ANNANDALE CARE CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ANNANDALE CARE CENTER (EIN 23-7296950)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-02-10
IRS object ID
201540419349300014
Schema version
2013v4.0
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)
Return2015-02-10T08:27:35-06:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1
CityFARGOCity
StateNDState
ZIP Code581082545ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237296950EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNANDALE CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlANNABusinessNameControlTxt
Phone3202743737PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PARK STREET EASTAddressLine1
CityANNANDALECity
StateMNState
ZIP Code55302ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDebra ReitmeierPersonNm
Person TitleAdministrator/PresidentPersonTitleTxt
Phone3202743737PhoneNum
Signature2015-02-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012398500PhoneNum
Preparation2015-02-09PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDebra ReitmeierPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PARK STREET EASTAddressLine1
CityANNANDALECity
StateMNState
ZIP Code55302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,610,150GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AHCSMN.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 Employee218TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,500PYContributionsGrantsAmt
CY Contributions Grants$9,505CYContributionsGrantsAmt
PY Program Service Revenue$7,345,286PYProgramServiceRevenueAmt
CY Program Service Revenue$7,446,654CYProgramServiceRevenueAmt
PY Investment Income$87,724PYInvestmentIncomeAmt
CY Investment Income$146,887CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,434,510PYTotalRevenueAmt
CY Total Revenue$7,603,046CYTotalRevenueAmt
PY Grants And Similar Paid$20,944PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$19,984CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,761,067PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,991,264CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,182,239PYOtherExpensesAmt
CY Other Expenses$3,273,383CYOtherExpensesAmt
PY Total Expenses$6,964,250PYTotalExpensesAmt
CY Total Expenses$7,284,631CYTotalExpensesAmt
PY Revenues Less Expenses$470,260PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$318,415CYRevenuesLessExpensesAmt
Total Assets BOY$12,833,418TotalAssetsBOYAmt
Total Assets EOY$13,083,443TotalAssetsEOYAmt
Total Liabilities BOY$9,344,049TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,269,692TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,489,369NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,813,751NetAssetsOrFundBalancesEOYAmt
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$6,739,859ExpenseAmt
Grant$19,984GrantAmt
Revenue$7,446,654RevenueAmt
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$6,739,859TotalProgramServiceExpensesAmt
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee218EmployeeCnt
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 ReitmeierBusinessNameLine1
FieldValueIRS element (for citing)
Phone3202742579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Park Street EastAddressLine1
CityAnnandaleCity
StateMNState
ZIP Code55302ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Sharon Peterson
Chairman (Apr-Sept)0.100.20Yes (X)Yes (X)$0$0$0
Roger Millner
Chairman(Oct-Mar)/Director(Apr-Sept)0.100.20Yes (X)Yes (X)$0$0$0
Kathy Gruys
Secretary/Treasurer0.100.20Yes (X)Yes (X)$0$0$0
Mark Miller
Director (Nov-Mar)0.10Yes (X)$0$0$0
Jerry Wolfsteller
Director (Nov-Mar)0.100.30Yes (X)$0$0$0
Julie Hastings
City Liaison0.100.30Yes (X)$0$0$0
Ed Skomoroh
Director0.100.30Yes (X)$0$0$0
Jack Driste
Director0.100.20Yes (X)$0$0$0
Myron Morris
Director (Apr-Sept)0.100.20Yes (X)$0$0$0
Debra Reitmeier
Administrator/President38.002.00Yes (X)$112,294$0$15,431
FieldValueIRS element (for citing)
Total Reportable Comp From Org$112,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$15,431TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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 Line1RehabvisionsBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line111623 Arbor St Ste 201AddressLine1
CityOmahaCity
StateNEState
ZIP Code68144ZIPCode
FieldValueIRS element (for citing)
ServicesPT, OT AND SLPServicesDesc
Compensation$586,870CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,505AllOtherContributionsAmt
Total Contributions$9,505TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Revenue623000$7,244,153$7,244,153
Other Supporting Reven900099$129,775$129,775
Wellness Center713940$72,726$72,726
FieldValueIRS element (for citing)
Total Program Service Revenue$7,446,654TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,121TotalRevenueColumnAmt
Exclusion$153,121ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$870OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,104OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,234OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,234TotalRevenueColumnAmt
Exclusion-$6,234ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,603,046TotalRevenueColumnAmt
Related Or Exempt Func Income$7,446,654RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$146,887ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,984TotalAmt
Program Services$19,984ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$130,696TotalAmt
Management And General$130,696ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,350,237TotalAmt
Program Services$3,233,977ProgramServicesAmt
Management And General$116,260ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$638TotalAmt
Management And General$638ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$238,857TotalAmt
Program Services$237,537ProgramServicesAmt
Management And General$1,320ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$270,836TotalAmt
Program Services$252,759ProgramServicesAmt
Management And General$18,077ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,547TotalAmt
Management And General$16,547ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,125TotalAmt
Management And General$23,125ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$847,384TotalAmt
Program Services$795,863ProgramServicesAmt
Management And General$51,521ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,423TotalAmt
Management And General$8,423ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$179,710TotalAmt
Program Services$120,402ProgramServicesAmt
Management And General$59,308ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,124TotalAmt
Management And General$20,124ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$356,993TotalAmt
Program Services$292,622ProgramServicesAmt
Management And General$64,371ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,284TotalAmt
Program Services$2,641ProgramServicesAmt
Management And General$5,643ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,095TotalAmt
Program Services$13,610ProgramServicesAmt
Management And General$1,485ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$501,092TotalAmt
Program Services$501,092ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$556,984TotalAmt
Program Services$556,984ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,150TotalAmt
Management And General$1,150ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Meals/Food$274,305$274,305
Medical Supplies$234,826$234,826
DHS Surcharge$168,900$168,900
Dues & Subscriptions$15,737$15,737

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,704TotalAmt
Program Services$34,357ProgramServicesAmt
Management And General$10,347ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,284,631TotalAmt
Program Services$6,739,859ProgramServicesAmt
Management And General$544,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,657,974BOYAmt
EOY$1,246,881EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$693,490BOYAmt
EOY$735,345EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$302,640BOYAmt
EOY$286,390EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,951,351LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,541,765LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,784,100BOYAmt
EOY$6,409,586EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,387,514BOYAmt
EOY$4,394,303EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,700BOYAmt
EOY$10,938EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,833,418BOYAmt
EOY$13,083,443EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$548,274BOYAmt
EOY$621,116EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,735,000BOYAmt
EOY$8,575,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$60,775BOYAmt
EOY$73,576EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,344,049BOYAmt
EOY$9,269,692EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,489,369BOYAmt
EOY$3,813,751EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,489,369BOYAmt
EOY$3,813,751EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,833,418BOYAmt
EOY$13,083,443EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$318,415ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,967NetUnrlzdGainsLossesInvstAmt
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$100,743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,500CurrentTaxYearMinus1YearAmt
Current Tax Year$9,505CurrentTaxYearAmt
Total$139,739TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,093,527CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,306,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,998,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,345,286CurrentTaxYearMinus1YearAmt
Current Tax Year$7,446,654CurrentTaxYearAmt
Total$36,190,782TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,194,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,326,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,006,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,346,786CurrentTaxYearMinus1YearAmt
Current Tax Year$7,456,159CurrentTaxYearAmt
Total$36,330,521TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$81,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,804CurrentTaxYearMinus1YearAmt
Current Tax Year$101,024CurrentTaxYearAmt
Total$472,181TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$81,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,804CurrentTaxYearMinus1YearAmt
Current Tax Year$101,024CurrentTaxYearAmt
Total$472,181TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$35,858,340PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,342CurrentTaxYearMinus1YearAmt
Current Tax Year$153,121CurrentTaxYearAmt
Total$416,510TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,342CurrentTaxYearMinus1YearAmt
Current Tax Year$153,121CurrentTaxYearAmt
Total$416,510TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,208,578CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,365,411CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,128,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,435,128CurrentTaxYearMinus1YearAmt
Current Tax Year$7,609,280CurrentTaxYearAmt
Total$36,747,031TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97580PublicSupportCY509Pct
Public Support PY5090.97940PublicSupportPY509Pct
Investment Income CY0.01130InvestmentIncomeCYPct
Investment Income PY0.00800InvestmentIncomePYPct
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$10,129,164OtherCostOrOtherBasisAmt
Depreciation$4,481,497DepreciationAmt
Book Value$5,647,667BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,358,008OtherCostOrOtherBasisAmt
Depreciation$782,450DepreciationAmt
Book Value$575,558BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$394,663OtherCostOrOtherBasisAmt
Depreciation$277,818DepreciationAmt
Book Value$116,845BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,409,586TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,609,013TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,967NetUnrealizedGainsInvstAmt
Revenue Not Reported$5,967RevenueNotReportedAmt
Revenue Subtotal$7,603,046RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,603,046TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,284,631TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,284,631ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,284,631TotalExpensesPerForm990Amt

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.
Part X, Line 2:recognized by the Internal Revenue Service 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 its exempt purpose. 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 believes 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 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
Recipient6RecipientCnt
Cash Grant$19,841CashGrantAmt

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 Line1Economic Development Authority of the City of Annandale MNBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN416004935BondIssuerEIN
CUSIP035724AV5CUSIPNum
Bond Issued2007-11-02BondIssuedDt
Issue Price$9,296,182IssuePriceAmt
PurposeSee Sch K,Part VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$725,000RetiredAmt
Total Proceeds$9,296,182TotalProceedsAmt
In Reserve Fund$265,134InReserveFundAmt
Capitalized Interest$272,429CapitalizedInterestAmt
Issuance Costs From Proceeds$186,000IssuanceCostsFromProceedsAmt
Capital Expenditures$4,609,396CapitalExpendituresAmt
Other Spent Proceeds$4,235,652OtherSpentProceedsAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
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 Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Economic Development Authority of the City of Annandale, MN Date the Rebate Computation was Performed: 12/21/2012
Schedule K Supplental InformationPart I, Item (f) Description of Purpose continued: Construction of memory care facility, renovation and addition to the nursing facility, and to refund bonds issued. Refunded bonds issued June 14, 1999 and August 1, 2003

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 11gPurchased Service Fees: Program service expenses 795,863. Management and general expenses 51,521. Fundraising expenses 0. Total expenses 847,384.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.