2023-11-09T16:18:52-07:00 2022-12-31 990 2022-01-01 411806946 CASSIA SERVICES CASS 9528555000 7171 OHMS LANE EDINA MN 55439 KATHY YOUNGQUIST CFO 9528555000 2023-11-09 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z ROBERT DAHL 7171 OHMS LANE EDINA MN 55439 31103143 0 X WWW.CASSIALIFE.ORG X 1995 MN TO PROVIDE MANAGEMENT SERVICES TO AUGUSTANA CARE AND ELIM CARE AND THEIR AFFILIATES. 6 6 276 6 837362 0 0 1729424 14501764 14685068 8840 36714 5392614 6344185 19903218 22795391 0 479295 0 0 15765082 15481608 0 0 0 5607667 5421494 21372749 21382397 -1469531 1412994 26164936 23082933 25851822 21475226 313114 1607707 TO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS IN THE SPIRIT OF CHRIST'S LOVE. 0 0 16620118 479295 13847706 MANAGEMENT SERVICES: CASSIA SERVICES PROVIDES MANAGEMENT AND SUPPORT TO AUGUSTANA CARE AND ELIM CARE INC. AND THEIR AFFILIATES AND PARTIALLY OWNED COMPANIES. THESE SERVICES INCLUDE OPERATIONAL OVERSIGHT, HUMAN RESOURCES, FINANCIAL ACCOUNTING, INFORMATION TECHNOLOGY, CLINICAL AND DIETARY CONSULTATION, FUNDRAISING, NEW BUSINESS DEVELOPMENT, LONG RANGE STRATEGIC PLANNING, AND MARKETING AND PROMOTION FOR ALL AUGUSTANA CARE AND ELIM CARE INC. AFFILIATED ENTITIES. DURING THE PERIOD ENDING DECEMBER 31, 2022, THESE AFFILIATED ENTITIES SERVED MORE THAN 23,525 OLDER ADULTS AND OTHERS IN NEED THROUGH LONG-TERM AND TRANSITIONAL HEALTH CARE, THERAPY SERVICES, SENIOR HOUSING, ADULT DAY PROGRAMS, AND OTHER COMMUNITY-BASED SERVICES IN MINNESOTA, COLORADO, IOWA, FLORIDA AND NORTH DAKOTA. 4762279 0 6153860 PHARMACY SERVICES: A&E PHARMACY, A NONPROFIT LIMITED LIABILITY COMPANY, WAS FORMED IN FY 2018 TO PROVIDE PHARMACY AND CONSULTING SERVICES TO AUGUSTANA CARE AND ELIM CARE INC.'S RELATED NURSING FACILITIES, ASSISTED LIVING FACILITIES, MEMORY CARE FACILITIES, AND HOME AND COMMUNITY-BASED PROGRAMS. THE PHARMACY ALSO PROVIDES SERVICES TO UNRELATED COMPANIES MANAGED BY AN AFFILIATE OF CASSIA SERVICES. DURING THE PERIOD ENDING DECEMBER 31, 2022, THE PHARMACY SERVED PATIENTS IN 33 RELATED FACILITIES AND 6 UNRELATED MANAGED FACILITIES MANAGED BY AN AFFILIATE OF CASSIA SERVICES. 0 0 0 21382397 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 50 0 1 276 1 1 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X KATHY YOUNGQUIST 9528555000 7171 OHMS LANE EDINA MN 55439 ROBERT DAHL PRESIDENT/CEO 1.51 38.49 X 602456 0 87428 KATHY YOUNGQUIST CHIEF FINANCIAL OFFICER 1.51 38.49 X 462088 0 70621 KATHY KOPP CHIEF STRATEGIC OFFICER 0 40 X 320482 0 76596 MATTHEW KERN CHIEF OPERATING OFFICER 1.51 38.49 X 317298 0 72793 SHARON WILSON CHIEF CLINICAL AND COMPLIANCE OFFICER 1.51 38.49 X 245326 0 42846 ANGELA BROWN CHIEF HUMAN RESOURCE OFFICER 1.51 38.49 X 234321 0 44974 DAVID SAEMROW VP OF MARKETING 1.51 38.49 X 225977 0 31166 PAUL LIBBON VP OF OPERATIONS 0 40 X 224588 0 13352 JEFFREY WIPF VP OF INFORMATION TECHNOLOGY 1.51 38.49 X 178387 0 55590 TODD LUNDEEN INTERIM ADMINISTRTOR 0 40 X 233055 0 50 MARY YAEGER REGIONAL DIRECTOR 0 40 X 194998 0 32756 GARY WILKERSON DIRECTOR 0.25 0.25 X 0 0 0 NIKKI WEBER DANIELS CHAIR 0.25 0.25 X X 0 0 0 CHARLES PARKS VICE CHAIR 0.25 0.25 X X 0 0 0 PAUL ANDERSON DIRECTOR 0.25 0.25 X 0 0 0 PAT NUSS DIRECTOR 0.25 0.25 X 0 0 0 TIM KUCK SECRETARY 0.25 0.25 X X 0 0 0 3238976 0 528172 47 0 1 0 PROCARE HR CORPORATION III 401 N 3RD ST SUITE 600 MINNEAPOLIS MN 55401 EMPLOYEE HIRING AND TRAINNING 1852242 WORLDWIDE HEALTHSTAFF ASSOCIATIONS 9101 KINGS PARADE BLVD SUITE 100 CHARLOTTE NC 28273 INTERNATIONAL NURSE RECRUITMENT 926000 INTEGRATED PHARMACY SOLUTIONS LLC POB 32441 FRIDLEY MN 55432 PHARMACY CONSULTING MANAGEMENT SERVICES 728302 CLIFTONLARSONALLEN LLP 220 SOUTH 6TH ST UNIT 300 MINNEAPOLIS MN 55402 AUDIT AND CONSULTING 393998 MAP TRANSPORTATION 2582 LONG LAKE RD ROSEVILLE MN 55113 TRANSPORTATION SERVICES 261869 15 0 0 0 1729424 0 0 0 1729424 CENTRAL OFFICE FEE 561000 13394907 13394907 0 0 MANAGEMENT FEE 561000 1290161 452799 837362 0 0 0 0 0 14685068 8116 0 0 8116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60403 0 31805 0 28598 28598 0 0 28598 0 14429807 8275947 6153860 6153860 0 0 EMPLOYEE WELLNESS SUPPORT FROM HEALHT INSURANCE COMPANY AND GARNISHMENT PROCESS FEES 900099 190325 0 0 190325 0 0 0 0 190325 22795391 20001566 837362 227039 X 479295 479295 0 0 0 0 0 0 2577229 2577229 0 0 0 0 0 0 10758979 10758979 0 0 540199 540199 0 0 415442 415442 0 0 1189759 1189759 0 0 0 0 0 0 29139 29139 0 0 18845 18845 0 0 0 0 0 0 0 0 946 946 0 0 1822492 1822492 0 0 7445 7445 0 0 683208 683208 0 0 0 0 0 0 0 0 0 0 229501 229501 0 0 345896 345896 0 0 0 0 0 0 34900 34900 0 0 371126 371126 0 0 0 0 0 0 1152318 1152318 0 0 107641 107641 0 0 INCOME TAXES 5303 5303 0 0 MISCELLANEOUS 212761 212761 0 0 BAD DEBT EXPENSE 59956 59956 0 0 LICENSE AND PERMITS 68186 68186 0 0 271831 271831 0 0 21382397 21382397 0 0 3190265 3961548 1444822 2191460 1377258 794157 891476 1606272 14351400 6323760 9011356 8027640 10249759 6501856 26164936 23082933 4760511 5733400 6527438 6357290 1204375 1356732 13359498 8027804 25851822 21475226 X 313114 1607707 0 0 313114 1607707 26164936 23082933 X 1412994 -143152 0 0 0 24751 X 0 1 X 1 1 1 X X 2 AUGUSTANA CARE 411728753 7 1 6797233 0 ELIM CARE INC 411694818 7 1 6561674 0 2 13358907 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1337225 1337225 0 5478220 1028631 4449589 0 125521 25493 100028 0 7410434 5269636 2140798 0 0 0 0 8027640 DUE FROM ALLIIATES 4378325 457 (F) DEFERRED COMP 683058 RIGHT OF USE OPERATING LEASE 1010112 BOND SERVICE FUND 228704 BOND RESERVE FUND 201657 6501856 0 Due to Affiliates 6324492 Deferred Compensation 679072 Operating Lease Liability 1024240 8027804 X Schedule D, Part X, Line 2 AUGUSTANA CARE/ELIM CARE, INC. 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 EVALUATION 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/ELIM CARE, INC. 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. 1 NEWTON VILLAGE INC 7171 OHMS LANE EDINA MN 55439 200044030 501(C)(3) 309000 0 TRANSFER TO AFFILIATE COUNTRY MEADOWS OF MILACA INC 7171 OHMS LANE EDINA MN 55439 201723948 501(C)(3) 48000 0 TRANFER TO AFFILIATE ELIM SHORES INC 7171 OHMS LANE EDINA MN 55439 411625095 501(C)(3) 118000 0 TRANSFER TO AFFILIATE 3 0 Schedule I, Part I, Line 2 CASSIA ENSURED THAT TRANSFERRED FUNDS WERE USED APPROPRIATELY THROUGH COMMON MANAGEMENT AND BOARD OVERSIGHT BETWEEN THE ORGANIZATIONS. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 ROBERT DAHL PRESIDENT/CEO 546533 0 49716 0 6207 0 67622 0 19807 0 689885 0 49716 0 KATHY YOUNGQUIST CHIEF FINANCIAL OFFICER 327536 0 0 0 134552 0 45601 0 25020 0 532709 0 131952 0 MATTHEW KERN CHIEF OPERATING OFFICER 313032 0 0 0 4266 0 44525 0 28268 0 390091 0 0 0 KATHY KOPP CHIEF STRATEGIC OFFICER 257664 0 0 0 62818 0 50298 0 26298 0 397078 0 59672 0 SHARON WILSON CHIEF CLINICAL AND COMPLIANCE OFFICER 212660 0 19955 0 12711 0 30259 0 12588 0 288173 0 19955 0 ANGELA BROWN CHIEF HUMAN RESOURCE OFFICER 214699 0 0 0 19622 0 20586 0 24388 0 279295 0 18282 0 TODD LUNDEEN INTERIM ADMINISTRTOR 98346 0 0 0 134709 0 50 0 0 0 233105 0 0 0 DAVID SAEMROW VP OF MARKETING 181959 0 0 0 44018 0 19003 0 12163 0 257143 0 41988 0 PAUL LIBBON VP OF OPERATIONS 207623 0 0 0 16965 0 12297 0 1055 0 237940 0 0 0 MARY YAEGER REGIONAL DIRECTOR 189365 0 0 0 5633 0 7891 0 24865 0 227754 0 0 0 JEFFREY WIPF VP OF INFORMATION TECHNOLOGY 176357 0 0 0 2030 0 26310 0 29281 0 233978 0 0 0 Schedule J, Part I, Line 1a CASSIA 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 3 THE 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 4 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY CASSIA SERVICES: KATHY KOPP, CSO - $13,263 KATHY YOUNGQUIST, CFO - $33,401 MATTHEW KERN, COO - $32,325 ANGELA BROWN, CHRO - $11,030. THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY: TODD LUNDEEN, INTERIM ADMINISTRATOR - $134,659. Schedule J, Part I, Line 6 OFFICERS 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. A CITY OF MILACA MINNESOTA 416005370 2019-02-21 7000000 PURCHASE OF NEW OFFICE BUILDING 0 0 0 A 435000 0 7000000 0 0 0 140000 0 0 6615000 245000 0 2019 0 0 1 1 A 0 0 0 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF THE ORGANIZATION IS CASSIA Form 990, Part VI, Section A, Line 7a THE ORGANIZATIONS BOARD OF DIRECTORS ARE APPOINTED BY A MAJORITY VOTE FROM THE BOARD OF DIRECTORS OF THE SOLE MEMBER, CASSIA, AT THE ANNUAL MEETINGS. Form 990, Part VI, Section A, Line 7b DECISIONS OF THE CASSIA SERVICES BOARD ARE SUBJECT TO APPROVAL BY THE CASSIA BOARD (PARENT COMPANY). Form 990, Part VI, Section B, Line 11b THE 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 12c THE 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 15 THE CASSIA 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 CASSIA COMPENSATION COMMITTEE USES THIS INFORMATION TO MAKE A RECOMMENDATION TO THE CASSIA BOARD OF DIRECTORS. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g THE OTHER FEE FOR SERVICES INCLUDES BOTH CONTRACTED AND CONSULTING SERVICES. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS WERE AS FOLLOWS:$24,750 CONTRIBUTION FROM AN UNRELATED PARTY WHO OWNS 45% OF A JOINT-OWNED COMPANY WITH CASSIA SERVICES, WHICH OWNS 55%. A&E PHARMACY LLC 1265 GREY FOX ROAD SUITE 300 ARDEN HILLS MN 55112 824736177 PHARMACY SERVICES MN 14439447 4450696 CASSIA SERVICES A&E CARE PROPERTIES LLC 7171 OHMS LANE EDINA MN 55439 832946271 REAL ESTATE HOLDINGS MN 7081 7086500 CASSIA SERVICES NEXTGEN PHARM LLC 7171 OHMS LN EDINA MN 55439 883718118 PHARMACY MANAGEMENT SERVICES MN 0 54831 CASSIA SERVICES CASSIA 7171 OHMS LANE EDINA MN 55439 831758728 PARENT CO/FUND RAISING MN 501(C)(3) 7 N/A 0 ELIM CARE INC 7171 OHMS LANE EDINA MN 55439 411694818 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 CASSIA 0 AUGUSTANA CARE 7171 OHMS LANE EDINA MN 55439 411728753 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 7 CASSIA 0 PIONEER HOUSE ASSISTED LIVING INC 7171 OHMS LANE EDINA MN 55439 411927112 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 NEW HARMONY CARE CENTER INC 7171 OHMS LANE EDINA MN 55439 411821882 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 COUNTRY MEADOWS OF MILACA INC 7171 OHMS LANE EDINA MN 55439 201723948 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 LAKE RIDGE CARE CENTER OF BUFFALO INC 7171 OHMS LANE EDINA MN 55439 200507069 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 PARK TERRACE ASSISTED LIVING INC 7171 OHMS LANE EDINA MN 55439 204063752 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 EVANGELICAL RETIREMENT HOMES INC 7171 OHMS LANE EDINA MN 55439 420868449 HEALTH CARE FACILITIES/SERVICES IA 501(C)(3) 10 ELIM CARE INC 0 VILLAGE ASSISTED LIVING INC 7171 OHMS LANE EDINA MN 55439 262086933 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 BAPTIST HOME INC 7171 OHMS LANE EDINA MN 55439 450232943 HEALTH CARE FACILITIES/SERVICES ND 501(C)(3) 10 ELIM CARE INC 0 THE BAPTIST APARTMENTS INC 7171 OHMS LANE EDINA MN 55439 450359794 HEALTH CARE FACILITIES/SERVICES ND 501(C)(3) PF ELIM CARE INC 0 ELIM SHORES INC 7171 OHMS LANE EDINA MN 55439 411625095 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 CORNERSTONE ASSISTED LIVING OF PLYMOUTH INC 7171 OHMS LANE EDINA MN 55439 412013927 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 HAVEN HOMES INC 7171 OHMS LANE EDINA MN 55439 416045816 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 ELIM SENIOR HOUSING INC 7171 OHMS LANE EDINA MN 55439 810754064 HEALTH CARE FACILITIES/SERVICES FL 501(C)(3) 10 ELIM CARE INC 0 NEWTON VILLAGE INC 7171 OHMS LANE EDINA MN 55439 200044030 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 ELIM HOMES INC 7171 OHMS LANE EDINA MN 55439 411539761 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM CARE INC 0 REDEEMER RESIDENCE INC 7171 OHMS LANE EDINA MN 55439 410711597 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM HOMES INC 0 PARK VIEW CARE CENTER 7171 OHMS LANE EDINA MN 55439 410855707 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 ELIM HOMES INC 0 THE PARK LANE APARTMENTS INC 7171 OHMS LANE EDINA MN 55439 410972384 LOW INCOME HOUSING MN 501(C)(3) 10 ELIM CARE INC 0 ELIM CHILDREN'S CENTER INC 7171 OHMS LANE EDINA MN 55439 411974507 CHILD DAYCARE MN 501(C)(3) 10 ELIM CARE INC 0 ELIM CARE FOUNDATION 7171 OHMS LANE EDINA MN 55439 411694817 CHARITABLE FOUNDATION MN 501(C)(3) 12 ELIM CARE INC 0 COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY 7171 OHMS LANE EDINA MN 55439 363546789 CHARITABLE FOUNDATION MN 501(C)(3) PF ELIM CARE INC 0 APPLE VALLEY VILLA APARTMENTS 7171 OHMS LANE EDINA MN 55439 311608691 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 AUGUSTANA CARE FOUNDATION 7171 OHMS LANE EDINA MN 55439 411360678 CHARITABLE FOUNDATION MN 501(C)(3) 12 AUGUSTANA CARE 0 AUGUSTANA CHAPEL VIEW HOMES INC 7171 OHMS LANE EDINA MN 55439 410693953 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 AUGUSTANA COMMUNITY PARTNERS 7171 OHMS LANE EDINA MN 55439 411783680 HOME HEALTH CARE SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY 7171 OHMS LANE EDINA MN 55439 311608696 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 AUGUSTANA HOME OF HASTINGS 7171 OHMS LANE EDINA MN 55439 311572624 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 AUGUSTANA APARTMENTS OF HASTINGS 7171 OHMS LANE EDINA MN 55439 311608701 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 AUGUSTANA CARE 0 BROOKSIDE SENIOR LIVING 7171 OHMS LANE EDINA MN 55439 410871848 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 10 N/A 0 OPEN CIRCLE ADULT DAY CENTER 7171 OHMS LANE EDINA MN 55439 411424801 ADULT DAYCARE MN 501(C)(3) 10 AUGUSTANA CARE 0 ELIM PREFERRED SERVICES INC 7171 Ohms Lane Edina MN 55439 411681856 MEDICAL SALES MN N/A C 0 0 PREFERRED SENIOR SERVICES INC 7171 Ohms Lane Edina MN 55439 411942480 MANAGEMENT SERVICES MN N/A C 0 0 AUGUSTANA SENIOR DEVELOPMENT 7171 Ohms Lane Edina MN 55439 264136110 CONSULTING MN N/A C 0 0 0 1 1 0 1 0 0 1 0 1 0 1 1 1 1 1 1 0 0 AUGUSTANA CARE c 627212 TRANSFER FROM AFFILIATES ELIM CARE INC c 627212 TRANSFER FROM AFFILIATES ELIM CARE FOUNDATION c 475000 TRANSFER FROM AFFILIATES NEWTON VILLAGE INC b 309000 TRANSFER TO AFFLIATES ELIM SHORES INC b 118000 TRANSFER TO AFFILIATES COUNTRY MEADOWS OF MILACA INC b 48000 TRANSFER TO AFFILIATES THE PARK LANE APARTMENTS INC b 4295 TRANSFER TO AFFILIATES We fully intend to file our annual tax return on time, as we have done in previous years. On March 30, 2023, we created an extension request through the Form 990 online software for the 2022 return. Unfortunately, we inadvertently failed to submit the extension request. However, we did manage to file the 990T extension on time. We wrote a letter to the IRS on October 20, 2023, to explain our unintentional mistake and requested that the late fee be waived.