ANNANDALE CARE CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ANNANDALE CARE CENTER (EIN 23-7296950)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-03-04
- IRS object ID
- 201310639349300501
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-03-04T08:37:09-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4310 17TH AVE S PO BOX 2545 | AddressLine1 |
| City | FARGO | City |
| State | ND | State |
| ZIP Code | 581082545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237296950 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNANDALE CARE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ANNA | NameControl |
| Phone | 3202743737 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PARK STREET EAST | AddressLine1 |
| City | ANNANDALE | City |
| State | MN | State |
| ZIP Code | 55302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBRA REITMEIER | Name |
| Title | ADMINISTRATOR/PRESIDENT | Title |
| Phone | 3202743737 | Phone |
| Date Signed | 2013-02-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA CHAFFEE CPA | Name |
| PTIN | P00193453 | PTIN |
| Phone | 7012398500 | Phone |
| Date Prepared | 2013-02-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEBRA REITMEIER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PARK STREET EAST | AddressLine1 |
| City | ANNANDALE | City |
| State | MN | State |
| ZIP Code | 55302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7129417 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AHCSMN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | SKILLED NURSING SERVICES AND ASSISTED LIVING SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 215 | TotalNbrEmployees |
| Total Nbr Volunteers | 58 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 19946 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8045 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7306450 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6998865 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 40335 | InvestmentIncomePriorYear |
| Investment Income Current Year | 122327 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7366731 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7129237 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 20156 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 20247 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3724295 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3636323 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3180413 | OtherExpensePriorYear |
| Other Expenses Current Year | 3276237 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6924864 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6932807 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 441867 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 196430 | RevenuesLessExpensesCY |
| Total Assets BOY | 12470879 | TotalAssetsBOY |
| Total Assets EOY | 12560494 | TotalAssetsEOY |
| Total Liabilities BOY | 9633185 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9508429 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2837694 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3052065 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | QUALITY CARE AND SERVICES THAT SHAPE THE FUTURE FOR THE DYNAMIC NEEDS OF THE PEOPLE IN OUR AREA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6321101 | Expense |
| Grants | 20247 | Grants |
| Revenue | 6998865 | Revenue |
| Description | THE 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. | Description |
| Total Program Service Expense | 6321101 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 215 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOLLY LAUDENBACH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3202741476 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PARK STREET EAST | AddressLine1 |
| City | ANNANDALE | City |
| State | MN | State |
| ZIP Code | 55302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| SHARON PETERSONCHAIR AS OF 412 | ||||||
| /SEC/TREAS (THRU 3/12) | 0.10 | X | X | 0 | 0 | 0 |
| MARK D MILLERCHAIR THRU 312 | ||||||
| /DIRECTOR (AS OF 4/12) | 0.10 | X | X | 0 | 0 | 0 |
| KATHY GRUYS | ||||||
| SECRETARY/TREASURER | 0.10 | X | X | 0 | 0 | 0 |
| JERRY WOLFSTELLER | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| SHELLY JONAS | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| ED SKOMOROH | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| JACK DRISTE | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| ROGER MILLNER | ||||||
| DIRECTOR (THRU 3/12) | 0.10 | X | 0 | 0 | 0 | |
| DEBRA REITMEIERADMINPRESFROM 112 | ||||||
| /CONTROLLER/ASST ADMIN(THRU 12/11) | 38.00 | X | 83226 | 0 | 14251 | |
| JOHN NELSON ADMINISTRATOR | ||||||
| PRES (THRU 12/11) | 39.70 | X | 145999 | 0 | 1236 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 229225 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 15487 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABVISIONS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11623 ARBOR ST STE 201 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68144 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PT, OT AND SLP | DescriptionOfServices |
| Compensation | 618984 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 8045 | AllOtherContributions |
| Total Contributions | 8045 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT REVENUE | 623000 | 6825055 | 6825055 |
| OTHER SUPPORTING REVEN | 900099 | 114596 | 114596 |
| WELLNESS CENTER | 713940 | 59214 | 59214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6998865 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 121724 | TotalRevenueColumn |
| Exclusion | $121,724 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 783 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 180 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 603 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 603 | TotalRevenueColumn |
| Exclusion | $603 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7129237 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6998865 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $122,327 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20247 | Total |
| Program Services | 20247 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265696 | Total |
| Management And General | 265696 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2975368 | Total |
| Program Services | 2952143 | ProgramServices |
| Management And General | 23225 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1375 | Total |
| Management And General | 1375 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145557 | Total |
| Program Services | 145557 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248327 | Total |
| Program Services | 227262 | ProgramServices |
| Management And General | 21065 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2229 | Total |
| Management And General | 2229 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20220 | Total |
| Management And General | 20220 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 942130 | Total |
| Program Services | 855637 | ProgramServices |
| Management And General | 86493 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16173 | Total |
| Management And General | 16173 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150635 | Total |
| Program Services | 91588 | ProgramServices |
| Management And General | 59047 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13076 | Total |
| Management And General | 13076 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353110 | Total |
| Program Services | 293167 | ProgramServices |
| Management And General | 59943 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4039 | Total |
| Program Services | 2144 | ProgramServices |
| Management And General | 1895 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12969 | Total |
| Program Services | 7517 | ProgramServices |
| Management And General | 5452 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 516087 | Total |
| Program Services | 516087 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 551814 | Total |
| Program Services | 551814 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1069 | Total |
| Management And General | 1069 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 463223 | 463223 | |
| DHS SURCHARGE | 168900 | 168900 | |
| DUES & SUBSCRIPTIONS | 21199 | 21199 | |
| BAD DEBT EXPENSE | 2307 | 2307 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37057 | Total |
| Program Services | 23508 | ProgramServices |
| Management And General | 13549 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6932807 | Total |
| Program Services | 6321101 | ProgramServices |
| Management And General | 611706 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1815210 | BOY |
| EOY | 2118156 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 819391 | BOY |
| EOY | 806676 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356431 | BOY |
| EOY | 334231 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11802696 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4846184 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7269419 | BOY |
| EOY | 6956512 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2203531 | BOY |
| EOY | 2339567 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6897 | BOY |
| EOY | 5352 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12470879 | BOY |
| EOY | 12560494 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565317 | BOY |
| EOY | 589474 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9030000 | BOY |
| EOY | 8885000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37868 | BOY |
| EOY | 33955 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9633185 | BOY |
| EOY | 9508429 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2837694 | BOY |
| EOY | 3052065 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2837694 | BOY |
| EOY | 3052065 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12470879 | BOY |
| EOY | 12560494 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 196430 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 17941 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3474 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7580 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 100743 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19946 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8045 | CurrentTaxYear |
| Total | 139788 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5575740 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6824180 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7093527 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7306450 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6998865 | CurrentTaxYear |
| Total | 33798762 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5579214 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6831760 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7194270 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7326396 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7006910 | CurrentTaxYear |
| Total | 33938550 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50240 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 80381 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 81144 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 138844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 87365 | CurrentTaxYear |
| Total | 437974 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50240 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 80381 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 81144 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 138844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 87365 | CurrentTaxYear |
| Total | 437974 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 33500576 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 53848 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14308 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39015 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121724 | CurrentTaxYear |
| Total | 255270 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 53848 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14308 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39015 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121724 | CurrentTaxYear |
| Total | 255270 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5633062 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6858135 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7208578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7365411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7128634 | CurrentTaxYear |
| Total | 34193820 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97970 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97600 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00750 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00580 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69516 | OtherCostOrOtherBasis |
| Book Value | 69516 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9806216 | OtherCostOrOtherBasis |
| Depreciation | 3693453 | Depreciation |
| Book Value | 6112763 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1312489 | OtherCostOrOtherBasis |
| Depreciation | 910256 | Depreciation |
| Book Value | 402233 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 614475 | OtherCostOrOtherBasis |
| Depreciation | 242475 | Depreciation |
| Book Value | 372000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6956512 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | ANNANDALE CARE CENTER ACTS AS CUSTODIAN FOR FUNDS OF ITS RESIDENTS. | |
| PART X: | COMMUNITY SERVICES, CARE CENTER, AND CONGREGATE ARE ORGANIZED AS MINNESOTA NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATIONS ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATIONS ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATIONS 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 ORGANIZATIONS 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 FINANCIAL STATEMENTS. THE ORGANIZATIONS WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS- EDUCATION | TypeOfGrant |
| Number Of Recipients | 8 | NumberOfRecipients |
| Amount Of Cash Grant | 20247 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE AWARDED TO EMPLOYEES WHO WORK AN AVERAGE OF 20 HOURS A WEEK OR MORE AND WHO ARE ENROLLED IN A PROGRAM OF STUDY RELATED TO LONG TERM CARE. RECIPIENTS ARE SELECTED BY A COMMITTEE ON A QUARTERLY BASIS. FUNDS ARE DISBURSED UPON RECEIVING A COPY OF THE RECIPIENT'S TUITION/FEES STATEMENT AND/OR RECEIPTS FOR PURCHASES OF REQUIRED TEXTBOOKS. THE GUIDELINES FOR THIS PROGRAM ARE IN ACCORDANCE WITH THOSE SET FORTH BY THE MN DEPARTMENT OF HUMAN SERVICES' NURSING FACILITY SCHOLARSHIP PROGRAM. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF ANNANDALE MN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 416004935 | IssuerEIN |
| CUSIP Number | 035728AV5 | CUSIPNumber |
| Date Issued | 2007-11-02 | DateIssued |
| Issue Price | 9296182 | IssuePrice |
| Description Of Purpose | SEE SCH K,PART VI | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 340000 | AmountRetired |
| Total Proceeds | 9296182 | TotalProceeds |
| Amount In Reserve Fund | 265134 | AmountInReserveFund |
| Capitalized Interest | 272429 | CapitalizedInterest |
| Issuance Costs From Proceeds | 186000 | IssuanceCostsFromProceeds |
| Capital Expenditures | 4609396 | CapitalExpenditures |
| Other Spent Proceeds | 4235652 | OtherSpentProceeds |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K SUPPLENTAL INFORMATION | Identifier |
| Explanation | PART 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 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE PRESIDENT DOES NOT HAVE VOTING RIGHTS. | |
| FORM 990, PART VI, SECTION A, LINE 2 | SHELLY JONAS AND ROGER MILLNER HAVE A FAMILY RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S BYLAWS WERE AMENDED TO CHANGE THE PRESIDENT TO A NON-VOTING MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS ELECTED ANNUALLY BY THE BOARD OF DIRECTORS OF ANNANDALE HEALTH AND COMMUNITY SERVICES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING MUST BE APPROVED BY THE BOARD OF DIRECTORS OF ANNANDALE HEALTH AND COMMUNITY SERVICES: ** BUDGET - CHANGES IN BUDGET OF OVER $10,000 - EXPENDITURES OF OVER $10,000 - SALES OF ASSETS OF OVER $10,000 - CHANGES TO THE BYLAWS THE FOLLOWING MUST BE APPROVED BY THE PRESIDENT OF THE ANNANDALE HEALTH AND COMMUNITY SERVICE BOARD: - CHANGES IN THE BUDGET OF OVER $5,000 BUT LESS THAN $10,000 - EXPENDITURES OF OVER $5,000 BUT LESS THAN $10,000 - SALES OF ASSETS OF OVER $5,000 BUT LESS THAN $10,000 | |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES THAT CAN ACT ON BEHALF OF THE BOARD. COMMITTEES MUST COME BACK TO THE FULL BOARD TO MAKE A FINAL DECISION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF THE FORM 990 WILL BE MAILED OUT TO MEMBERS OF THE BOARD PRIOR TO THE FILING DATE. ALSO, THE CONTROLLER AND THE ADMINISTRATOR/PRESIDENT WILL REVIEW A DRAFT COPY OF THE FORM 990 BEFORE IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THERE IS NO ANNUAL FORM OR DISCLOSURE THAT IS USED TO UNCOVER CONFLICTS OF INTEREST; HOWEVER, INDIVIDUALS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST BASED ON AN "HONOR-SYSTEM." ANYONE WHO CAN INFLUENCE THE ACTIONS OF THE CORPORATION IS COVERED BY THE POLICY. THIS INCLUDES BOARD MEMBERS, KEY EMPLOYEES, OFFICERS, AND EMPLOYEES. THE BOARD REVIEWS AND DETERMINES WHEN AND IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, BOARD MEMBERS ARE NOT ALLOWED TO VOTE ON THE ISSUE IN CONFLICT. ALL CONFLICTS OF INTEREST ARE DOCUMENTED IN THE BOARD MEETING MINUTES. | |
| EACH YEAR, THE CORPORATION FINDS OUT WHAT THE INCREASE IN RATES WILL BE. THE INCREASE IN RATES IS ALLOCATED PROPORTIONATELY ACROSS THE BOARD TO ALL EMPLOYEES. THE BUDGET IS ALSO DETERMINED BY THE INCREASE IN RATES AND THE BOARD OF DIRECTORS APPROVES THE BUDGET. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE NOT MADE PUBLICLY AVAILABLE. | |
| FORM 990, PART VII: | THE FOLLOWING INDIVIDUALS LISTED IN PART VII DEVOTED TIME TO ANNANDALE CONGREGATE HOUSING, A RELATED ORGANIZATION: JOHN NELSON: THREE TENTHS OF AN HOUR PER WEEK DEBRA REITMEIER: TWO HOURS PER WEEK MARK MILLER: ONE TENTH OF AN HOUR PER WEEK SHARON PETERSON: ONE TENTH OF AN HOUR PER WEEK ED SKOMOROH: ONE TENTH OF AN HOUR PER WEEK JERRY WOLFSTELLER: ONE TENTH OF AN HOUR PER WEEK SHELLY JONAS: ONE TENTH OF AN HOUR PER WEEK THE FOLLOWING INDIVIDUALS LISTED IN PART VII DEVOTED TWO TENTHS OF AN HOUR PER WEEK TO ANNANDALE HEALTH AND COMMUNITY SERVICES, A RELATED ORGANIZATION: MARK MILLER, SHARON PETERSON, KATHY GRUYS, JERRY WOLFSTELLER, SHELLY JONAS, JACK DRISTE, AND ED SKOMOROH | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 17,941. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANNANDALE HEALTH AND COMMUNITY SERVICES | |||||||||||
| 500 PARK STREET EAST | ANNANDALE | MN | 55302 | 411820760 | OVERSIGHT | MN | 501(C)(3) | LINE 7 | N/A | 0 | |
| HEARTLAND TRANSIT | |||||||||||
| 500 PARK STREET EAST | ANNANDALE | MN | 55302 | 411820763 | INACTIVE CORPORATION | MN | 501(C)(3) | LINE 7 | 0 | ANNANDALE HEALTH AND COMMUNITY SERVICES | |
| ANNANDALE CONGREGATE HOUSING | |||||||||||
| 500 PARK STREET EAST | ANNANDALE | MN | 55302 | 363566531 | INDEPENDENT LIVING | MN | 501(C)(3) | LINE 11A, I | 0 | ANNANDALE HEALTH AND COMMUNITY SERVICES | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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