AUGUSTANA CARE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
AUGUSTANA CARE (EIN 41-1728753)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349310080
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)
Return2023-11-13T16:13:57-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411728753EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTANA CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUGUBusinessNameControlTxt
Phone9528555000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHY YOUNGQUISTPersonNm
Person TitleCFOPersonTitleTxt
Phone9528555000PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATHYPersonFirstNm
Person LastYOUNGQUISTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATT WOCKENPreparerPersonNm
PTINP01598291PTIN
Phone6123764500PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT DAHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 OHMS LANEAddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,034,927GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CASSIALIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE, HOUSING AND COMMMUNITY SERVICES FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1835TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$13,884,906TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,237,265PYContributionsGrantsAmt
CY Contributions Grants$1,344,084CYContributionsGrantsAmt
PY Program Service Revenue$54,794,316PYProgramServiceRevenueAmt
CY Program Service Revenue$57,742,855CYProgramServiceRevenueAmt
PY Investment Income$389,936PYInvestmentIncomeAmt
CY Investment Income$195,995CYInvestmentIncomeAmt
PY Other Revenue$546,781PYOtherRevenueAmt
CY Other Revenue$1,343,893CYOtherRevenueAmt
PY Total Revenue$60,968,298PYTotalRevenueAmt
CY Total Revenue$60,626,827CYTotalRevenueAmt
PY Grants And Similar Paid$1,000,924PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,893,810CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,584,019PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,035,025CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$21,011,970PYOtherExpensesAmt
CY Other Expenses$21,364,026CYOtherExpensesAmt
PY Total Expenses$61,596,913PYTotalExpensesAmt
CY Total Expenses$66,292,861CYTotalExpensesAmt
PY Revenues Less Expenses-$628,615PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,666,034CYRevenuesLessExpensesAmt
Total Assets BOY$116,750,556TotalAssetsBOYAmt
Total Assets EOY$112,399,800TotalAssetsEOYAmt
Total Liabilities BOY$105,334,389TotalLiabilitiesBOYAmt
Total Liabilities EOY$106,565,931TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,416,167NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,833,869NetAssetsOrFundBalancesEOYAmt
MissionTO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS IN THE SPIRIT OF CHRIST'S LOVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,425,200ExpenseAmt
Grant$30,015GrantAmt
Revenue$26,128,330RevenueAmt
DescAUGUSTANA CARE WAS ORGANIZED FOR THE PURPOSE OF OPERATING ASSISTED LIVING FACILITIES FOR THE ELDERLY. AUGUSTANA ELK RUN ASSISTED LIVING IS LOCATED IN EVERGREEN, CO AND HAS 62 UNITS. AUGUSTANA REGENT IS LOCATED IN BURNSVILLE, MN AND HAS 148 UNITS. AUGUSTANA OAKVIEW CARE IS LOCATED IN MOOSE LAKE, MN AND HAS 30 UNITS. CASTLE PEAK SENIOR CARE IS LOCATED IN EAGLE, CO AND HAS 20 UNITS. EMERALD CREST ASSISTED LIVING FACILITIES ARE LOCATED IN SHAKOPEE, BURNSVILLE, VICTORIA, AND MINNETONKA, MN AND HAVE 43, 67, 34, AND 39 UNITS RESPECTIVELY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,078,246ExpenseAmt
Grant$3,795GrantAmt
Revenue$17,729,619RevenueAmt
DescAUGUSTANA CARE WAS ORGANIZED FOR THE PURPOSE OF PROVIDING NURSING HOME CARE FOR THE ELDERLY. AUGUSTANA MERCY HEALTH CARE CENTER LOCATED IN MOOSE LAKE, MN HAS 72 BEDS. AUGUSTANA LAKESIDE HEALTH CARE CENTER IS LOCATED IN DASSEL, MN AND HAS 54 BEDS. CASTLE PEAK SENIOR LIVING IS LOCATED IN EAGLE, CO AND HAS 44 BEDS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,630,510ExpenseAmt
Grant$1,860,000GrantAmt
Revenue$0RevenueAmt
DescAUGUSTANA CARE APPLIES ITS EXPERIENCE AND IN-DEPTH KNOWLEDGE OF THE HEALTH CARE FIELD TO PROVIDE MANAGEMENT SERVICES FOR OTHER ORGANIZATIONS. AUGUSTANA CASH MANAGEMENT COMPANY, LLC, MANAGES THE CASH INFLOWS AND OUTFLOWS FOR THE AUGUSTANA CARE SUBSIDIARIES. THE EXPENSES LISTED ABOVE ARE FOR AUGUSTANA SENIOR DEVELOPMENT II, LLC, A BUSINESS UNIT OF AUGUSTANA CARE THROUGH WHICH MANAGEMENT SERVICES ARE PROVIDED TO UNRELATED NOT-FOR-PROFIT AND FOR-PROFIT COMMUNITIES IN MINNESOTA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$55,133,956TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document187IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1835EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROBERT DAHL
PRESIDENT/CEO6.4233.58Yes (X)$0$602,456$87,429
KATHY YOUNGQUIST
CFO6.4233.58Yes (X)$0$462,088$70,621
KATHY KOPP
CSO6.4233.58Yes (X)$0$320,482$76,596
MATTHEW KERN
COO6.4233.58Yes (X)$0$317,298$72,793
SHARON WILSON
CCCO6.4233.58Yes (X)$0$245,326$42,847
ANGELA BROWN
CHRO6.4233.58Yes (X)$0$234,321$44,974
SHELLY CORNISH
ADMINISTRATOR40.000.00$189,657$0$30,089Yes (X)
TESS SMITH
DIRECTOR OF HOUSING43.930.00$142,768$0$27,416Yes (X)
JOHNNA LONG
DIRECTOR OF NURSING38.110.00$120,265$0$15,371Yes (X)
SHAWNA SMITH
ADMINISTRATOR40.000.00$122,860$0$6,082Yes (X)
SAMSON MATOKE
CERTIFIED NURSING ASSISTANT70.400.00$109,794$0$12,156Yes (X)
REV DR GARY WILKERSON
CHAIR0.252.25Yes (X)$0$0$0Yes (X)
TIMOTHY KUCK
VICE CHAIR0.252.50Yes (X)$0$0$0Yes (X)
CHARLES PARKS
SECRETARY0.252.25Yes (X)$0$0$0Yes (X)
ERIK RICK ELLINGSON
TREASURER0.252.25Yes (X)$0$0$0Yes (X)
LARRY KULA
DIRECTOR0.250.50$0$0$0Yes (X)
CINDY MORRIS
DIRECTOR0.250.25$0$0$0Yes (X)
JERRY NYE
DIRECTOR0.253.50$0$0$0Yes (X)
SCOTT RAMSDALE
DIRECTOR0.252.00$0$0$0Yes (X)
MICHELENE VERLAUTZ
DIRECTOR0.250.25$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$685,344TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,181,971TotReportableCompRltdOrgAmt
Total Other Compensation$486,374TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NETWORK THERAPY SERVICES
8120 PENN AVENUE S SUITE 227BLOOMINGTONMN55431THERAPY SERVICES (PT, OT, ST)$4,126,663
CASSIA SERVICES
7171 OHMS LANEEDINAMN55439MANAGEMENT SERVICES$2,593,137
FUSION MEDICAL STAFFING LLC
11808 GRANT STREET SUITE 100OMAHANE68164STAFFING SERVICES$701,399
BEST OPTION MEDICAL STAFFING
8500 NORMANDALE LAKE BLVDBLOOMINGTONMN55437STAFFING SERVICES$436,771
AEGIS THERAPIES INC
PO BOX 936653ATLANTAGA55437STAFFING SERVICES$369,668
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Related Organizations$412,183RelatedOrganizationsAmt
Government Grants$931,901GovernmentGrantsAmt
Total Contributions$1,344,084TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ASSISTED LIVING623000$26,128,330$26,128,330
NURSING623000$17,729,619$17,729,619
PAYROLL541200$11,571,353$11,571,353
CONSULTING541610$2,313,553$2,313,553
FieldValueIRS element (for citing)
Total Program Service Revenue$57,742,855TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$196,278TotalRevenueColumnAmt
Exclusion$196,278ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$177,352RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$407,817RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$230,465RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$230,465TotalRevenueColumnAmt
Exclusion-$230,465ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$283SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$283SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$283TotalRevenueColumnAmt
Exclusion-$283ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,390GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,390TotalRevenueColumnAmt
Exclusion$2,390ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DIETARY INCOME722210$929,086$929,086
MISCELLANEOUS REVENUE900099$304,184$304,184
GAIN ON INVESTMENT IN BUSINESS VE900003$218,457$218,457

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,241TotalRevenueColumnAmt
Exclusion$120,241ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,571,968OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,626,827TotalRevenueColumnAmt
Related Or Exempt Func Income$43,857,949RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$13,884,906UnrelatedBusinessRevenueAmt
Exclusion$1,539,888ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,860,000TotalAmt
Program Services$1,860,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$33,810TotalAmt
Program Services$33,810ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$37,165,496TotalAmt
Program Services$32,419,510ProgramServicesAmt
Management And General$4,745,986ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$311,541TotalAmt
Program Services$271,758ProgramServicesAmt
Management And General$39,783ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,702,327TotalAmt
Program Services$3,229,545ProgramServicesAmt
Management And General$472,782ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,855,661TotalAmt
Program Services$1,618,695ProgramServicesAmt
Management And General$236,966ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,593,137TotalAmt
Management And General$2,593,137ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,129TotalAmt
Management And General$45,129ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,080TotalAmt
Management And General$86,080ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,944TotalAmt
Management And General$4,944ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,189,033TotalAmt
Program Services$4,022,975ProgramServicesAmt
Management And General$166,058ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$347,634TotalAmt
Management And General$347,634ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$741,584TotalAmt
Program Services$350,560ProgramServicesAmt
Management And General$391,024ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$350,767TotalAmt
Program Services$36,224ProgramServicesAmt
Management And General$314,543ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,717,504TotalAmt
Program Services$1,545,754ProgramServicesAmt
Management And General$171,750ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$98,028TotalAmt
Program Services$12,212ProgramServicesAmt
Management And General$85,816ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$101,844TotalAmt
Management And General$101,844ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,307,480TotalAmt
Program Services$2,076,732ProgramServicesAmt
Management And General$230,748ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,517,446TotalAmt
Program Services$3,165,701ProgramServicesAmt
Management And General$351,745ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$520,240TotalAmt
Program Services$468,216ProgramServicesAmt
Management And General$52,024ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING SUPPLIES$1,915,554$1,753,703$161,851
DIETARY EXPENSES$1,672,710$1,672,710
MISCELLANEOUS$580,159$241,161$338,998
LICENSES, PERMITS, FEES$354,690$354,690

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$220,063TotalAmt
Management And General$220,063ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$66,292,861TotalAmt
Program Services$55,133,956ProgramServicesAmt
Management And General$11,158,905ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,486,468BOYAmt
EOY$7,228,879EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,309,344BOYAmt
EOY$560,429EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$150,550BOYAmt
EOY$426,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,513,314BOYAmt
EOY$4,954,288EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$550,000BOYAmt
EOY$450,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$162,383BOYAmt
EOY$39,262EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$108,753,658LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,011,614LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,981,436BOYAmt
EOY$68,742,044EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,603,266BOYAmt
EOY$1,603,266EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,668,955BOYAmt
EOY$1,704,316EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,324,840BOYAmt
EOY$26,690,674EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$116,750,556BOYAmt
EOY$112,399,800EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,183,093BOYAmt
EOY$5,573,069EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$166,818BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,462,051BOYAmt
EOY$48,282,908EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$400,759BOYAmt
EOY$399,485EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$41,603,639BOYAmt
EOY$15,408,989EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,518,029BOYAmt
EOY$36,901,480EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,334,389BOYAmt
EOY$106,565,931EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,042,934BOYAmt
EOY$5,582,963EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$373,233BOYAmt
EOY$250,906EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,416,167BOYAmt
EOY$5,833,869EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$116,750,556BOYAmt
EOY$112,399,800EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,666,034ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,549NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$82,187PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,071,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,519,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,050,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,237,265CurrentTaxYearMinus1YearAmt
Current Tax Year$1,344,084CurrentTaxYearAmt
Total$14,223,054TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,071,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,519,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,050,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,237,265CurrentTaxYearMinus1YearAmt
Current Tax Year$1,344,084CurrentTaxYearAmt
Total$14,223,054TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$14,223,054PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$301,507CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$346,166CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$377,729CurrentTaxYearMinus1YearAmt
Current Tax Year$351,313CurrentTaxYearAmt
Total$1,491,028TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$147,050CurrentTaxYearMinus2YearsAmt
Total$147,050TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$962,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$239,045CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$359,505CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$790,221CurrentTaxYearMinus1YearAmt
Current Tax Year$1,574,358CurrentTaxYearAmt
Total$3,925,995TotalAmt
FieldValueIRS element (for citing)
Total Support$19,787,127TotalSupportAmt
Gross Receipts Rltd Activities$188,532,481GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71880PublicSupportCY170Pct
Public Support PY1700.80590PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:MISCELLANEOUS INCOME - 2018 AMOUNT: $ 11,384. 2019 AMOUNT: $ 4,033. 2020 AMOUNT: $ 19,534. 2021 AMOUNT: $ 59,788. 2022 AMOUNT: $ 304,184. DIETARY INCOME - 2018 AMOUNT: $ 112,323. 2019 AMOUNT: $ 25,727. 2020 AMOUNT: $ 97,421. 2021 AMOUNT: $ 81,741. 2022 AMOUNT: $ 929,086. HOUSEKEEPING INCOME - 2018 AMOUNT: $ 58,663. 2019 AMOUNT: $ 12,152. 2020 AMOUNT: $ 52,740. 2021 AMOUNT: $ 12,026. 2022 AMOUNT: $ 3,100. VENDING INCOME - 2018 AMOUNT: $ 489. 2019 AMOUNT: $ 106. 2020 AMOUNT: $ 964. 2021 AMOUNT: $ 1,421. 2022 AMOUNT: $ 1,635. CABLE TV INCOME - 2018 AMOUNT: $ 76,195. 2019 AMOUNT: $ 19,504. 2020 AMOUNT: $ 72,471. 2021 AMOUNT: $ 59,209. 2022 AMOUNT: $ 43,627. EMERGENCY PULL CORD INCOME - 2018 AMOUNT: $ 40,503. 2019 AMOUNT: $ 10,200. 2020 AMOUNT: $ 40,404. MAINTENANCE INCOME - 2018 AMOUNT: $ 58,876. 2019 AMOUNT: $ 13,865. 2020 AMOUNT: $ 44,799. 2021 AMOUNT: $ 6,939. 2022 AMOUNT: $ 4,382. PENDANT ALARM INCOME - 2018 AMOUNT: $ 7,018. 2019 AMOUNT: $ 1,881. 2020 AMOUNT: $ 5,693. 2021 AMOUNT: $ 12,958. 2022 AMOUNT: $ 3,572. TELEPHONE INCOME - 2018 AMOUNT: $ 22,817. 2019 AMOUNT: $ 11,104. 2020 AMOUNT: $ 46,748. 2021 AMOUNT: $ 57,723. 2022 AMOUNT: $ 63,858. ANNUITY CONVERSION INCOME - 2019 AMOUNT: $ 1,497. 2020 AMOUNT: $ 29,842. 2021 AMOUNT: $ 1,175. 2022 AMOUNT: $ 67. FUNDRAISING EVENT INCOME - 2018 AMOUNT: $ 25,873. 2019 AMOUNT: $ 9,375. GIFT SHOP INCOME - 2018 AMOUNT: $ 1,796. 2019 AMOUNT: $ 217. 2020 AMOUNT: $ 4,035. 2021 AMOUNT: $ 6,318. 2022 AMOUNT: $ 2,390. GAIN ON INVESTMENT IN BUSINESS VENTURES - 2018 AMOUNT: $ 546,929. 2019 AMOUNT: $ 129,384. 2020 AMOUNT: $ 689,537. 2021 AMOUNT: $ 490,923. 2022 AMOUNT: $ 218,457. LOSS ON EXTINGUISHMENT OF DEBT - 2020 AMOUNT: $ -744,683.
FORM 990, SCHEDULE A, COLUMN B:COLUMN B, 2019, IS FOR A SHORT PERIOD THAT BEGAN ON OCTOBER 1, 2019 AND ENDED ON DECEMBER 31, 2019.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,900BeginningYearBalanceAmt
Investment Earnings Or Losses$3,470InvestmentEarningsOrLossesAmt
Other Expenditures$10,440OtherExpendituresAmt
End Year Balance$141,930EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,900BeginningYearBalanceAmt
End Year Balance$148,900EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,900BeginningYearBalanceAmt
End Year Balance$148,900EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,750BeginningYearBalanceAmt
Investment Earnings Or Losses$150InvestmentEarningsOrLossesAmt
End Year Balance$148,900EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,750BeginningYearBalanceAmt
End Year Balance$148,750EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,928,519OtherCostOrOtherBasisAmt
Book Value$14,928,519BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,989,508OtherCostOrOtherBasisAmt
Depreciation$31,745,083DepreciationAmt
Book Value$51,244,425BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,801,157OtherCostOrOtherBasisAmt
Depreciation$8,266,531DepreciationAmt
Book Value$2,534,626BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,474OtherCostOrOtherBasisAmt
Book Value$34,474BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,742,044TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$23,665,898
RESIDENT TRUST FUNDS$74,895
FUNDS HELD IN ESCROW$354,195
BOND FUNDS$2,403,032
TENANT SECURITY DEPOSITS$192,654
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,690,674TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$35,952,903
ASSET RETIREMENT OBLIGATION$64,688
DEFERRED COMPENSATION LIABILITY$883,889
FieldValueIRS element (for citing)
Total Liability$36,901,480TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS, IN TRUST, FUNDS ADVANCED BY RESIDENTS TO BE USED AT EACH RESIDENT'S DISCRETION. THE FUNDS ARE MAINTAINED IN A SEPARATE INTEREST-BEARING SAVINGS ACCOUNT AND THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. SECURITY DEPOSITS ARE REQUIRED FOR THE ORGANIZATION'S TENANTS AND INCLUDE RESERVED APARTMENTS IF AMOUNTS ARE PAID BEFORE THE TENANT ACTUALLY MOVES IN.
PART V, LINE 4:THE PRINCIPAL WILL BE INVESTED AND KEPT INTACT FOR PERPETUITY TO PROVIDE AN ADDITIONAL SOURCE OF INCOME. THE INCOME GENERATED WILL BE USED TO SUPPORT THE FUND-DESIGNATED PROGRAM. THE ORGANIZATION'S ENDOWMENT IS HELD AND ADMINISTERED BY AUGUSTANA CARE FOUNDATION. SEE SCHEDULE R FOR ADDITIONAL DETAILS.
PART X, LINE 2:AUGUSTANA CARE AND ITS AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN 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 AND ITS AFFILIATES' INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
AUGUSTANA CHAPEL VIEW HOMES
7171 OHMS LANEEDINAMN55439410693953501(C)(3)$1,600,000$0N/AN/AGENERAL ASSISTANCE
AUGUSTANA SENIOR DEVELOPMENT
7171 OHMS LANEEDINAMN55439264136110$260,000$0N/AN/AGENERAL ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$33,810CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAUGUSTANA CARE MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. AUGUSTANA CARE AND THE RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITOR THE USE OF THE FUNDS. RECIPIENTS OF SCHOLARSHIPS FROM THE ORGANIZATION AGREE TO CERTAIN TERMS UPON ACCEPTANCE. IF THE TERMS ARE NOT MET, THE EMPLOYEE IS REQUIRED TO REIMBURSE THE ORGANIZATION FOR THE COST OF THE COURSE. THE RECIPIENT WILL WORK FOR THE ORGANIZATION FOR A STIPULATED TIME AND WILL REIMBURSE THE ORGANIZATION A PRORATED AMOUNT OF EACH SCHOLARSHIP PAYMENT RECEIVED IF THE FULL TIME PERIOD IS NOT COMPLETED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT DAHL
PRESIDENT/CEO$0$546,533$0$49,716$0$6,207$0$67,622$0$19,807$0$689,885$0$0
KATHY YOUNGQUIST
CFO$0$327,536$0$0$0$134,552$0$45,601$0$25,020$0$532,709$0$0
KATHY KOPP
CSO$0$257,664$0$0$0$62,818$0$50,298$0$26,298$0$397,078$0$0
MATTHEW KERN
COO$0$313,032$0$0$0$4,266$0$44,525$0$28,268$0$390,091$0$0
SHARON WILSON
CCCO$0$212,660$0$19,955$0$12,711$0$30,259$0$12,588$0$288,173$0$0
ANGELA BROWN
CHRO$0$214,699$0$0$0$19,622$0$20,586$0$24,388$0$279,295$0$0
SHELLY CORNISH
ADMINISTRATOR$170,176$0$101$0$19,380$0$7,101$0$22,988$0$219,746$0$0$0
TESS SMITH
DIRECTOR OF HOUSING$99,197$0$15,271$0$28,300$0$3,968$0$23,448$0$170,184$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACASSIA AND ITS AFFILIATES PROVIDE VEHICLE BENEFITS FOR SOME OF ITS OFFICERS AND KEY EMPLOYEES. THE EMPLOYEE IS RESPONSIBLE FOR TRACKING BUSINESS VERSUS PERSONAL USE OF THE VEHICLE. THE PERSONAL USAGE OF THE VEHICLES IS TREATED AS TAXABLE COMPENSATION BY CASSIA AND ITS AFFILIATES.
PART I, LINE 3THE CORPORATION RELIED ON THE PARENT ORGANIZATION, CASSIA, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. CASSIA USES THE FOLLOWING PRACTICES: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND RECOMMENDATIONS FROM THE CASSIA COMPENSATION COMMITTEE TO THE CASSIA BOARD.
PART I, LINE 4BTHE 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
PART II:ALL OFFICERS' COMPENSATION WAS PAID BY CASSIA SERVICES, THE MANAGEMENT SERVICES COMPANY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
CITY OF DASSEL MN
A4108517012010-09-15$1,400,000FACILITY DEVELOPMENT000
CITY OF DASSEL MN
B4108517012007-08-21$1,500,000ACQUIRE FACILITY000
COLORADO HEALTH FACILITIES AUTHORITY
C8407329322011-03-31$875,000TO REFINANCE SERIES 2011 BONDS000
CITY OF VICTORIA MN
D4109972572014-07-31$22,110,000TO REFINANCE SERIES 2009 BONDS00092627TAT3

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtOther Spent ProceedsOtherSpentProceedsAmt
A$685,819$1,400,000$28,000$1,372,000201100Yes (1)Yes (1)
B$1,065,151$1,500,000$30,000$1,470,000200700Yes (1)Yes (1)
C$875,000$875,000201100Yes (1)Yes (1)
D$4,680,000$22,110,000$442,2002014Yes (1)0Yes (1)Yes (1)$1,075,979$21,667,800

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)00000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: CITY OF VICTORIA, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 08/20/2018 ISSUER NAME: CARLTON COUNTY, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 03/17/2020ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CARLTON COUNTY MN
A416005767142887BB32015-03-02$5,805,000FACILITY DEVELOPMENT000
CITY OF MILACA MN
B4160053702020-10-01$912,000TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS00Yes (1)
CITY OF LANDFALL VILLAGE MN
C4115928212020-10-01$10,000,000TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS00Yes (1)
CITY OF HAMPTON MN
D4112322592020-10-01$10,000,000TO REFINANCE 2012 HUD LOAN AND SERIES 2015 BONDS00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$2,465,000$5,805,000$191,680$116,100$5,497,263201700Yes (1)Yes (1)
B$73,185$912,000$12,689$6,1132021Yes (1)0Yes (1)Yes (1)$893,198
C$802,469$10,000,000$139,136$64,3722021Yes (1)0Yes (1)Yes (1)$9,796,492
D$802,469$10,000,000$139,136$64,3722021Yes (1)0Yes (1)Yes (1)$9,796,492

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HAMPTON MNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN411232259BondIssuerEIN
CUSIP409244AK6CUSIPNum
Bond Issued2022-12-28BondIssuedDt
Issue Price$18,500,000IssuePriceAmt
PurposeACQUIRE FACILITYPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$18,500,000TotalProceedsAmt
In Reserve Fund$580,875InReserveFundAmt
Issuance Costs From Proceeds$583,266IssuanceCostsFromProceedsAmt
Working Capital Expenditures$18,500,000WorkingCapitalExpendituresAmt
Substantial Completion2022SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3A RELATED ORGANIZATION, CASSIA SERVICES, MANAGES ITS OWN AFFILIATES, CASSIA, ELIM CARE, INC., AUGUSTANA CARE AND ALL ELIM/AUGUSTANA AFFILIATES. SERVICES PROVIDED INCLUDE FINANCIAL ACCOUNTING, OPERATIONAL OVERSIGHT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CLINICAL NURSING CONSULTATION, CORPORATE COMPLIANCE, COORDINATED ADVERTISING AND MARKETING, PHILANTHROPY AND NEW BUSINESS DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS CASSIA.
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENTS TO THE ORGANIZATION'S GOVERNING DOCUMENTS MUST BE APPROVED BY AN AFFIRMATIVE VOTE OF A MAJORITY OF THE TOTAL NUMBER OF DIRECTORS HOLDING OFFICE AND FOR CERTAIN ISSUES BY THE AFFIRMATIVE VOTE OF A MAJORITY OF VOTING DELEGATES OF CASSIA, THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S CFO. THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ANNUALLY REQUESTS A CONFLICT OF INTEREST DISCLOSURE FROM EACH BOARD MEMBER, KEY EMPLOYEE AND OFFICER. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND KEY EMPLOYEES. ALL COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT AND TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE APPROPRIATE LEVEL OF MANAGEMENT OR TO THE BOARD OF DIRECTORS AS OUTLINED IN THE POLICY, BASED ON THE INDIVIDUAL'S POSITION WITHIN THE ORGANIZATION. CONFLICTS ARE DETERMINED AT THE APPROPRIATE LEVEL OF MANAGEMENT OR BY THE BOARD OF DIRECTORS. INDIVIDUALS WITH ACTUAL OR POTENTIAL CONFLICTS WILL ABSTAIN FROM DISCUSSING OR VOTING ON ANY MATTERS RELATING TO THE CONFLICT. ALL PROCEEDINGS RELATING TO ACTUAL OR POTENTIAL CONFLICTS ARE NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS ROUTINELY RETAINS THE SERVICES OF A COMPENSATION CONSULTANT TO REVIEW THE CURRENT WAGE AND BENEFIT LEVELS OF SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE USES THIS INFORMATION TO MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:OVERSIGHT OF THE AUDIT PROCESS IS HANDLED BY THE FINANCE COMMITTEE FOR CASSIA AND ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REPLACEMENT RESERVES LLC
7171 OHMS LANEEDINAMN55439752990222INACTIVEMN$0$0AUGUSTANA CARE
AUGUSTANA DASSEL LAKESIDE COMMUNITY HOME LLC
7171 OHMS LANEEDINAMN55439208916091NURSING/ASSISTED LIVING FACILITYMN$1,726,888$5,018,983AUGUSTANA CARE
AUGUSTANA SENIOR DEVELOPMENT II LLC
7171 OHMS LANEEDINAMN55439481293891CONSULTINGMN$13,884,906$57,698AUGUSTANA CARE
AUGUSTANA MERCY CARE CENTER LLC
7171 OHMS LANEEDINAMN55439271466676NURSING/ASSISTED LIVING FACILITYMN$7,405,251$6,676,208AUGUSTANA CARE
AUGUSTANA LAND DEVELOPMENT LLC
7171 OHMS LANEEDINAMN55439271456660LAND DEVELOPMENTMN$6,501$4,497,017AUGUSTANA CARE
AUGUSTANA ELK RUN LLC
7171 OHMS LANEEDINAMN55439273219747ASSISTED LIVINGMN$2,540,626$5,587,000AUGUSTANA CARE
AUGUSTANA EMERALD CARE LLC
7171 OHMS LANEEDINAMN55439271279704MEMORY CAREMN$12,034,402$23,209,371AUGUSTANA CARE
AUGUSTANA REGENT AT BURNSVILLE LLC
7171 OHMS LANEEDINAMN55439208915982HOUSING WITH SERVICESMN$7,697,343$3,385,298AUGUSTANA CARE
AUGUSTANA PROPERTIES LLC
7171 OHMS LANEEDINAMN55439462166624RENTAL PROPERTIESMN$149,196$2,255,443AUGUSTANA CARE
CASTLE PEAK SENIOR CARE LLC
7171 OHMS LANEEDINAMN55439460904337NURSING/ASSISTED LIVING FACILITYMN$7,026,401$18,207,771AUGUSTANA CARE
AUGUSTANA OAKVIEW CARE LLC
7171 OHMS LANEEDINAMN55439472292912HOUSING WITH SERVICESMN$1,327,224$3,385,298AUGUSTANA CARE
AUGUSTANA CASH MANAGEMENT COMPANY LLC
7171 OHMS LANEEDINAMN55439823725231MANAGING CASH/ACCOUNTS PAYABLE FOR SUBSIDIARIES OF AUGUSTANA CAREMN$0$19,584,547AUGUSTANA CARE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CASSIA
7171 OHMS LANEEDINAMN55439831758728PARENT CO/FUND RAISINGMN501(C)(3)LINE 7N/A0
CASSIA SERVICES
7171 OHMS LANEEDINAMN55439411806946MANAGEMENT SERVICESMN501(C)(3)LINE 12A, I0CASSIA
ELIM CARE INC
7171 OHMS LANEEDINAMN55439411694818HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100CASSIA
PIONEER HOUSE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439411927112HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
NEW HARMONY CARE CENTER INC
7171 OHMS LANEEDINAMN55439411821882HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
COUNTRY MEADOWS OF MILACA INC
7171 OHMS LANEEDINAMN55439201723948HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
LAKE RIDGE CARE CENTER OF BUFFALO INC
7171 OHMS LANEEDINAMN55439200507069HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
PARK TERRACE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439204063752HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
EVANGELICAL RETIREMENT HOMES INC
7171 OHMS LANEEDINAMN55439420868449HEALTH CARE FACILITIES/SERVICESIA501(C)(3)LINE 100ELIM CARE INC
VILLAGE ASSISTED LIVING INC
7171 OHMS LANEEDINAMN55439262086933HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
BAPTIST HOME INC
7171 OHMS LANEEDINAMN55439450232943HEALTH CARE FACILITIES/SERVICESND501(C)(3)LINE 100ELIM CARE INC
THE BAPTIST APARTMENTS INC
7171 OHMS LANEEDINAMN55439450359794HEALTH CARE FACILITIES/SERVICESND501(C)(3)PF0ELIM CARE INC
ELIM SHORES INC
7171 OHMS LANEEDINAMN55439411625095HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
CORNERSTONE ASSISTED LIVING OF PLYMOUTH INC
7171 OHMS LANEEDINAMN55439412013927HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
HAVEN HOMES INC
7171 OHMS LANEEDINAMN55439416045816HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
ELIM SENIOR HOUSING INC
7171 OHMS LANEEDINAMN55439810754064HEALTH CARE FACILITIES/SERVICESFL501(C)(3)LINE 100ELIM CARE INC
NEWTON VILLAGE INC
7171 OHMS LANEEDINAMN55439200044030HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
ELIM HOMES INC
7171 OHMS LANEEDINAMN55439411539761HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM CARE INC
REDEEMER RESIDENCE INC
7171 OHMS LANEEDINAMN55439410711597HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM HOMES INC
PARK VIEW CARE CENTER
7171 OHMS LANEEDINAMN55439410855707HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100ELIM HOMES INC
THE PARK LANE APARTMENTS INC
7171 OHMS LANEEDINAMN55439410972384LOW INCOME HOUSINGMN501(C)(3)LINE 100ELIM CARE INC
ELIM CHILDREN'S CENTER INC
7171 OHMS LANEEDINAMN55439411974507CHILD DAYCAREMN501(C)(3)LINE 100ELIM CARE INC
ELIM CARE FOUNDATION
7171 OHMS LANEEDINAMN55439411694817CHARITABLE FOUNDATIONMN501(C)(3)LINE 12A, I0ELIM CARE INC
COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY
7171 OHMS LANEEDINAMN55439363546789CHARITABLE FOUNDATIONMN501(C)(3)PF0ELIM CARE INC
APPLE VALLEY VILLA APARTMENTS
7171 OHMS LANEEDINAMN55439311608691HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
AUGUSTANA CARE FOUNDATION
7171 OHMS LANEEDINAMN55439411360678CHARITABLE FOUNDATIONMN501(C)(3)LINE 12A, I0AUGUSTANA CARE
AUGUSTANA CHAPEL VIEW HOMES INC
7171 OHMS LANEEDINAMN55439410693953HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
AUGUSTANA COMMUNITY PARTNERS
7171 OHMS LANEEDINAMN55439411783680HOME HEALTH CARE SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
7171 OHMS LANEEDINAMN55439311608696HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
AUGUSTANA HOME OF HASTINGS
7171 OHMS LANEEDINAMN55439311572624HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
AUGUSTANA APARTMENTS OF HASTINGS
7171 OHMS LANEEDINAMN55439311608701HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 100AUGUSTANA CARE
BROOKSIDE SENIOR LIVING
7171 OHMS LANEEDINAMN55439410871848HEALTH CARE FACILITIES/SERVICESMN501(C)(3)LINE 10N/A0
OPEN CIRCLE ADULT DAY CENTER
7171 OHMS LANEEDINAMN55439411424801ADULT DAYCAREMN501(C)(3)LINE 100AUGUSTANA CARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
AUGUSTANA SENIOR DEVELOPMENT INC
7171 OHMS LANEEDINAMN55439264136110CONSULTINGMNAUGUSTANA CAREC$178,207$4,455,3351.00000Yes (1)
ELIM PREFERRED SERVICES INC
7171 OHMS LANEEDINAMN55439411681856MEDICAL SALESMNC0N/A
PREFERRED SENIOR SERVICES INC
7171 OHMS LANEEDINAMN55439411942480MANAGEMENT SERVICESMNC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AUGUSTANA CHAPEL VIEW HOMES
B$1,600,000CASH
AUGUSTANA SENIOR DEVELOPMENT
B$260,000CASH

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