2024-08-14T15:30:48-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 2689 COMMERCE DRIVE NW SUITE 201 ROCHESTER MN 55901 990 2022-10-01 411733854 HIGHLAND MANOR INC HIGH 5072330800 1314 EIGHTH NORTH STREET NEW ULM MN 56073 CANDAS SCHOUVIELLER CEO/ADMINISTRATOR 5072330805 2024-08-13 1 0 KATHERINE LUTZKE CPA P01760889 5072802300 2024-08-13 2022 2024-08-08 14:25:15Z OAK HILLS LIVING CENTER CANDAS SCHOUVIELLER 1314 EIGHTH NORTH STREET NEW ULM MN 56073 13262411 0 X WWW.OAKHILLSNEWULM.COM X 1958 MN HOUSING SERVICES FOR THE ELDERLY. 9 9 327 18 582173 2883 353856 91837 11530164 12220999 672490 326054 498866 562365 13055376 13201255 116246 75646 0 0 8036384 7782041 0 0 181145 4899211 5406603 13051841 13264290 3535 -63035 13524031 13372332 6821035 6643650 6702996 6728682 X TO ENRICH AND SUPPORT THE LIVES OF THE ELDERS WE CARE FOR WITH EXCELLENCE, COMPASSION, RESPECT, AND COMPETENCE. 0 0 11811600 75646 12220999 HIGHLAND MANOR, INC, (DBA: OAK HILLS LIVING CENTER) IS A 94-BED SKILLED NURSING FACILITY AND ATTACHED 16-UNIT ASSISTED LIVING APARTMENT COMPLEX LOCATED IN NEW ULM, MN. OAK HILLS LIVING CENTER CARES FOR THOSE WHO CAN NO LONGER CARE FOR THEMSELVES, AND WE DO IT WITH GREAT PASSION AND DEDICATION. PROVIDING 24-HOUR CARE FOR COMPLEX MEDICAL CONDITIONS IN OUR RESIDENTS. OAK HILLS LIVING CENTER OFFERS OTHER SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY. THE SHORT-STAY REHAB WING IS FOR RESIDENTS WHO ARE TYPICALLY HERE FOR A SHORT PERIOD OF TIME AFTER A SURGERY OR ACCIDENT. THE GOAL OF OUR SHORT-TERM REHAB IS FOR RESIDENTS TO COME IN AND RECEIVE INTENSE PHYSICAL, OCCUPATIONAL, OR SPEECH THERAPY, DEPENDING ON THE NEED SO THEY CAN RETURN TO THEIR HOME WITHIN 3 TO 4 WEEKS.OAK HILLS LIVING CENTER ALSO PROVIDES SERVICES TO RESIDENTS OF OAK VIEW APARTMENTS, WHICH IS A 16-UNIT HUD-ASSISTANCE LIVING FACILITY THAT IS A SUBSIDIARY OF OAK HILLS LIVING CENTER AND OPERATES ON THE SAME CAMPUS. 11811600 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 327 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 MN X LAURA BUECHNER CPA 5072330805 1314 8TH NORTH STREET NEW ULM MN 56073 JAY VANCURA PRESIDENT 0.50 0.50 X X 0 0 0 MICHELLE MARKGRAF VICE PRESIDENT 0.50 0.50 X X 0 0 0 BARB DIETZ SECRETARY/TREASURER 0.50 0.50 X X 0 0 0 DR JOAN KIRKIVA DIRECTOR 0.50 0.50 X 0 0 0 BETSY PIESER DIRECTOR 0.50 0.50 X 0 0 0 JUDI NELSON DIRECTOR 0.50 0.50 X 0 0 0 DR ANN VOGEL DIRECTOR 0.50 0.50 X 0 0 0 JEAN GEISTFELD-PART YEAR DIRECTOR 0.50 0.50 X 0 0 0 MIKE BOYLE DIRECTOR-PART YEAR 0.50 0.50 X 0 0 0 CANDAS SCHOUVIELLER ADMINISTRATOR 40.00 2.00 X 126505 0 25141 LAURA BUECHNER DIRECTOR OF FINANCE 40.00 2.00 X 86354 0 7300 212859 0 32441 1 0 1 0 BLUE STONE THERAPY 4319 NW URANDALE DR URBANDALE IA 50322 THERAPY SERVICES 571852 GLC ON THE GO INC 55 WESTON ROAD SUITE 300 WESTON FL 33326 POOL NURSES 500961 RTG MEDICAL 4611 E 22ND ST FREEMONT NE 68025 POOL NURSES 289352 THRIVEON 210 SOUTH 20TH STREET NEW ULM MN 56073 IT SERVICES 149728 4 91837 91837 RESIDENT REVENUE 623000 12220999 12220999 12220999 326054 326054 28519 61156 -32637 -32637 CATERING REVENUE 722320 582173 582173 MISCELLANOUS INCOME 623000 12383 12383 MEAL INCOME 722320 446 446 595002 13201255 12220999 582173 306246 X 75646 75646 245300 245300 6373872 5910587 463285 90245 87289 2956 571493 528833 42660 501131 456751 44380 67088 67088 3421 3421 34215 34215 1647882 1647882 69054 69054 307030 225629 81401 149296 142528 6768 451284 363273 88011 173 173 20860 20860 204424 204424 655778 655778 7375 7375 FOOD EXPENSE 697998 697998 MEDICAL SUPPLIES 429668 429668 LICENSE SURCHARGE 283443 275133 8310 FOUNDATION OPERATING EX 181145 181145 196469 110008 86461 13264290 11811600 1271545 181145 725277 3081 1517762 2760102 1365984 1025558 160446 185282 19705783 13040359 7152386 6665424 1238253 1347352 1301552 1313175 62371 72358 13524031 13372332 901078 862769 2000 211039 5900475 5552784 17482 17058 6821035 6643650 X 5401444 5415507 1301552 1313175 6702996 6728682 13524031 13372332 X -63035 100111 -11390 X 0 1 X 1 0 X 121028 399042 1450391 353856 91837 2416154 10914114 11043511 11145623 11530164 12220999 56854411 11035142 11442553 12596014 11884020 12312836 59270565 90297 29591 77049 196937 0 90297 29591 77049 196937 59073628 71084 96030 499190 672490 326054 1664848 71084 96030 499190 672490 326054 1664848 384944 347746 384349 527579 582173 2226791 64285 55070 36476 28060 41348 225239 11555455 11941399 13516029 13112149 13262411 63387443 0.93190 0.93820 0.02630 0.02300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER MISC REVENUE - 2018 AMOUNT: $ 64,285. 2019 AMOUNT: $ 55,070. 2020 AMOUNT: $ 36,476. 2021 AMOUNT: $ 28,060. 2022 AMOUNT: $ 41,348. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 27900 27900 12322121 8165761 4156360 218958 145101 73857 6104358 4045304 2059054 1032446 684193 348253 6665424 INVESTMENT IN FOUNDATION 1313175 F 1313175 X PART IV, LINE 2B: THE CENTER HOLDS SECURITY DEPOSITS THAT ARE REQUIRED TO BE PAID UPON ENTRANCE INTO THE FACILITY, BY THE RESIDENT, TO COVER ANY UNEXPECTED DAMAGE TO THE UNIT. THIS AMOUNT IS PAID BACK TO THE RESIDENT ONCE ALL PROPER DEDUCTIONS (IF NECESSARY) ARE REMOVED FROM THE ORGINAL DEPOSIT FOR DAMAGES THAT HAVE BEEN INCURRED ON THE UNIT. THE CENTER HOLDS MONEY FOR THE RESIDENTS IN RESIDENT TRUST ACCOUNTS. THESE ACCOUNTS ACT LIKE CHECKING ACCOUNTS FOR THE RESIDENT AND ARE IN CUSTODY OF THE FACILITY. THE MONEY IS DUE BACK TO RESIDENT IF THE RESIDENT IS TO MOVE OUT AT ANYTIME. BOTH SECURITY DEPOSITS AND RESIDENT TRUSTS MONIES ARE HELD IN SEPARATE ACCOUNTS BY THE FACILITY. PART X, LINE 2: THE CENTER AND APARTMENTS 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 (IRC) SECTION 501(C)(3). EACH ENTITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE CENTER AND APARTMENTS ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSE. THE CENTER'S AND THE APARTMENTS' ANNUAL TAX FILINGS ARE SUBJECT TO REVIEW BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAXEXEMPT STATUS. THE CENTER HAS INCOME FROM ACTIVITIES CONSIDERED UNRELATED TO ITS 501(C)(3) STATUS. INCOME TAXES ARE RECORDED AT THE PREVAILING STATUTORY RATES AND ARE INCLUDED IN OPERATING EXPENSES. 1 SCHOLARSHIPS 1 75326 N/A N/A PART I, LINE 2: OAK HILLS LIVING CENTER HAS A SCHOLARSHIP PROGRAM AVAILABLE TO EMPLOYEES WHO WORK MORE THAN 20 HOURS PER WEEK AND ARE ENROLLED IN A NURSING PROGRAM (RN OR LPN). THE ORGANIZATION PAYS THE SCHOOL DIRECTLY AND REQUIRES THE SCHOOL TO SUBMIT A CLASS SCHEDULE WITH THE TUITION BILL. IN ADDITION, THE SCHOOL MUST SUBMIT A COPY OF THE SCHOLARSHIP RECIPIENT'S GRADES WHEN THE CLASS IS COMPLETED. 0 0 0 0 0 0 0 0 0 CANDAS SCHOUVIELLER ADMINISTRATOR 126505 0 0 0 0 0 0 0 25141 0 151646 0 0 0 A BROWN COUNTY 416005765 2021-03-31 6400000 IMPROVEMENTS TO SKILLED NURSING FACILITY 0 0 0 A 847316 6400000 6400000 2011 0 0 1 1 A 0 0 0 0 1.00000 1.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF FINANCE REVIEWED THE DRAFT 990 IN DETAIL. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND DIRECTORS ARE COVERED BY THE POLICY. THE ADMINISTRATOR OR BOARD OF DIRECTORS DETERMINES WHETHER A CONFLICT EXISTS. THESE POTENTIAL CONFLICTS ARE REVIEWED AT THE BOARD MEETING. IF A CONFLICT ARISES WITH A BOARD MEMBER, THEY ARE ASKED TO REMOVE THEMSELVES FROM DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ADMINISTRATOR IS AS FOLLOWS: THE BOARD OF DIRECTORS IS GIVEN A COPY OF THE AGING SERVICES SALARY SURVEY INFORMATION FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR THE ADMINISTRATOR. THIS PROCESS IS DONE ON AN ANNUAL BASIS. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE OTHER EMPLOYEES IS AS FOLLOWS. THE ADMINISTRATOR IS GIVEN A COPY OF THE AGING SERVICES SALARY SURVEY INFORMATION FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR ALL OTHER EMPLOYEES OF THE ORGANIZATION AND MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS. THIS PROCESS IS DONE ON AN ANNUAL BASIS. THE REVIEW OF COMPENSATION DELIBERATION IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 14,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,310. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,404,692. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,404,692. MEDICARE SUPPLIES: PROGRAM SERVICE EXPENSES 228,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 228,880. FORM 990, PART XI, LINE 9: TRANSFERS TO FOUNDATION -11,390. OAK VIEW APARTMENTS INC 1314 EIGHTH N STREET NEW ULM MN 56073 411992121 ELDERLY HOUSING MN 501(C)(3) LINE 10 HIGHLAND MANOR INC 1 OAK HILLS MEMORIAL FOUNDATION 1314 EIGHTH N STREET NEW ULM MN 56073 411733850 FUND SUPPORT MN 501(C)(3) LINE 7 HIGHLAND MANOR INC 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1