE SCHOLARSHIPS AND GRANTS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION UPON RECEIPT OF A LETTER OF ACCEPTANCE OR AN INVOICE. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CITY OF MINNEAPOLIS | ||||||||
| A | 416005375 | 60374EAU5 | 2007-08-08 | 23845000 | ACQUISITION OF PROPERTY | 0 | 0 | 0 |
| WASHINGTON COUNTY HRA | ||||||||
| B | 411408079 | 93779TAK6 | 2007-04-30 | 40055000 | ACQUISITION OF PROPERTY | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 2120000 | 23780620 | 1648916 | 450613 | 589047 | 2008 | 1 | 0 | 1 | 1 | |
| B | 10000 | 40030978 | 2606151 | 801100 | 2009 | 0 | 0 | 1 | 1 | 36623727 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 1 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K PART IV, ARBITRAGE, LINE 2C | Identifier |
| Return Reference | DATE REBATE COMPUTATION PERFORMED | ReturnReference |
| Explanation | ISSUER NAME: WASHINGTON COUNTY HRA DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2011 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TWSL LLC | |||
| DAUGHTER OF FORMER BOARD MEMBER OWNS 50% OF TWSL, LLC | 694200 | LOAN TO CONSTRUCT THE WATERS OF MINNEHAHA TO SHELTER CORP | 0 |
| TWSL LLC | |||
| DAUGHTER OF FORMER BOARD MEMBER OWNS 50% OF TWSL, LLC | 40000 | SCC 10% OWNERSHIP IN WATERS OF PLYMOUTH | 0 |
| TWSL LLC | |||
| DAUGHTER OF FORMER BOARD MEMBER OWNS 50% OF TWSL, LLC | 2674661 | PERSONNEL/MANAGEMENT SERVICES | 0 |
| GREGORY H BROWN | |||
| PRESIDENT OF TWSL, LLC, MANAGEMENT AGENT FOR SCC | 694200 | LENT FUNDS TO TWO COMPANIES WHICH ARE RELATED TO THE CONTRACTED MANAGEMENT COMPANY, TWSL, LLC. THE RELATED COMPANIES ARE BSHG HOLDINGS, LLC AND SHELTER HOLDINGS, LLC. THE LOAN FUNDS WERE USED TO CREATE AND CONSTRUCT A NEW SENIOR LIVING CAMPUS NEXT TO A FACILITY OWNED BY SENIOR CARE COMMUNITIES. AS PART OF THE LOAN AGREEMENT, SENIOR CARE COMMUNITIES HAS AN OPTION TO ACQUIRE PARTIAL OWNERSHIP IN THE NEW SENIOR LIVING CAMPUS AT A FUTURE DATE. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | SENIOR CARE COMMUNITIES DELEGATED CONTROL OVER MANAGEMENT DUTIES TO TWSL, LLC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM WILL BE SENT OUT ELECTRONICALLY TO ALL BOARD MEMBERS WHO WILL REVIEW AND APPROVE THE FORM VIA ELECTRONIC VOTING PROCESS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | SR. CARE COMMUNITIES APPROVED THE FOLLOWING CONFLICT OF INTEREST POLICY ON 5/7/2009. THE FOLLOWING PERSONS ARE "KEY PERSONS" FOR PURPOSES OF THE CONFLICT OF INTEREST POLICY: A MEMBER OF THE BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE WITH POWERS DELEGATED BY THE BOARD OF DIRECTORS, AN OFFICER OF THE CORPORATION, A FAMILY MEMBER DEFINED AS A SPOUSE, PARENT, CHILD, SIBLING, OR SPOUSE OF A SIBLING. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. ONCE A POTENTIAL CONFLICT OF INTEREST HAS BEEN DISCLOSED: THE KEY PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH THE TRANSACTION WILL BE DISCUSSED, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, OBTAIN AND RELY ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DECISION WHETHER OR NOT TO PARTICIPATE IN THE PROPOSED TRANSACTION OR ARRANGEMENT. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL USE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. AFTER CONSIDERATION, THE BOARD OR COMMITTEE MAY DETERMINE THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF SO, THE BOARD OR COMMITTEE MAY DECIDE, BY A MAJORITY VOTE, TO ENTER INTO A TRANSACTION INVOLVING A CONFLICT OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE OFFICERS RECEIVE MINIMAL COMPENSATION FOR THEIR SERVICES TO SENIOR CARE COMMUNITIES, INC. DETERMINATION OF THEIR COMPENSATION IS BASED ON THE AMOUNT OF TIME DEDICATED TO THE ORGANIZATION IN THE PRIOR YEAR AND INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THIS PROCESS WAS LAST UNDERTAKEN FOR ALL OFFICERS IN 2012. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE 990 IS AVAILABLE UPON REQUEST OR AT WWW2.GUIDESTAR.ORG WHILE OTHER DOCUMENTS ARE ONLY AVAILABLE UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 8,375,106. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,375,106. REGISTRY: PROGRAM SERVICE EXPENSES 25,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,748. LAUNDRY: PROGRAM SERVICE EXPENSES 214,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,998. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | TEMPORARILY RESTRICTED NET ASSETS 34,885. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SENIOR CARE PROVIDENCE LLC | |||||||||
| 3720 23RD AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 260429826 | SKILLED NURSING | DE | 16709099 | 20965105 | SENIOR CARE COMMUNITIES INC |
| SENIOR CARE FOREST LAKE LLC | |||||||||
| 604 NE FIRST STREET | FOREST LAKE | MN | 55025 | 208316264 | SKILLED NURSING AND ASSISTED LIVING | DE | 9727597 | 11868063 | SENIOR CARE COMMUNITIES INC |
| SENIOR CARE WOODBURY LLC | |||||||||
| 7012 LAKE DRIVE | WOODBURY | MN | 55125 | 208316216 | SKILLED NURSING AND ASSISTED LIVING | DE | 20289077 | 30019222 | SENIOR CARE COMMUNITIES INC |
| COLONY AT EDEN PRAIRIE | |||||||||
| 431 PRAIRIE CENTER DRIVE | EDEN PRAIRIE | MN | 55344 | 453994926 | SKILLED NURSING AND ASSISTED LIVING | DE | 3540173 | 1206570 | SENIOR CARE COMMUNITIES INC |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SE ROLLING HILLS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 ST ANTHONY AVENUE SUITE 825 | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 412001733 | EIN |
| Primary Activity | SENIOR HOUSING | PrimaryActivity |
| Legal Domicile State | DE | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SENIOR CARE COMMUNITIES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 3326453 | ShareOfTotalIncome |
| Share Of EOY Assets | 12389025 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.65000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SE ROLLING HILLS LLC | ||
| S | 337762 | COST |
| SE ROLLING HILLS LLC | ||
| J | 468808 | COST |