2022-05-05T12:33:22-05:00 2021-09-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2020-10-01 237296950 Annandale Care Center ANNA 3202743737 500 Park Street East Annandale MN 55302 Richard Feeney Administrator 3202743737 2022-05-02 1 Richard Feeney 999009999 Lisa Chaffee CPA P00193453 7012551091 2022-05-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Richard Feeney 500 Park Street East Annandale MN 55302 7842585 0 X www.annandalecarecenter.org X 1973 MN Skilled nursing services and assisted living services 7 7 244 11 0 0 45417 1373574 7796999 6510447 210654 127277 0 -168713 8053070 7842585 23149 25366 0 0 4790922 4686327 0 0 0 2991691 2926799 7805762 7638492 247308 204093 12348461 20616189 7718366 13659976 4630095 6956213 X Annandale Congregate Housing, a related organization, merged into the Organization as of July 31st, 2021. With the merger, the Organization now also operates a 22 unit congregate housing facility that serves the housing needs of the 55 and older adult population in Annandale and the surrounding communities. 1 0 6902068 25366 6341734 The Organization operates a 60 bed skilled nursing facility, a 26 unit assisted living building (a.k.a. Centennial Villa Assisted Living), a 30 unit memory care facility and a wellness center. It not only provides services to the elderly population in Annandale but also to those in other area communities which helps the individual to remain in the same geographical area of their former residence. The skilled nursing facility has an excellent therapy program that is available to its residents who are in need of rehabilitation services. It also has an outpatient program that treats those from the Annandale community and the surrounding area. It is because of its onsite therapy program that it has become the first choice for most when they require rehabilitation services following a surgery in order to return home safely. The assisted living building serves as a pleasant transition for those who need additional help that is not readily available in their own home but are still independent enough that they don't require the services of a skilled nursing facility. The memory loss unit is much more appropriate for those who suffer from Alzheimer's and/or severe dementia than a skilled nursing facility. The environment is controlled and setup to meet each resident's needs relating to their specific illness. The wellness center has a therapy/exercise swim pool, exercise class studio and an exercise equipment room developed to serve the wellness needs of those 50 years of age and older - both within the campus and the outside community. The wellness center was closed from spring 2020 through the fiscal year end due to COVID. It will be opening again in 2022. Annandale Congregate Housing merged into the Organization as of July 31st, 2021. With the merger, the Organization now also operates a 22 unit congregate housing facility that serves the housing needs of the 55 and older adult population in Annandale and the surrounding communities. Residents have access to prepared meals and 24 hour emergency response from the nursing staff in the attached skilled nursing facility. They also have priority in the event that they require a nursing home stay. 6902068 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 244 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 1 0 0 1 1 1 0 0 0 1 1 0 1 1 1 0 0 0 MN X Richard Feeney 3202743737 500 Park Street East Annandale MN 55302 Debra Reitmeier Administrator/President 40.00 3.00 X 152047 0 15287 Mark Miller Chairman 0.10 0.20 X X 0 0 0 Linda Dircks Vice Chairman 0.10 0.10 X X 0 0 0 Kathy Gruys Secretary/Treasurer 0.10 0.10 X X 0 0 0 Roger Millner Director 0.10 0.10 X 0 0 0 Jack Driste Director 0.10 0.10 X 0 0 0 Ed Schomoroh Director 0.10 0.20 X 0 0 0 Shelley Jonas City Liason 0.10 0.20 X 0 0 0 152047 0 15287 1 0 1 0 RehabVisions 11623 Arbor St Ste 201 Omaha NE 68144 Contracted Therapy 324880 1 1370750 2824 1373574 Resident Service Reven 623000 6378199 6378199 Other Revenue 900099 129670 129670 Wellness Center 713940 2578 2578 6510447 126777 126777 500 0 500 500 500 Debt refinance loss 900099 -168713 -168713 -168713 7842585 6341734 0 127277 25366 25366 185061 185061 3727494 3648173 79321 521696 507242 14454 252076 237553 14523 13088 10164 2924 30700 925 29775 135 135 501011 496699 4312 27602 8044 19558 145516 95283 50233 12961 12961 375879 375879 2552 2160 392 4331 1752 2579 253738 242299 11439 381302 363395 17907 63050 24408 38642 Meals/Food 537644 537163 481 Medical Supplies 264233 264233 DHS Surcharge 182975 182975 Bad Debt Expense 28490 28490 101592 48369 53223 7638492 6902068 736424 0 1943939 946282 532693 536806 22831 29984 23862755 9335589 5150303 14527166 4698695 4575951 12348461 20616189 1645538 1648372 406725 4910 5637689 11969594 28414 37100 7718366 13659976 X 4630095 6956213 4630095 6956213 12348461 20616189 X 204093 151866 1970159 X 0 1 X 0 0 X 7055 2652 5445 45417 1373574 1434143 8334961 8215762 7630269 7796999 6510447 38488438 8342016 8218414 7635714 7842416 7884021 39922581 0 276266 191479 332529 776327 839565 2416166 276266 191479 332529 776327 839565 2416166 37506415 181762 207640 230693 210654 126777 957526 181762 207640 230693 210654 126777 957526 8523778 8426054 7866407 8053070 8010798 40880107 0.91750 0.93470 0.02340 0.02520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 403739 403739 11201790 7522207 3679583 1670803 1343779 327024 10586423 469603 10116820 14527166 X 7993951 151866 151866 7842085 500 500 7842585 7637992 -500 -500 7638492 0 7638492 Part IV, Line 2b: Annandale Care Center acts as custodian for funds of its residents and tenants. Part X, Line 2: The Care Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Care Center will recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Realized Gain/Loss on Investment 500. Part XII, Line 2d - Other Adjustments: Realized Gain/Loss on Investment -500. 1 Employee Scholarships- Education 8 25366 Part I, Line 2: Scholarships are awarded to employees who work an average of 20 hours a week or more and who are enrolled in a program of study related to long term care. Recipients are selected by a committee on a quarterly basis. Funds are disbursed upon receiving a copy of the recipient's tuition/fees statement and/or receipts for purchases of required textbooks. The guidelines for this program are in accordance with those set forth by the MN Department of Human Services' Nursing Facility Scholarship Program. X 0 0 0 0 0 0 0 0 0 Debra Reitmeier Administrator/President 152047 0 0 0 0 0 0 0 15287 0 167334 0 0 0 A City of Annandale MN 416004935 000000000 2020-10-15 5763326 To refund bonds issued 9/25/2015 0 0 0 B City of Howard Lake MN 416005249 000000000 2020-10-15 8500000 To construct 42-unit assisted living and independent living building 0 0 0 A 114768 5763326 5763326 1 0 1 1 B 1903347 8500000 200000 50001 8249999 2021 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 A 1 B 1 Form 990, Part III, line 2 Annandale Congregate Housing, a related organization, merged into the Organization as of July 31st, 2021. With the merger, the Organization now also operates a 22 unit congregate housing facility that serves the housing needs of the 55 and older adult population in Annandale and the surrounding communities. Form 990, Part VI, Section A, line 1 The President does not have voting rights. Form 990, Part VI, Section A, line 2 Roger Millner and Shelley Jonas have a family relationship. Form 990, Part VI, Section A, line 4 During the year, Articles of Merger were filed. Annandale Congregate Housing, a related organization, merged into Annandale Care Center as of 7/31/2021. Form 990, Part VI, Section A, line 7a The Board of Directors is elected annually by the Board of Directors of Annandale Health and Community Services. Form 990, Part VI, Section A, line 7b The following must be approved by the Board of Directors of Annandale Health and Community Services: ** Budget - Changes in budget of over $10,000 - Expenditures of over $10,000 - Sales of assets of over $10,000 - Changes to the bylaws The following must be approved by the President of the Annandale Health and Community Service Board: - Changes in the budget of over $5,000 but less than $10,000 - Expenditures of over $5,000 but less than $10,000 - Sales of assets of over $5,000 but less than $10,000 Form 990, Part VI, Section A, line 8b There are no committees that can act on behalf of the Board. Committees must come back to the full Board to make a final decision. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 will be mailed out to members of the Board prior to the filing date. Also, the Administrator/President will review a draft copy of the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c There is no annual form or disclosure that is used to uncover conflicts of interest; however, individuals are required to disclose conflicts of interest based on an "honor-system." Anyone who can influence the actions of the Corporation is covered by the policy. This includes Board Members, key employees, officers, and employees. The Board reviews and determines when and if a conflict exists. If a conflict exists, Board Members are not allowed to vote on the issue in conflict. All conflicts of interest are documented in the Board Meeting minutes. Form 990, Part VI, Section B, line 15 Each year, the Corporation finds out what the increase in rates will be. The increase in rates is allocated proportionately across the board to all employees. The budget is also determined by the increase in rates and the Board of Directors approves the budget. Form 990, Part VI, Section C, line 19 The Organization makes it governing documents and conflict of interest policy available upon request. The financial statements are not made publicly available. Form 990, Part XI, line 9: Merger and transfer in of Annandale Congregate Housing Net Assets 1,970,159. Annandale Health and Community Services 500 Park Street East Annandale MN 55302 411820760 Oversight MN 501(c)(3) Line 7 N/A 0 Heartland Transit 500 Park Street East Annandale MN 55302 411820763 Inactive Corporation MN 501(c)(3) Line 7 Annandale Health and Community Services 0 Annandale Congregate Housing 500 Park Street East Annandale MN 55302 363566531 Independent Living MN 501(c)(3) Line 12a, I Annandale Health and Community Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1