2025-08-15T11:17:45-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 2689 COMMERCE DRIVE NW SUITE 201 ROCHESTER MN 55901 990 2023-10-01 411390349 SACRED HEART CARE CENTER INC SACR 5074331808 1200 12TH STREET SW AUSTIN MN 55912 LAURA BORRIS ADMINISTRATOR 5074331808 2025-08-14 1 0 KATHERINE LUTZKE CPA P01760889 5072802300 2025-08-14 2023 2025-03-06 01:10:19Z LAURA BORRIS 1200 12TH STREET SW AUSTIN MN 55912 26408469 0 X HTTPS://WWW.SACREDHCC.ORG/ X 1981 MN TO PROVIDE NURSING CARE AND HOUSING TO THE ELDERLY AND HANDICAPPED. 9 9 243 35 0 0 1532325 3610349 7714234 22275207 28083 103636 138964 419277 9413606 26408469 0 0 0 0 6714096 19510522 0 0 0 2040265 5957092 8754361 25467614 659245 940855 15912810 16218977 2540910 2993640 13371900 13225337 X TO CONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING COMPREHENSIVE HEALTH CARE THAT ENCOMPASSES THE SPIRITUAL, PHYSICAL, PSYCHOLOGICAL, AND SOCIAL NEEDS OF THE RESIDENTS AND CLIENTS IT SERVES, THROUGH THE EMPLOYMENT OF COMPETENT STAFF, MAINTENANCE OF FACILITIES, AND EFFICIENT USE OF RESOURCES. THIS CORPORATION WILL OPERATE IN CONFORMITY WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IN THE FRANCISCAN SPIRIT OF SIMPLICITY, AND WITH A SPECIAL CONCERN FOR THE ELDERLY, DISABLED, AND UNWELL. 0 0 23901791 0 22275207 TO PROVIDE NURSING CARE AND HOUSING FOR THE ELDERLY AND HANDICAPPED THROUGH OPERATION OF A 59-BED NURSING HOME, A 26-UNIT ASSISTED LIVING FACILITY, HOME HEALTH CARE AND DAY CARE SERVICES. 23901791 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 22 0 243 1 0 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 0 1 0 0 0 0 MN X LAURA BORRIS 5074331808 1200 12TH STREET SW AUSTIN MN 55912 JAYNE GIBSON PRESIDENT 0.10 0.10 X X 0 0 0 HOLLI MAYER SECRETARY 0.10 0.10 X X 0 0 0 JOHN KLUCZNY DIRECTOR 0.10 0.10 X 0 0 0 TAMMY SNEE DIRECTOR 0.10 0.10 X 0 0 0 JAKE NELSEN DIRECTOR 0.10 0.10 X 0 0 0 JUDY CALLAHAN DIRECTOR 0.10 0.10 X 0 0 0 JAKE NELSON DIRECTOR 0.10 0.10 X 0 0 0 KIM DUNCOMB DIRECTOR 0.10 0.10 X 0 0 0 ALLYSON KLANKOWSKI DIRECTOR 0.10 0.10 X 0 0 0 LAURA BORRIS ADMINISTRATOR 40.00 0.00 X 120536 0 0 120536 0 0 1 0 0 0 0 2632445 977904 3610349 MEDICARE/MEDICAID PAYMENTS 623000 11328212 11328212 RESIDENT REVENUE 623000 10946995 10946995 22275207 103636 103636 DINING ROOM SALES 900099 292768 292768 TRANSPORTATION INCOME 900099 107049 107049 BATH INCOME 900099 12860 12860 6600 6600 419277 26408469 22275207 0 522913 368045 368045 16184709 15890860 293849 246431 246431 1672227 1672227 1039110 1039110 8179 8179 289999 289999 802080 802080 102332 102332 1272532 1059484 213048 5766 5766 357821 357821 20129 919 19210 134799 121178 13621 481674 481674 79407 79407 FOOD COSTS 774662 774662 THERAPY EXPENSE 559814 559814 MN SURCHARGE 484414 484414 PHARMACY 310315 310315 273169 95036 178133 25467614 23901791 1565823 0 151 150 3558728 1662626 711839 1278251 75000 75000 322919 626387 9241479 5783089 2126001 3458390 9118172 9118173 15912810 16218977 2260598 2466663 0 234165 52341 64841 227971 227971 2540910 2993640 X 4525373 4378810 8846527 8846527 13371900 13225337 15912810 16218977 940855 -1087418 0 X 0 0 0 X 1191845 325630 982826 1532325 3610349 7642975 7238753 6653634 6410032 7714234 22275207 50291860 8430598 6979264 7392858 9246559 25885556 57934835 0 478940 1866817 1310274 1472177 4775056 9903264 478940 1866817 1310274 1472177 4775056 9903264 48031571 20454 28952 39224 28083 103636 220349 20454 28952 39224 28083 103636 220349 40005 99547 140467 138964 419277 838260 8491057 7107763 7572549 9413606 26408469 58993444 0.81420 0.82250 0.00370 0.00450 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 40,005. 2020 AMOUNT: $ 99,547. 2021 AMOUNT: $ 140,467. 2022 AMOUNT: $ 138,964. 2023 AMOUNT: $ 419,277. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 70941 70941 6528407 4645594 1882813 1528362 942764 585598 1113769 194731 919038 3458390 GUARANTY FUNDS CERTIFICATE 168160 RESIDENTS' TRUST AGREEMENT 5241 INVESTMENT-CEDARS 98245 ASSETS HELD IN RESTRICTED TRUST 8846527 9118173 FIN 47 ASSET RETIREMENT OBLIGATION 227971 227971 PART IV, LINE 2B: THE HOME IS A CUSTODIAN OF AMOUNTS FOR RESIDENTS, I.E. RESIDENTS' FUNDS AND TENANT DEPOSITS. TENANT DEPOSITS ARE REQUIRED UPON RESIDENT MOVE-IN. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTANTS. WHEN RECEIVED, THE ADMINISTRATOR REVIEWS FORM 990 AND RELATED SCHEDULES WITH THE PURPOSE OF CONFIRMING THE ACCURACY OF EVERY ENTRY. THE FORMS ARE TAKEN TO THE NEXT BOARD MEETING FOR REVIEW AND APPROVAL, PRIOR TO SUBMITTAL TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12 REVIEWED AS NEEDED AT MONTHLY BOARD MEETINGS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. SACRED HEART HOSPICE DONATORY CORPORATION 1200 12TH STREET SW AUSTIN MN 55912 411384309 PROVISION OF SUPPORT AND BENEFITS TO SACRED HEART CARE CENTER, INC. MN 501(C)(3) LINE 12A, I SACRED HEART CARE CENTER INC 1 SACRED HEART MANAGEMENT INC 1200 12TH STREET SW AUSTIN MN 55912 411560174 MANAGEMENT COMPANY MN SACRED HEART CARE CENTER INC C 3775 173353 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0