ANNANDALE CARE CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ANNANDALE CARE CENTER (EIN 23-7296950)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-03-10
IRS object ID
201740699349300704
Schema version
2015v3.0
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)
Return2017-03-10T08:21:41-06:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Line14310 17TH AVE S PO BOX 2545AddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP581082545ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

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
Signature2017-03-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012398500PhoneNum
Preparation2017-03-01PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$7,768,020GrossReceiptsAmt
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 Employee223TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,047PYContributionsGrantsAmt
CY Contributions Grants$2,805CYContributionsGrantsAmt
PY Program Service Revenue$7,640,177PYProgramServiceRevenueAmt
CY Program Service Revenue$7,570,889CYProgramServiceRevenueAmt
PY Investment Income$182,503PYInvestmentIncomeAmt
CY Investment Income$194,324CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,825,727PYTotalRevenueAmt
CY Total Revenue$7,768,018CYTotalRevenueAmt
PY Grants And Similar Paid$20,011PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,245CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,284,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,440,054CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,887,143PYOtherExpensesAmt
CY Other Expenses$3,072,173CYOtherExpensesAmt
PY Total Expenses$8,192,132PYTotalExpensesAmt
CY Total Expenses$7,535,472CYTotalExpensesAmt
PY Revenues Less Expenses-$366,405PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$232,546CYRevenuesLessExpensesAmt
Total Assets BOY$11,970,020TotalAssetsBOYAmt
Total Assets EOY$11,694,377TotalAssetsEOYAmt
Total Liabilities BOY$8,787,640TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,180,492TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,182,380NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,513,885NetAssetsOrFundBalancesEOYAmt
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$6,905,493ExpenseAmt
Grant$23,245GrantAmt
Revenue$7,570,889RevenueAmt
DescThe Organization operates a 60 bed skilled nursing facility, a 26 unit assisted living building (a.k.a. Centennial Villa Assisted Living), a 39 unit memory care facility and a wellness center which opened in October 2009. 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$6,905,493TotalProgramServiceExpensesAmt
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 Required0ScheduleJRequiredInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee223EmployeeCnt
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
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Sharon Peterson
Chairman0.100.20Yes (X)Yes (X)$0$0$0
Kathy Gruys
Secretary/Treasurer0.100.20Yes (X)Yes (X)$0$0$0
Roger Millner Vice Chairman
(April-Sept)/Director (Oct-March)0.100.20Yes (X)Yes (X)$0$0$0
Jack Driste
Director0.100.20Yes (X)$0$0$0
Ed Schomoroh
Director0.100.30Yes (X)$0$0$0
Corey Czycalla
City Liaison0.100.30Yes (X)$0$0$0
Mark Miller
Director0.100.30Yes (X)$0$0$0
Debra Reitmeier
Administrator/President38.002.00Yes (X)$125,222$0$14,490
Lisa Bahr
Director of Nursing40.000.00$102,350$0$3,178Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$227,572TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,668TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
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$669,835CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,805AllOtherContributionsAmt
Total Contributions$2,805TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Reven623000$7,330,524$7,330,524
Other Revenue900099$142,879$142,879
Wellness Center713940$97,486$97,486
FieldValueIRS element (for citing)
Total Program Service Revenue$7,570,889TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$194,326TotalRevenueColumnAmt
Exclusion$194,326ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,768,018TotalRevenueColumnAmt
Related Or Exempt Func Income$7,570,889RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$194,324ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,245TotalAmt
Program Services$23,245ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$143,325TotalAmt
Management And General$143,325ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,620,795TotalAmt
Program Services$3,464,818ProgramServicesAmt
Management And General$155,977ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$370,109TotalAmt
Program Services$355,729ProgramServicesAmt
Management And General$14,380ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$305,825TotalAmt
Program Services$282,621ProgramServicesAmt
Management And General$23,204ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$465TotalAmt
Management And General$465ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,900TotalAmt
Management And General$26,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$910,948TotalAmt
Program Services$859,865ProgramServicesAmt
Management And General$51,083ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,732TotalAmt
Management And General$6,732ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$160,320TotalAmt
Program Services$102,357ProgramServicesAmt
Management And General$57,963ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,991TotalAmt
Management And General$38,991ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$449,617TotalAmt
Program Services$386,151ProgramServicesAmt
Management And General$63,466ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,858TotalAmt
Program Services$5,066ProgramServicesAmt
Management And General$1,792ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,507TotalAmt
Program Services$4,129ProgramServicesAmt
Management And General$378ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$239,782TotalAmt
Program Services$239,782ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$505,362TotalAmt
Program Services$505,362ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,039TotalAmt
Management And General$1,039ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Meals/Food$282,430$282,430
Medical Supplies$206,070$206,070
DHS Surcharge$168,900$168,900
Dues and Subscriptions$26,240$26,240

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,012TotalAmt
Program Services$18,968ProgramServicesAmt
Management And General$18,044ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,535,472TotalAmt
Program Services$6,905,493ProgramServicesAmt
Management And General$629,979ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$744,703BOYAmt
EOY$800,259EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$931,393BOYAmt
EOY$1,024,333EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$296,163BOYAmt
EOY$19,360EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,900,417LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,377,775LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,961,494BOYAmt
EOY$5,522,642EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,036,267BOYAmt
EOY$4,327,783EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,970,020BOYAmt
EOY$11,694,377EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$656,020BOYAmt
EOY$692,014EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,090,000BOYAmt
EOY$7,457,234EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$41,620BOYAmt
EOY$31,244EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,787,640BOYAmt
EOY$8,180,492EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,182,380BOYAmt
EOY$3,513,885EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,182,380BOYAmt
EOY$3,513,885EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,970,020BOYAmt
EOY$11,694,377EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$232,546ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$98,959NetUnrlzdGainsLossesInvstAmt
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$8,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,505CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,047CurrentTaxYearMinus1YearAmt
Current Tax Year$2,805CurrentTaxYearAmt
Total$24,902TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,998,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,345,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,446,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,640,177CurrentTaxYearMinus1YearAmt
Current Tax Year$7,570,889CurrentTaxYearAmt
Total$37,001,871TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,006,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,346,786CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,456,159CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,643,224CurrentTaxYearMinus1YearAmt
Current Tax Year$7,573,694CurrentTaxYearAmt
Total$37,026,773TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,024CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,715CurrentTaxYearMinus1YearAmt
Current Tax Year$53,284CurrentTaxYearAmt
Total$357,192TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,024CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,715CurrentTaxYearMinus1YearAmt
Current Tax Year$53,284CurrentTaxYearAmt
Total$357,192TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$36,669,581PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$121,724CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,342CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$182,474CurrentTaxYearMinus1YearAmt
Current Tax Year$194,326CurrentTaxYearAmt
Total$739,987TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$121,724CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,342CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$182,474CurrentTaxYearMinus1YearAmt
Current Tax Year$194,326CurrentTaxYearAmt
Total$739,987TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,128,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,435,128CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,609,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,825,698CurrentTaxYearMinus1YearAmt
Current Tax Year$7,768,020CurrentTaxYearAmt
Total$37,766,760TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97090PublicSupportCY509Pct
Public Support PY5090.97250PublicSupportPY509Pct
Investment Income CY0.01960InvestmentIncomeCYPct
Investment Income PY0.01560InvestmentIncomePYPct
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$69,516OtherCostOrOtherBasisAmt
Book Value$69,516BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,265,502OtherCostOrOtherBasisAmt
Depreciation$5,164,746DepreciationAmt
Book Value$5,100,756BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,096,645OtherCostOrOtherBasisAmt
Depreciation$873,384DepreciationAmt
Book Value$223,261BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$468,754OtherCostOrOtherBasisAmt
Depreciation$339,645DepreciationAmt
Book Value$129,109BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,522,642TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,866,977TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$98,959NetUnrealizedGainsInvstAmt
Revenue Not Reported$98,959RevenueNotReportedAmt
Revenue Subtotal$7,768,018RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,768,018TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,535,472TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,535,472ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,535,472TotalExpensesPerForm990Amt

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 Organization, Care Center, and Congregate are organized as Minnesota nonprofit corporations and have been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Organization, Care Center, and Congregate are annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization, Care Center, and Congregate are subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Organization, Care Center, and Congregate have determined they are not subject to unrelated business income tax and have not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization, Care Center, and Congregate believe that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. The Organization, Care Center, and Congregate 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 TypeScholarships- EducationGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$23,245CashGrantAmt

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 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
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$632,766RetiredAmt
Total Proceeds$8,090,000TotalProceedsAmt
Issuance Costs From Proceeds$161,800IssuanceCostsFromProceedsAmt
Capital Expenditures$3,699CapitalExpendituresAmt
Other Spent Proceeds$7,924,501OtherSpentProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec Maint0AdequateBooksAndRecMaintInd

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 Remdtd0ProcsNonqualifiedBondRemdtdInd

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 Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

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 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 11A 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.
Form 990, Part IX, line 11gConsultant Fees: Program service expenses 18,584. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,584. Medical Director Fees : Program service expenses 4,800. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,800. Repairs & Maint Fees: Program service expenses 102,824. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,824. Contract Services: Program service expenses 45,292. Management and general expenses 49,463. Fundraising expenses 0. Total expenses 94,755. Physical Therapy: Program service expenses 404,808. Management and general expenses 0. Fundraising expenses 0. Total expenses 404,808. Occupational Therapy: Program service expenses 183,255. Management and general expenses 0. Fundraising expenses 0. Total expenses 183,255. Speech Therapy : Program service expenses 62,555. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,555. Laundry Service : Program service expenses 26,658. Management and general expenses 0. Fundraising expenses 0. Total expenses 26,658. Purchased Services : Program service expenses 11,089. Management and general expenses 1,620. Fundraising expenses 0. Total expenses 12,709.

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 11a, 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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