Nonprofit · EIN 46-4564958
AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC
Also known as SARAH F VAN WINKLE MBR
Tax-exempt · MINNEAPOLIS, MN 55405
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $23,999,603 | $22,148,630 | $1,850,973 | $7,441,219 | $1,588,359 | $5,852,860 |
| December 31, 2023 | 990 | $19,281,206 | $18,195,765 | $1,085,441 | $5,840,419 | $1,338,633 | $4,501,786 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $291,624
- Program service revenue
- $23,561,117
- Investment income
- $146,242
- Net gain from sales of assets
- $60,282
- Other revenue
- $620
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $187,544
- Other salaries and wages
- $8,643,425
- Salaries, compensation and benefits (total)
- $10,450,823
- Professional fundraising fees
- $0
- Accounting fees
- $27,258
- Occupancy
- $54,948
- Travel
- $312,689
- Depreciation
- $41,415
- Program services (functional)
- $19,684,654
- Management and general (functional)
- $2,414,668
- Fundraising (functional)
- $49,308
Balance sheet and other
- Total assets, start of year
- $5,840,419
- Total assets, end of year
- $7,441,219
- Total liabilities, end of year
- $1,588,359
- Net assets, end of year
- $5,852,860
- Land, buildings and equipment
- $300,005
- Publicly traded securities
- $1,055,233
- Net assets without donor restrictions
- $5,852,860
- Gross receipts
- $23,999,603
- Employees
- 163
- Volunteers
- 84
- Year formed
- 2014
- State of legal domicile
- MN
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| STACY LYSEN | PRESIDENT/CEO Officer | 46 | $160,094 | $27,450 |
| RACHEL JACKSON | DIRECTOR OF HOSPICE Highest-paid employee | 40 | $113,213 | $32,715 |
| JENNIFER SEYFER | DIRECTOR OF QUALITY & COMPLIANCE Highest-paid employee | 40 | $130,567 | $13,197 |
| SARA WARD | HOSPICE STAFF MANAGER Highest-paid employee | 40 | $114,277 | $21,330 |
| ALYSSA LANGE | NURSE PRACTITIONER Highest-paid employee | 40 | $106,361 | $29,060 |
| KELSEY TIETJE | DIRECTOR OF MARKETING Highest-paid employee | 40 | $116,171 | $17,523 |
| TIMOTHY HOKANSON | CHAIR Trustee or director, Officer | 0.25 | $0 | $0 |
| KATHY KOPP | VICE CHAIR Trustee or director, Officer | 0.25 | $0 | $0 |
| MATTHEW KERN | CEO Trustee or director, Officer | 0.25 | $0 | $0 |
| NANCY NASH | SECRETARY Trustee or director, Officer | 0.25 | $0 | $0 |
| EILEEN CARTWRIGHT | DIRECTOR Trustee or director | 0.25 | $0 | $0 |
| DAVID LOSE | DIRECTOR Trustee or director | 0.25 | $0 | $0 |
990 for the year ended December 31, 2023: 13 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| STACY LYSEN DIRECTOR | OF HOSPICE THEN PRESIDENT/CEO Officer | 40 | $153,192 | $31,771 |
| SARAH VAN WINKLE | PRESIDENT/CEO (THROUGH AUGUST 2023) Officer | 46 | $165,750 | $5,060 |
| KELSEY TIETJE | DIRECTOR MARKETING Highest-paid employee | 40 | $111,681 | $14,920 |
| JENNIFER SEYFER | DIRECTOR OF QUALITY & COMPLIANCE Highest-paid employee | 40 | $106,998 | $11,025 |
| NICOLE NIELSEN | RN CLINICAL SUPERVISOR Highest-paid employee | 40 | $108,139 | $66 |
| KELLY WEILER | RN CASE MANAGER Highest-paid employee | 40 | $100,134 | $54 |
| BERNIE CABLE-PROKOP | CHAIR (THROUGH JANUARY 2023) Trustee or director, Officer | 0.25 | $0 | $0 |
| TIMOTHY HOKANSON | VICE CHAIR THEN CHAIR Trustee or director, Officer | 0.25 | $0 | $0 |
| KATHY KOPP | SECRETARY THEN VICE CHAIR Trustee or director, Officer | 0.25 | $0 | $0 |
| NANCY NASH | DIRECTOR THEN SECRETARY Trustee or director, Officer | 0.25 | $0 | $0 |
| MATTHEW KERN | TREASURER Trustee or director, Officer | 0.25 | $0 | $0 |
| EILEEN CARTWRIGHT | DIRECTOR Trustee or director | 0.25 | $0 | $0 |
| DAVID LOSE | DIRECTOR Trustee or director | 0.25 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 1015 4TH AVENUE NORTH, MINNEAPOLIS, MN 55405-1189
- In care of
- % STACY LYSON
- Principal officer (990 for 2024)
- STACY LYSEN, 1015 4TH AVENUE NORTH, MINNEAPOLIS, MN 55405
- Signed the 990
- STACY LYSEN, PRESIDENT/CEO
- Phone
- (952) 855-5000
- Website
- WWW.GRACEHOSPICECARING.ORG
- Return prepared by
- CLIFTONLARSONALLEN LLP
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.
Program accomplishments
- 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 $19,684,654 · revenue $23,561,117
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Check at the IRS |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 46-4564958
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (509(a)(2))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2015
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E91)
- Assets (IRS master file)
- $9,361,757
- Income (IRS master file)
- $26,437,795
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $23,999,603 | $22,148,630 | $7,441,219 | XML |
| 990 | December 2023 | $19,281,206 | $18,195,765 | $5,840,419 | XML |
| 990 | December 2022 | $16,102,510 | $16,070,997 | $4,719,491 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | September 2019 | – | – | – | IRS |
| 990 | September 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 46-4564958).
Questions about AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC
- What is the EIN of AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC?
- The employer identification number (EIN) of AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC is 46-4564958.
- Is AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2015.
- Are donations to AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC?
- The 990 for the year ended December 31, 2024 names STACY LYSEN.
- Who are the officers and directors of AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC?
- The 990 for the year ended December 31, 2024 lists 12 people; 6 received compensation from the organization, the highest $160,094 (STACY LYSEN, PRESIDENT/CEO).
- How much revenue does AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $23,999,603, expenses of $22,148,630 and total assets of $7,441,219 at year end.
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