FURP.ORG / PUBLIC DATA EXPLORER

STEWARTVILLE NURSING HOME INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
STEWARTVILLE NURSING HOME INC (EIN 41-0959382)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-07-29
IRS object ID
202412119349301506
Schema version
2022v5.0
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)
Return2024-07-29T17:50:11-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12689 COMMERCE DRIVE NW SUITE 201AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410959382EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEWARTVILLE NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTEWBusinessNameControlTxt
Phone5075334288PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FOURTH STREET NEAddressLine1Txt
CitySTEWARTVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55976ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER NOGOSEKPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone5075334288PhoneNum
Signature2024-07-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHERINE LUTZKE CPAPreparerPersonNm
PTINP01760889PTIN
Phone5072802300PhoneNum
Preparation2024-07-25PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER NOGOSEKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FOURTH STREET NEAddressLine1Txt
CitySTEWARTVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55976ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,859,227GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STEWARTVILLECARECENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionPROVIDE NURSING HOME CARE & SENIOR HOUSING SERVICES TO THE ELDERLY OF STEWARTVILLE, MNActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee94TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$280,157PYContributionsGrantsAmt
CY Contributions Grants$42,596CYContributionsGrantsAmt
PY Program Service Revenue$6,241,827PYProgramServiceRevenueAmt
CY Program Service Revenue$6,815,792CYProgramServiceRevenueAmt
PY Investment Income$283PYInvestmentIncomeAmt
CY Investment Income$839CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,522,267PYTotalRevenueAmt
CY Total Revenue$6,859,227CYTotalRevenueAmt
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$3,593,052PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,376,660CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,686,324PYOtherExpensesAmt
CY Other Expenses$3,038,517CYOtherExpensesAmt
PY Total Expenses$6,279,376PYTotalExpensesAmt
CY Total Expenses$6,415,177CYTotalExpensesAmt
PY Revenues Less Expenses$242,891PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$444,050CYRevenuesLessExpensesAmt
Total Assets BOY$3,060,059TotalAssetsBOYAmt
Total Assets EOY$3,268,605TotalAssetsEOYAmt
Total Liabilities BOY$1,773,461TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,537,957TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,286,598NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,730,648NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE NURSING HOME CARE AND SENIOR INDEPENDENT HOUSING SERVICES TO THE ELDERLY OF STEWARTVILLE, MN AND THE SURROUNDING AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,583,070ExpenseAmt
Grant$0GrantAmt
Revenue$6,815,792RevenueAmt
DescSTEWARTVILLE NURSING HOME, INC. (ORGANIZATION) OPERATES STEWARTVILLE CARE CENTER, STEWARTVILLA SENIOR HOUSING, ROOT RIVER ESTATES, SENIOR VAN SERVICES, AND GARDEN COTTAGES. THESE ENTITIES PROVIDE SERVICES TO THE ELDERLY THROUGH THE OPERATION OF AN 85-BED LICENSED NURSING HOME (58 BEDS ACTIVE), SENIOR HOUSING, ASSISTED LIVING UNITS AND VAN SERVICES, ALL LOCATED IN STEWARTVILLE, MINNESOTA. THE MARKET FOR THE ORGANIZATION'S SERVICES IS LIMITED TO SOUTHEASTERN MINNESOTA. BY ITS NATURE, THE ORGANIZATION'S OPERATIONS AND LABOR INTENSIVE. THE ORGANIZATION'S SOURCE OF LABOR IS ALSO GENERALLY LIMITED TO THE SOUTHEASTERN MINNESOTA MARKET.Desc
Total Program Service Expenses$5,583,070TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
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 StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Bonds0TaxExemptBondsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee94EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER NOGOSEKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5075334288PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 4TH ST NEAddressLine1Txt
CitySTEWARTVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55976ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JARETT JONES
PRESIDENT0.50Yes (X)Yes (X)$0$0$0
MARGARET NELSON
VICE PRESIDENT0.50Yes (X)Yes (X)$0$0$0
CONNIE GRISIM
SECRETARY0.50Yes (X)Yes (X)$0$0$0
DAVID THOMPSON
DIRECTOR0.50Yes (X)$0$0$0
BRUCE TRULSON
DIRECTOR0.50Yes (X)$0$0$0
LAURA NORDSTROM
DIRECTOR0.50Yes (X)$0$0$0
DICK UPTAGRAFFT
DIRECTOR0.50Yes (X)$0$0$0
EUGENE GUSTASON
ADMINISTRATOR40.00Yes (X)$139,296$0$12,000
JENNIFER NOGOSEK
DIRECTOR OF NURSING/ADMINISTRATOR40.00$105,760$0$7,250Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$245,056TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$19,250TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHCARE SERVICES GROUP
PO BOX 829677PHILADELPHIAPA19020DIETARY SERVICES$546,292
AEGIS THERAPIES
PO BOX 936653ATLANTAGA31193PT, OT, ST THERAPY SERVICES$258,222
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$41,025GovernmentGrantsAmt
All Other Contributions$1,571AllOtherContributionsAmt
Total Contributions$42,596TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT REVENUE623000$6,237,774$6,237,774
APARTMENT REVENUE623000$576,119$576,119
OTHER SERVICE REVENUE623000$1,899$1,899
FieldValueIRS element (for citing)
Total Program Service Revenue$6,815,792TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$839TotalRevenueColumnAmt
Exclusion$839ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,859,227TotalRevenueColumnAmt
Related Or Exempt Func Income$6,815,792RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$839ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$94,056TotalAmt
Management And General$94,056ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,761,570TotalAmt
Program Services$2,495,731ProgramServicesAmt
Management And General$265,839ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,155TotalAmt
Program Services$16,792ProgramServicesAmt
Management And General$2,363ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$276,822TotalAmt
Program Services$242,607ProgramServicesAmt
Management And General$34,215ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$225,057TotalAmt
Program Services$197,240ProgramServicesAmt
Management And General$27,817ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,978TotalAmt
Management And General$9,978ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,672TotalAmt
Management And General$48,672ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,037,826TotalAmt
Program Services$1,026,537ProgramServicesAmt
Management And General$11,289ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,452TotalAmt
Management And General$6,452ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,422TotalAmt
Program Services$8,422ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$258,192TotalAmt
Program Services$258,192ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$8,116TotalAmt
Management And General$8,116ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$45,732TotalAmt
Program Services$45,732ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$370,331TotalAmt
Program Services$370,331ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$82,592TotalAmt
Management And General$82,592ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS EXPENSE$456,762$355,052$101,710
FOOD AND SUPPLIES$242,841$222,415$20,426
MAINTENANCE AND REPAIRS$209,431$209,431
UTILITIES$134,588$134,588

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$118,582TotalAmt
Management And General$118,582ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,415,177TotalAmt
Program Services$5,583,070ProgramServicesAmt
Management And General$832,107ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$241,671BOYAmt
EOY$638,685EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,145BOYAmt
EOY$28,387EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$631,887BOYAmt
EOY$647,464EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,738BOYAmt
EOY$19,350EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,654,060LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,978,005LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,910,987BOYAmt
EOY$1,676,055EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$215,631BOYAmt
EOY$258,664EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,060,059BOYAmt
EOY$3,268,605EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$457,134BOYAmt
EOY$368,167EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$187,959EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,259,673BOYAmt
EOY$741,096EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,654BOYAmt
EOY$240,735EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,773,461BOYAmt
EOY$1,537,957EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,286,598BOYAmt
EOY$1,730,648EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,286,598BOYAmt
EOY$1,730,648EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,060,059BOYAmt
EOY$3,268,605EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$444,050ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$7,426CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,003,189CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$280,157CurrentTaxYearMinus1YearAmt
Current Tax Year$42,596CurrentTaxYearAmt
Total$1,336,033TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,716,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,133,142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,678,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,241,827CurrentTaxYearMinus1YearAmt
Current Tax Year$6,815,792CurrentTaxYearAmt
Total$31,585,846TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,724,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,135,807CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,681,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,521,984CurrentTaxYearMinus1YearAmt
Current Tax Year$6,858,388CurrentTaxYearAmt
Total$32,921,879TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$32,921,879PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283CurrentTaxYearMinus1YearAmt
Current Tax Year$839CurrentTaxYearAmt
Total$12,010TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283CurrentTaxYearMinus1YearAmt
Current Tax Year$839CurrentTaxYearAmt
Total$12,010TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,767CurrentTaxYearMinus4YearsAmt
Total$101,767TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,827,928CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,141,576CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,684,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,522,267CurrentTaxYearMinus1YearAmt
Current Tax Year$6,859,227CurrentTaxYearAmt
Total$33,035,656TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99660PublicSupportCY509Pct
Public Support PY5090.99240PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,354OtherCostOrOtherBasisAmt
Book Value$58,354BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,580,557OtherCostOrOtherBasisAmt
Depreciation$5,837,552DepreciationAmt
Book Value$743,005BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,014,116OtherCostOrOtherBasisAmt
Depreciation$3,312,841DepreciationAmt
Book Value$701,275BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,543,532OtherCostOrOtherBasisAmt
Depreciation$1,405,043DepreciationAmt
Book Value$138,489BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$457,501OtherCostOrOtherBasisAmt
Depreciation$422,569DepreciationAmt
Book Value$34,932BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,676,055TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
TENANT SECURITY DEPOSITS$62,086
RESIDENTS' TRUST AGREEMENT$12,093
FAMILY COUNCIL FUND$2,481
LEASE AGREEMENT - BOND FUNDS$168,724
ROU ASSETS$13,280
FieldValueIRS element (for citing)
Total Book Value Other Assets$258,664TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
FAMILY COUNCIL FUNDS$2,475
RESIDENTS' TRUST FUNDS$12,093
TENANTS' SECURITY DEPOSITS$56,442
LEASE LIABILITY$169,725
FieldValueIRS element (for citing)
Total Liability$240,735TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,775,170TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,775,170RevenueSubtotalAmt
Other Revenues Not Included$84,057OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$84,057RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,859,227TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,331,120TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,331,120ExpensesSubtotalAmt
Other Expenses Not Included$84,057OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$84,057ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,415,177TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER CODE SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NETTED WITH REVENUES 84,057.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REVENUES NETTED WITH EXPENSES 84,057.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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

FieldValueIRS element (for citing)
PersonEUGENE GUSTASONPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$139,296BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$12,000DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$151,296TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ADMINISTRATOR, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE ADMINISTRATOR'S REVIEW, A COPY OF THE 990 WAS APPROVED BY THE BOARD PRIOR TO SUBMITTAL TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES ANNUALLY COMPLETE A SURVEY RELATED TO BUSINESS RELATIONSHIPS AND FAMILY MEMBERS THAT COULD, OR DO, CREATE A CONFLICT OF INTEREST. THESE ARE SUMMARIZED AND FILED ALONG WITH BOARD MEETING MINUTES. CONFLICTS OF INTEREST ARE DETERMINED BY A REVIEW OF THE POTENTIAL CONFLICTS BY THE ADMINISTRATOR AND BOARD OF DIRECTORS. IF A CONFLICT EXISTS, THEN THE CONFLICTED BOARD MEMBER OF KEY EMPLOYEE IS EXCLUDED FROM DISCUSSIONS AND VOTES RELATED TO ANY POTENTIAL OR EXISTING RELATIONSHIPS INVOLVING THE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE PROCESS USED TO SET THE ADMINISTRATOR'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF OUR TRADE ORGANIZATION'S ANNUAL COMPENSATION SURVEY AND ATTAINMENT IN THE CURRENT YEAR OF PREDEFINED PERFORMANCE OBJECTIVES SET FOR THE ADMINISTRATOR PERSONALLY AND THE ORGANIZATION. ALSO, THE STATE OF MINNESOTA HAS IN MOST YEARS DETERMINED AN AMOUNT OF PAY INCREASE, IF ANY, THAT CAN BE GIVEN TO EMPLOYEES AND WE HAVE ALSO CONSIDERED THIS AMOUNT IN DETERMINING TOP MANAGEMENT COMPENSATION. THIS PROCESS IS PERFORMED BY THE BOARD AND DOCUMENTED IN THE PRIVATE BOARD MINUTES & EMPLOYEE PERSONNEL FILE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED NURSING: PROGRAM SERVICE EXPENSES 249,504. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,504. CONSULTING: PROGRAM SERVICE EXPENSES 26,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,938. DIETICIAN CONSULTANT: PROGRAM SERVICE EXPENSES 3,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,870. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 746,225. MANAGEMENT AND GENERAL EXPENSES 11,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 757,514.