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Nonprofiteer
← AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC

Form 990 for tax year 2023

Filed by AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC.

Totals

Total revenue
$19,281,206
Total expenses
$18,195,765
Contributions and grants received
$212,553
Grants paid
$0
Program service revenue
$18,997,715
Investment income
$67,688
Other revenue
$3,250
Total assets, end of year
$5,840,419
Total liabilities, end of year
$1,338,633
Net assets or fund balances, end of year
$4,501,786
Program services expenses (Part IX)
$16,150,049
Management and general expenses
$2,013,208
Fundraising expenses
$32,508
Program service expenses (Part III)
$16,150,049

Program services were 88.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $212,553

  • 2a · Program service revenue: HOSPICE CARE

    total $18,997,715 · related or exempt $18,997,715

  • 3 · Investment income

    total $56,689 · excluded $56,689

  • 7a · Gross sales of assets other than inventory

    securities $37,287

  • 7b · Less cost or other basis and sales expenses

    securities $26,288

  • 7c · Gain or loss

    securities $10,999

  • 7d · Net gain or loss

    total $10,999 · excluded $10,999

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $3,250 · excluded $3,250

  • 11e · Other revenue, total

    $3,250

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $355,779 · program services $123,315 · management and general $232,464

  • 7 · Other salaries and wages

    total $7,704,485 · program services $6,981,695 · management and general $722,790

  • 8 · Pension plan contributions

    total $137,557 · program services $127,936 · management and general $9,621

  • 9 · Other employee benefits

    total $699,696 · program services $626,212 · management and general $73,484

  • 10 · Payroll taxes

    total $603,023 · program services $534,893 · management and general $68,130

  • 11a · Fees: management

    total $379,954 · management and general $379,954

  • 11c · Fees: accounting

    total $25,280 · management and general $25,280

  • 11g · Fees: other

    total $6,203,020 · program services $6,203,020

  • 12 · Advertising and promotion

    total $10,037 · management and general $10,037

  • 13 · Office expenses

    total $256,749 · program services $35,190 · management and general $189,051 · fundraising $32,508

  • 14 · Information technology

    total $181,942 · management and general $181,942

  • 16 · Occupancy

    total $55,081 · program services $54,133 · management and general $948

  • 17 · Travel

    total $237,771 · program services $215,386 · management and general $22,385

  • 19 · Conferences, conventions and meetings

    total $16,158 · program services $13,630 · management and general $2,528

  • 22 · Depreciation, depletion and amortization

    total $26,017 · management and general $26,017

  • 23 · Insurance

    total $27,881 · management and general $27,881

  • 24a · Other expenses: NURSING EQUIPMENT

    total $967,901 · program services $967,901

  • 24b · Other expenses: NURSING SUPPLIES

    total $265,969 · program services $265,969

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $22,632 · program services $574 · management and general $22,058

  • 24d · Other expenses: LICENSES, PERMITS AND F

    total $8,482 · management and general $8,482

  • 24e · All other expenses

    total $10,351 · program services $195 · management and general $10,156

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,904,081 · end of year $2,847,742

  • 2 · Savings and temporary cash investments

    beginning of year $2,966 · end of year $4,499

  • 4 · Accounts receivable

    beginning of year $1,594,254 · end of year $1,704,756

  • 9 · Prepaid expenses and deferred charges

    beginning of year $15,518 · end of year $49,322

  • 10a · Land, buildings and equipment: cost or other basis

    $355,119

  • 10b · Land, buildings and equipment: accumulated depreciation

    $282,104

  • 10c · Land, buildings and equipment, net

    beginning of year $71,287 · end of year $73,015

  • 11 · Investments: publicly traded securities

    beginning of year $957,382 · end of year $1,002,385

  • 15 · Other assets

    beginning of year $174,003 · end of year $158,700

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,060,544 · end of year $1,189,729

  • 25 · Other liabilities

    beginning of year $250,317 · end of year $148,904

  • 27 · Net assets without donor restrictions

    beginning of year $3,408,630 · end of year $4,501,786

Mission and programs · 2023

Mission

OUR MISSION IS TO SERVE GOD BY RECOGNIZING THAT EVERY PERSON DESERVES TO LIVE OUT HIS OR HER LIFE WITH RESPECT AND DIGNITY, FREE OF PAIN, AND IN AN ENVIRONMENT THAT PROMOTES QUALITY OF LIFE.

Activities or mission (Part I)

PROVIDE HOSPICE SERVICES TO THE ELDERLY.

  • AUGUSTANA MOUNT OLIVET HOSPICE, LLC ("THE LLC") IS A JOINT VENTURE BETWEEN AUGUSTANA CARE (EIN: 41-1728753) AND MOUNT OLIVET CAREVIEW HOME (EIN: 41-0802697). AUGUSTANA CARE AND MOUNT OLIVET CAREVIEW HOME ARE THE ONLY MEMBERS OF THE LLC. BOTH MEMBERS ARE MINNESOTA NONPROFIT CORPORATIONS AND TAX EXEMPT PUBLIC CHARITIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AUGUSTANA CARE IS A PUBLIC CHARITY UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). MOUNT OLIVET CAREVIEW HOME IS A PUBLIC CHARITY UNDER SECTION 509(A)(2).HOSPICE CARE:THE LLC PROVIDES END-OF-LIFE CARE TO PATIENTS, WHEREVER THEY LIVE, THAT HAVE BEEN CERTIFIED AS BEING TERMINALLY ILL WITH LESS THAN SIX MONTHS OF LIFE. THE PURPOSES OF THE LLC INCLUDE:(A) TO PROVIDE END-OF-LIFE SERVICES THAT SUPPORT EACH INDIVIDUAL'S PHYSICAL, SPIRITUAL, CULTURAL AND EMOTIONAL NEEDS TO ENHANCE THEIR QUALITY OF LIFE;(B) TO SUPPORT AND HELP PATIENTS AND FAMILIES THROUGH THEIR END-OF-LIFE JOURNEY UTILIZING A TEAM APPROACH OF: MEDICAL DIRECTOR, NURSES, SOCIAL WORKERS, CHAPLAINS, HOME HEALTH AIDES, MUSIC THERAPISTS, MASSAGE THERAPISTS, GRIEF COUNSELORS, MEDICATIONS RELATED TO TERMINAL DIAGNOSIS, DURABLE MEDICAL EQUIPMENT, 24/7 ON-CALL SUPPORT AND VOLUNTEERS;(C) TO PROVIDE 13 MONTHS OF BEREAVEMENT SERVICES;(D) TO ACCEPT ALL WHO ARE ELIGIBLE TO HOSPICE SERVICES REGARDLESS OF ABILITY TO PAY;(E) A FAITH-BASED ORGANIZATION BRINGING HOSPICE CARE TO PATIENTS AND FAMILIES THAT BEST FITS THEIR NEEDS; AND(F) OTHER PROGRAMS AS MAY FROM TIME TO TIME THAT IS APPROPRIATE TO THE ACCOMPLISHMENT OF THIS COMPANY'S CHARITABLE PURPOSE.

    Expenses $16,150,049 · Revenue $18,997,715

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • STACY LYSEN DIRECTOR

    OF HOSPICE THEN PRESIDENT/CEO

    Total calculated
    $184,963
    From this org
    $153,192
    From related orgs
    $0
    Other
    $31,771
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,123
    Bonus
    $10,000
    Other
    $69
    Deferred
    $6,498
    Nontaxable benefits
    $25,273
    Filer's total
    $184,963

  • SARAH VAN WINKLE

    PRESIDENT/CEO (THROUGH AUGUST 2023)

    Total calculated
    $170,810
    From this org
    $165,750
    From related orgs
    $0
    Other
    $5,060
    Hours/week
    46

    Schedule J breakdown matched by us

    Base
    $145,750
    Bonus
    $20,000
    Other
    $0
    Deferred
    $5,060
    Nontaxable benefits
    $0
    Filer's total
    $170,810

  • KELSEY TIETJE

    DIRECTOR MARKETING

    Total calculated
    $126,601
    From this org
    $111,681
    From related orgs
    $0
    Other
    $14,920
    Hours/week
    40

  • JENNIFER SEYFER

    DIRECTOR OF QUALITY & COMPLIANCE

    Total calculated
    $118,023
    From this org
    $106,998
    From related orgs
    $0
    Other
    $11,025
    Hours/week
    40

  • NICOLE NIELSEN

    RN CLINICAL SUPERVISOR

    Total calculated
    $108,205
    From this org
    $108,139
    From related orgs
    $0
    Other
    $66
    Hours/week
    40

  • KELLY WEILER

    RN CASE MANAGER

    Total calculated
    $100,188
    From this org
    $100,134
    From related orgs
    $0
    Other
    $54
    Hours/week
    40

  • BERNIE CABLE-PROKOP

    CHAIR (THROUGH JANUARY 2023)

    Total calculated
    $0
    Hours/week
    0.25

  • TIMOTHY HOKANSON

    VICE CHAIR THEN CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • KATHY KOPP

    SECRETARY THEN VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • NANCY NASH

    DIRECTOR THEN SECRETARY

    Total calculated
    $0
    Hours/week
    0.25

  • MATTHEW KERN

    TREASURER

    Total calculated
    $0
    Hours/week
    0.25

  • EILEEN CARTWRIGHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • DAVID LOSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
21 October 2024
IRS schema version
2023v5.1
Source object
202442969349300929

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