ANNANDALE CARE CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ANNANDALE CARE CENTER (EIN 23-7296950)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-04-26
IRS object ID
202131169349300028
Schema version
2019v5.2
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)
Return2021-04-26T11:14:37-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11730 Burnt Boat Loop Ste 100AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585030886ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237296950EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Annandale Care CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANNABusinessNameControlTxt
Phone3202743737PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Park Street EastAddressLine1Txt
CityAnnandaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDebra ReitmeierPersonNm
Person TitleAdministrator/PresidentPersonTitleTxt
Phone3202743737PhoneNum
Signature2021-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2021-04-19PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDebra ReitmeierPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Park Street EastAddressLine1Txt
CityAnnandaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,053,070GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.annandalecarecenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionSkilled nursing services and assisted living servicesActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee236TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,445PYContributionsGrantsAmt
CY Contributions Grants$45,417CYContributionsGrantsAmt
PY Program Service Revenue$7,630,269PYProgramServiceRevenueAmt
CY Program Service Revenue$7,796,999CYProgramServiceRevenueAmt
PY Investment Income$198,724PYInvestmentIncomeAmt
CY Investment Income$210,654CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,834,438PYTotalRevenueAmt
CY Total Revenue$8,053,070CYTotalRevenueAmt
PY Grants And Similar Paid$26,799PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,149CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,856,174PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,790,922CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,074,142PYOtherExpensesAmt
CY Other Expenses$2,991,691CYOtherExpensesAmt
PY Total Expenses$7,957,115PYTotalExpensesAmt
CY Total Expenses$7,805,762CYTotalExpensesAmt
PY Revenues Less Expenses-$122,677PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$247,308CYRevenuesLessExpensesAmt
Total Assets BOY$11,344,414TotalAssetsBOYAmt
Total Assets EOY$12,348,461TotalAssetsEOYAmt
Total Liabilities BOY$6,755,151TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,718,366TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,589,263NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,630,095NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionQuality care and services that shape the future for the dynamic needs of the people in our area.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,063,923ExpenseAmt
Grant$23,149GrantAmt
Revenue$7,796,999RevenueAmt
DescThe 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.Desc
Total Program Service Expenses$7,063,923TotalProgramServiceExpensesAmt
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 Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 Organizations0GrantsToOrganizationsInd
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 Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee236EmployeeCnt
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 RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
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 Line1Debra ReitmeierBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3202742579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Park Street EastAddressLine1Txt
CityAnnandaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55302ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Roger Millner
Chairman0.100.10Yes (X)Yes (X)$0$0$0
Kathy Gruys
Secretary/Treasurer0.100.10Yes (X)Yes (X)$0$0$0
Jack Driste
Director0.100.10Yes (X)$0$0$0
Ed Schomoroh
Director0.100.20Yes (X)$0$0$0
Mark Miller
Director0.100.20Yes (X)$0$0$0
Linda Dircks
Director0.100.10Yes (X)$0$0$0
Shelley Jonas
City Liason0.100.20Yes (X)$0$0$0
Debra Reitmeier
Administrator/President40.003.00Yes (X)$144,142$0$16,022
FieldValueIRS element (for citing)
Total Reportable Comp From Org$144,142TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,022TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RehabVisionsBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line111623 Arbor St Ste 201AddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68144ZIPCd
FieldValueIRS element (for citing)
ServicesContracted TherapyServicesDesc
Compensation$387,779CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$38,302GovernmentGrantsAmt
All Other Contributions$7,115AllOtherContributionsAmt
Total Contributions$45,417TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Reven623000$7,585,037$7,585,037
Other Revenue900099$140,406$140,406
Wellness Center713940$59,294$59,294

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,262TotalRevenueColumnAmt
Related Or Exempt Func Income$12,262RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,796,999TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,654TotalRevenueColumnAmt
Exclusion$210,654ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,053,070TotalRevenueColumnAmt
Related Or Exempt Func Income$7,796,999RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$210,654ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,149TotalAmt
Program Services$23,149ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$162,475TotalAmt
Management And General$162,475ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,882,925TotalAmt
Program Services$3,773,932ProgramServicesAmt
Management And General$108,993ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$440,779TotalAmt
Program Services$424,156ProgramServicesAmt
Management And General$16,623ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$304,743TotalAmt
Program Services$283,495ProgramServicesAmt
Management And General$21,248ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$286TotalAmt
Management And General$286ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,825TotalAmt
Program Services$9,500ProgramServicesAmt
Management And General$17,325ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$508,183TotalAmt
Program Services$504,827ProgramServicesAmt
Management And General$3,356ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,071TotalAmt
Program Services$1,330ProgramServicesAmt
Management And General$18,741ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$149,187TotalAmt
Program Services$97,245ProgramServicesAmt
Management And General$51,942ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,373TotalAmt
Program Services$30,373ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$432,142TotalAmt
Program Services$432,142ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,848TotalAmt
Program Services$3,354ProgramServicesAmt
Management And General$2,494ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,658TotalAmt
Program Services$1,129ProgramServicesAmt
Management And General$1,529ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$189,133TotalAmt
Program Services$178,902ProgramServicesAmt
Management And General$10,231ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$387,061TotalAmt
Program Services$366,955ProgramServicesAmt
Management And General$20,106ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,890TotalAmt
Program Services$21,171ProgramServicesAmt
Management And General$34,719ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Meals/Food$636,413$636,413
Medical Supplies$250,334$250,334
DHS Surcharge$168,900$168,900
Bad Debt Expense$73,676$73,676

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,711TotalAmt
Program Services$25,516ProgramServicesAmt
Management And General$29,195ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,805,762TotalAmt
Program Services$7,063,923ProgramServicesAmt
Management And General$741,839ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$478,444BOYAmt
EOY$1,943,939EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$695,961BOYAmt
EOY$532,693EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,332BOYAmt
EOY$22,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,211,956LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,061,653LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,261,635BOYAmt
EOY$5,150,303EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,902,042BOYAmt
EOY$4,698,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,344,414BOYAmt
EOY$12,348,461EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$608,335BOYAmt
EOY$1,645,538EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$406,725EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,115,802BOYAmt
EOY$5,637,689EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$31,014BOYAmt
EOY$28,414EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,755,151BOYAmt
EOY$7,718,366EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,589,263BOYAmt
EOY$4,630,095EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,589,263BOYAmt
EOY$4,630,095EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,344,414BOYAmt
EOY$12,348,461EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$247,308ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$206,476NetUnrlzdGainsLossesInvstAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
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$2,805CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,445CurrentTaxYearMinus1YearAmt
Current Tax Year$45,417CurrentTaxYearAmt
Total$63,374TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,570,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,334,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,215,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,630,269CurrentTaxYearMinus1YearAmt
Current Tax Year$7,796,999CurrentTaxYearAmt
Total$39,548,880TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,573,694CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,342,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,218,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,635,714CurrentTaxYearMinus1YearAmt
Current Tax Year$7,842,416CurrentTaxYearAmt
Total$39,612,254TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,284CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$276,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,479CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$332,529CurrentTaxYearMinus1YearAmt
Current Tax Year$776,327CurrentTaxYearAmt
Total$1,629,885TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,284CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$276,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,479CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$332,529CurrentTaxYearMinus1YearAmt
Current Tax Year$776,327CurrentTaxYearAmt
Total$1,629,885TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$37,982,369PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$194,326CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$181,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$207,640CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$230,693CurrentTaxYearMinus1YearAmt
Current Tax Year$210,654CurrentTaxYearAmt
Total$1,025,075TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$194,326CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$181,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$207,640CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$230,693CurrentTaxYearMinus1YearAmt
Current Tax Year$210,654CurrentTaxYearAmt
Total$1,025,075TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,768,020CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,523,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,426,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,866,407CurrentTaxYearMinus1YearAmt
Current Tax Year$8,053,070CurrentTaxYearAmt
Total$40,637,329TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93470PublicSupportCY509Pct
Public Support PY5090.95290PublicSupportPY509Pct
Investment Income CY0.02520InvestmentIncomeCYPct
Investment Income PY0.02470InvestmentIncomePYPct
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

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$403,739OtherCostOrOtherBasisAmt
Book Value$403,739BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,316,154OtherCostOrOtherBasisAmt
Depreciation$6,490,293DepreciationAmt
Book Value$3,825,861BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,442,678OtherCostOrOtherBasisAmt
Depreciation$1,149,647DepreciationAmt
Book Value$293,031BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,049,385OtherCostOrOtherBasisAmt
Depreciation$421,713DepreciationAmt
Book Value$627,672BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,150,303TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,846,594TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$206,476NetUnrealizedGainsInvstAmt
Revenue Not Reported-$206,476RevenueNotReportedAmt
Revenue Subtotal$8,053,070RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,053,070TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,805,762TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,805,762ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,805,762TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEmployee Scholarships- EducationGrantTypeTxt
Recipient15RecipientCnt
Cash Grant$23,149CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationScholarships 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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)
PersonDebra ReitmeierPersonNm
TitleAdministrator/PresidentTitleTxt
Base Compensation Filing Org$144,142BaseCompensationFilingOrgAmt
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$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$16,022NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$160,164TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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 Annandale MNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416004935BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-09-25BondIssuedDt
Issue Price$8,090,000IssuePriceAmt
PurposeTo refund bonds issued 11/2/07PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,282,187RetiredAmt
Total Proceeds$8,090,000TotalProceedsAmt
Issuance Costs From Proceeds$161,800IssuanceCostsFromProceedsAmt
Capital Expenditures$3,699CapitalExpendituresAmt
Other Spent Proceeds$7,924,501OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
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 Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The President does not have voting rights.
Form 990, Part VI, Section A, line 2Roger Millner and Shelley Jonas have a family relationship.
Form 990, Part VI, Section A, line 7aThe Board of Directors is elected annually by the Board of Directors of Annandale Health and Community Services.
Form 990, Part VI, Section A, line 7bThe 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 8bThere 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 11bA 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 12cThere 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 15Each 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 19The Organization makes it governing documents and conflict of interest policy available upon request. The financial statements are not made publicly available.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Annandale Health and Community Services
500 Park Street EastAnnandaleMN55302411820760OversightMN501(c)(3)Line 7N/A0
Heartland Transit
500 Park Street EastAnnandaleMN55302411820763Inactive CorporationMN501(c)(3)Line 70Annandale Health and Community Services
Annandale Congregate Housing
500 Park Street EastAnnandaleMN55302363566531Independent LivingMN501(c)(3)Line 12a, I0Annandale Health and Community Services
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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