ANNANDALE CARE CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ANNANDALE CARE CENTER (EIN 23-7296950)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-03-25
IRS object ID
202030859349300333
Schema version
2018v3.1
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)
Return2020-03-25T14:32:33-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

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 Begin2018-10-01TaxPeriodBeginDt

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
Signature2020-03-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2020-03-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.157.104.106IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-03-11IPDt
IP Tm12:50:55IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id93C0C30FADC8E9ECFACDC91E878616133D2A47FEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

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$7,866,407GrossReceiptsAmt
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 Employee221TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,652PYContributionsGrantsAmt
CY Contributions Grants$5,445CYContributionsGrantsAmt
PY Program Service Revenue$8,215,762PYProgramServiceRevenueAmt
CY Program Service Revenue$7,630,269CYProgramServiceRevenueAmt
PY Investment Income$207,640PYInvestmentIncomeAmt
CY Investment Income$198,724CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,426,054PYTotalRevenueAmt
CY Total Revenue$7,834,438CYTotalRevenueAmt
PY Grants And Similar Paid$26,566PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,799CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,830,484PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,856,174CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,269,845PYOtherExpensesAmt
CY Other Expenses$3,074,142CYOtherExpensesAmt
PY Total Expenses$8,126,895PYTotalExpensesAmt
CY Total Expenses$7,957,115CYTotalExpensesAmt
PY Revenues Less Expenses$299,159PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$122,677CYRevenuesLessExpensesAmt
Total Assets BOY$11,897,172TotalAssetsBOYAmt
Total Assets EOY$11,344,414TotalAssetsEOYAmt
Total Liabilities BOY$7,162,205TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,755,151TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,734,967NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,589,263NetAssetsOrFundBalancesEOYAmt
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$7,217,221ExpenseAmt
Grant$26,799GrantAmt
Revenue$7,630,269RevenueAmt
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$7,217,221TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee221EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board 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
Chairman0.100.20Yes (X)Yes (X)$0$0$0
Kathy Gruys
Secretary/Treasurer0.100.20Yes (X)Yes (X)$0$0$0
Jack Driste
Director0.100.20Yes (X)Yes (X)$0$0$0
Ed Schomoroh
Director0.100.30Yes (X)$0$0$0
Mark Miller
Director0.100.30Yes (X)$0$0$0
Linda Dircks
Director0.100.20Yes (X)$0$0$0
Shelley Jonas
City Liason0.100.20Yes (X)$0$0$0
Debra Reitmeier
Administrator/President40.002.00Yes (X)$145,191$0$16,312
FieldValueIRS element (for citing)
Total Reportable Comp From Org$145,191TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,312TotalOtherCompensationAmt
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$510,636CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,445AllOtherContributionsAmt
Total Contributions$5,445TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Reven623000$7,383,315$7,383,315
Other Revenue900099$134,130$134,130
Wellness Center713940$112,824$112,824
FieldValueIRS element (for citing)
Total Program Service Revenue$7,630,269TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,693TotalRevenueColumnAmt
Exclusion$230,693ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$31,969OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$31,969OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$31,969TotalRevenueColumnAmt
Exclusion-$31,969ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,834,438TotalRevenueColumnAmt
Related Or Exempt Func Income$7,630,269RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$198,724ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$26,799TotalAmt
Program Services$26,799ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$164,484TotalAmt
Management And General$164,484ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,943,212TotalAmt
Program Services$3,745,744ProgramServicesAmt
Management And General$197,468ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$438,689TotalAmt
Program Services$415,761ProgramServicesAmt
Management And General$22,928ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$309,789TotalAmt
Program Services$283,072ProgramServicesAmt
Management And General$26,717ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,786TotalAmt
Program Services$2,786ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,120TotalAmt
Program Services$10,460ProgramServicesAmt
Management And General$15,660ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$684,963TotalAmt
Program Services$683,573ProgramServicesAmt
Management And General$1,390ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,149TotalAmt
Program Services$4,155ProgramServicesAmt
Management And General$22,994ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$145,813TotalAmt
Program Services$93,080ProgramServicesAmt
Management And General$52,733ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,880TotalAmt
Program Services$36,880ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$429,218TotalAmt
Program Services$429,218ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,079TotalAmt
Program Services$5,627ProgramServicesAmt
Management And General$3,452ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,857TotalAmt
Program Services$6,580ProgramServicesAmt
Management And General$1,277ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$204,308TotalAmt
Program Services$193,326ProgramServicesAmt
Management And General$10,982ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$452,854TotalAmt
Program Services$427,332ProgramServicesAmt
Management And General$25,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,300TotalAmt
Program Services$20,543ProgramServicesAmt
Management And General$33,757ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Meals/Food$561,715$561,715
Medical Supplies$242,154$242,154
DHS Surcharge$168,900$168,900
Bad Debt Expense$44,754$27$44,727

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$24,708TotalAmt
Program Services$28,389ProgramServicesAmt
Management And General-$53,097ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,957,115TotalAmt
Program Services$7,217,221ProgramServicesAmt
Management And General$739,894ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$881,126BOYAmt
EOY$478,444EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$825,164BOYAmt
EOY$695,961EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,198BOYAmt
EOY$6,332EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,952,248LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,690,613LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,365,494BOYAmt
EOY$5,261,635EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,797,190BOYAmt
EOY$4,902,042EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,897,172BOYAmt
EOY$11,344,414EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$548,287BOYAmt
EOY$608,335EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,579,704BOYAmt
EOY$6,115,802EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$34,214BOYAmt
EOY$31,014EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,162,205BOYAmt
EOY$6,755,151EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,734,967BOYAmt
EOY$4,589,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,734,967BOYAmt
EOY$4,589,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,897,172BOYAmt
EOY$11,344,414EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$122,677ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$23,027NetUnrlzdGainsLossesInvstAmt
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$3,047CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,055CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,652CurrentTaxYearMinus1YearAmt
Current Tax Year$5,445CurrentTaxYearAmt
Total$21,004TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,640,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,570,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,334,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,215,762CurrentTaxYearMinus1YearAmt
Current Tax Year$7,630,269CurrentTaxYearAmt
Total$39,392,058TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,643,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,573,694CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,342,016CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,218,414CurrentTaxYearMinus1YearAmt
Current Tax Year$7,635,714CurrentTaxYearAmt
Total$39,413,062TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$191,479CurrentTaxYearMinus1YearAmt
Current Tax Year$332,529CurrentTaxYearAmt
Total$905,273TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$191,479CurrentTaxYearMinus1YearAmt
Current Tax Year$332,529CurrentTaxYearAmt
Total$905,273TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$38,507,789PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$182,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,640CurrentTaxYearMinus1YearAmt
Current Tax Year$230,693CurrentTaxYearAmt
Total$996,895TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$182,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,640CurrentTaxYearMinus1YearAmt
Current Tax Year$230,693CurrentTaxYearAmt
Total$996,895TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,825,698CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,768,020CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,523,778CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,426,054CurrentTaxYearMinus1YearAmt
Current Tax Year$7,866,407CurrentTaxYearAmt
Total$40,409,957TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95290PublicSupportCY509Pct
Public Support PY5090.96030PublicSupportPY509Pct
Investment Income CY0.02470InvestmentIncomeCYPct
Investment Income PY0.02290InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$10,304,416OtherCostOrOtherBasisAmt
Depreciation$6,208,886DepreciationAmt
Book Value$4,095,530BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,442,678OtherCostOrOtherBasisAmt
Depreciation$1,077,149DepreciationAmt
Book Value$365,529BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$801,415OtherCostOrOtherBasisAmt
Depreciation$404,578DepreciationAmt
Book Value$396,837BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,261,635TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,811,411TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$23,027NetUnrealizedGainsInvstAmt
Revenue Not Reported-$23,027RevenueNotReportedAmt
Revenue Subtotal$7,834,438RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,834,438TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,957,115TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,957,115ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,957,115TotalExpensesPerForm990Amt

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 is organized as a Minnesota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Care Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Care Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Care Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. 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
Recipient16RecipientCnt
Cash Grant$26,799CashGrantAmt

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$145,191BaseCompensationFilingOrgAmt
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$16,312NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$161,503TotalCompensationFilingOrgAmt
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$1,787,137RetiredAmt
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 (8 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 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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