2020-10-15T11:44:21-05:00 2019-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-01-01 410706110 EPISCOPAL CHURCH HOME OF MINNESOTA EPIS 6516460622 1879 FERONIA AVENUE ST PAUL MN 55104 MARVIN PLAKUT PRESIDENT & CEO 6512098529 2020-08-18 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-08-18 4.4.25.242 2020-08-18 05:43:35 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2021-01-29 14:40:06Z MARVIN PLAKUT 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 17615827 0 1194 X WWW.EHOMESMN.ORG X 1894 MN PROVIDE SKILLED CARE IN THE OPERATION OF NURSING HOME. 17 17 609 117 0 0 0 550000 15566808 16458035 167982 432120 1090 6830 15735880 17446985 0 250000 0 0 9070578 9150586 0 0 0 6995758 6739033 16066336 16139619 -330456 1307366 14860900 15482789 12676953 11659678 2183947 3823111 OUR MISSION IS TO ENHANCE THE QUALITY OF LIFE FOR SENIOR ADULTS BY PROVIDING HOMES AND SERVICES THAT SUPPORT EACH INDIVIDUALS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS. 0 0 14126124 250000 16464865 EPISCOPAL CHURCH HOME PROVIDES 24-HOUR SKILLED NURSING CARE IN PLEASANT, HOME-LIKE SETTINGS CALLED HOUSEHOLDS. RESIDENTS LIVE IN COMFORTABLE, PRIVATE ROOMS WITHIN HOUSEHOLD COMMUNITIES. EACH HOUSEHOLD HAS ITS OWN TEAM OF QUALIFIED, CARING STAFF MEMBERS. THE SERVICES INCLUDED ARE ON-SITE PHYSICIANS, NURSE PRACTITIONERS, PODIATRISTS, DENTISTS, OPTOMETRISTS, PSYCHOLOGIST AND HEARING AID SPECIALISTS. THERE IS ALSO SPIRITUAL WELLNESS PROVIDED BY ON-STAFF CHAPLAINS, WITH A VARIETY OF MINISTRY AND WORSHIP SERVICES IN TWO ON-SITE CHAPELS. THE EPISCOPAL CHURCH HOME HAS 81 SKILLED NURSING BEDS AND 50 BOARD AND CARE BEDS. 14126124 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 609 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X TOM HENRY 6512098529 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 DAVID CARLSEN DIRECTOR 0.10 1.10 X 0 0 0 BRAD CLARY DIRECTOR 0.10 1.10 X 0 0 0 DENISE COLE DIRECTOR (THRU SEPT) 0.10 1.10 X 0 0 0 LOIS CUTLER DIRECTOR 0.10 1.10 X 0 0 0 AMY FISTLER DIRECTOR 0.10 1.10 X 0 0 0 REBECCA HAWTHORNE DIRECTOR 0.10 1.10 X 0 0 0 TOM HOVE DIRECTOR 0.10 1.10 X 0 0 0 JIM HUBER DIRECTOR 0.10 1.10 X 0 0 0 THE REV DIANE MCGOWAN DIRECTOR 0.10 1.10 X 0 0 0 SARAH JANE NOWLIN DIRECTOR 0.10 1.10 X 0 0 0 REV BRIAN PRIOR DIRECTOR 0.10 1.10 X 0 0 0 JEROME O'BRIEN SLAWIK DIRECTOR 0.10 1.10 X 0 0 0 TOM SCHAEFER DIRECTOR 0.10 1.10 X 0 0 0 JAMES TIFT DIRECTOR 0.10 1.10 X 0 0 0 LEWIS ZIEDNER DIRECTOR (THRU SEPT) 0.10 1.10 X 0 0 0 BRIAN OSTENSO CHAIR 0.10 1.10 X X 0 0 0 PETER GOVE VICE CHAIR 0.10 1.10 X X 0 0 0 CAROL FORBES SECRETARY 0.10 1.10 X X 0 0 0 CHRIS HOWARD SECRETARY (THRU SEPT) 0.10 1.10 X X 0 0 0 MELISSA GILBERTSON TREASURER 0.10 1.10 X X 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 3.00 37.00 X 217740 0 37970 JOHN T HENRY CFO 3.00 37.00 X 136159 0 28051 STEVEN MORK COO 3.00 37.00 X 147346 0 13187 MARY ROUTHIEAUX CAO 3.00 37.00 X 125686 0 26803 626931 0 106011 4 0 1 0 EH SERVICES 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 MANAGEMENT SERVICES 1323596 1 550000 550000 PATIENT SERVICE REVENUE 531110 16458035 16458035 16458035 69957 69957 531005 168842 362163 362163 362163 6830 6830 6830 17446985 16464865 0 432120 250000 250000 732942 706025 26917 7056568 6797412 259156 69417 66868 2549 585280 563785 21495 706379 680437 25942 1359252 257266 1101986 62554 62554 61475 61475 5495 5495 1232255 1078102 154153 308434 243829 64605 180126 43974 136152 254990 254990 11636 10317 1319 49091 20042 29049 613566 613566 590366 590366 53690 53690 MEDICAL SUPPLIES & DRUG 684508 684508 BAD DEBT EXPENSE 379605 379605 FOOD SERVICE 371887 371887 DHS SURCHARGE 228015 228015 292088 231440 60648 16139619 14126124 2013495 0 0 308106 337308 343107 2221151 1789809 38744 81372 20494245 12045455 8872275 8448790 3391422 4511605 14860900 15482789 1207303 1248779 9366263 9028026 9222 8397 1380044 1254618 714121 119858 12676953 11659678 X 2105043 3744207 78904 78904 2183947 3823111 14860900 15482789 1307366 331798 0 X X 0 1 X 1 0 X 156539 61670 76521 550000 844730 12784881 14533338 14508774 15567070 16458035 73852098 90256 79174 20239 828 6830 197327 13031676 14674182 14605534 15567898 17014865 74894155 0 0 0 74894155 45177 108019 59835 45353 69957 328341 45177 108019 59835 45353 69957 328341 13076853 14782201 14665369 15613251 17084822 75222496 0.99560 0.99600 0.00440 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 181281 181281 18165234 10240847 7924387 2128042 1804608 323434 19688 19688 8448790 INTEREST IN NET ASSETS OF EHF 9418 RELATED PARTY RECEIVABLES 350894 INVESTMENTS HELD BY FOUNDATION 3152119 ASSETS LIMITED AS TO USE - HELD BY EHF 999174 4511605 ASSET RETIREMENT OBLIGATION LIABILITY 119858 119858 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF RESIDENT FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS OF THE ORGANIZATION. 1 EPISCOPAL HOMES FOUNDATION OF MINNESOTA 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 411703612 501(C)(3) 250000 OPERATIONAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION IS RELATED TO THE ORGANIZATIONS THAT RECEIVED THE GRANT FUNDS IN 2019. THEY ARE ABLE TO MONITOR THE USE OF FUNDS THROUGH THEIR MUTUAL PARENT ORGANIZATION. X X X 0 0 0 0 0 0 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 217740 0 0 0 0 0 6421 0 31549 0 255710 0 0 0 JOHN T HENRY CFO 136159 0 0 0 0 0 4379 0 23672 0 164210 0 0 0 STEVEN MORK COO 147346 0 0 0 0 0 4616 0 8571 0 160533 0 0 0 MARY ROUTHIEAUX CAO 125686 0 0 0 0 0 3993 0 22810 0 152489 0 0 0 A HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST PAUL MN 416005521 792893FE4 2006-11-02 8425000 REMODELING AND EXPANSION OF NURSING HOME 0 0 0 B HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST PAUL MN 521440935 792908CB9 2012-11-15 10216876 REFUNDING OF 1999 BOND ISSUE, AND RESERVES RELATED TO CAMPUS EXPANSION 0 0 0 A 2415000 8425000 168500 8256500 2008 0 0 1 1 B 1051876 10216876 652417 6370776 205000 2988683 2013 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 1 B 1 PART III, LINE 9 & PART V THE ORGANIZATION WOULD CONSULT WITH BOND COUNSEL TO ADDRESS ANY VIOLATIONS OF FEDERAL TAX REQUIREMENTS AND RELATED REMEDIATION. FORM 990, SCHEDULE K, PART I, ISSUER B THE ORGANIZATION SHARES THE PROCEEDS AND PURPOSE OF THE FUNDS FROM THIS BOND WITH A RELATED ORGANIZATION, IRIS PARK COMMONS. AT THE END OF TAX YEAR, 12/31/2019, THE OUTSTANDING BALANCE OF THE BOND FOR EPISCOPAL CHURCH HOME OF MINNESOTA AND IRIS PARK COMMONS WAS $3,207,750 AND $5,957,250 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 3 EH SERVICES, INC. IS A RELATED, 501(C)(3) ORGANIZATION THAT IS RESPONSIBLE FOR MANAGING THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, EPISCOPAL HOMES OF MINNESOTA, A MINNESOTA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, EPISCOPAL HOMES OF MINNESOTA, HAS THE VOTING RIGHTS OF THE ORGANIZATION AND THEREFORE THE ABILITY TO ELECT AND APPOINT ALL MEMBERS OF THE GOVERNING BODY. ALL BOARD MEMBERS OF EPISCOPAL HOMES OF MINNESOTA, ARE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE CORPORATION, EPISCOPAL HOMES OF MINNESOTA, HAS THE ABILITY TO ELECT AND APPOINT ALL MEMBERS OF THE GOVERNING BODY AND THEREFORE ARE RESERVED THE RIGHT TO MAKE GOVERNANCE DECISIONS FOR THE ORGANIZATION. ALL BOARD MEMBERS OF EPISCOPAL HOMES OF MINNESOTA, ARE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE CPA FIRM HIRED BY THE ORGANIZATION TO PERFORM THE AUDIT USING INFORMATION PROVIDED BY THE ORGANIZATION. THE CFO REVIEWS THE RETURN AND APPROVES. THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS ARE RESPONSIBLE TO - WITHOUT REQUEST - MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF HIS OR HER CONFLICT OF INTEREST THEREIN TO THE ENTIRE BOARD PRIOR TO ANY ACTION UPON THE MATTER, CONTRACT, OR TRANSACTION THAT CAUSES CONFLICT. IF THE BOARD DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE PERSON SHALL REMOVE THEM SELF FROM THE MEETING ROOM OR FROM THE COMMUNICATION MEANS BY WHICH THE MEETING IS BEING HELD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE ACCOMPLISHMENTS OF THE CEO COMPARED TO THE GOALS SET FOR THE YEAR. MARKET RESEARCH IS ALSO DONE ANNUALLY TO COMPARE THE COMPENSATION OF THE CEO TO THE COMPENSATION OF OTHER CEO'S IN OUR INDUSTRY. THE CEO IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. 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 TO CEO OR DIRECTOR OF FINANCE. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. EPISCOPAL HOMES OF MINNESOTA 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 911983254 PROVISION OF SENIOR HOUSING AND CARE SERVICES MN 501(C)(3) LINE 1 N/A 0 CARTY HEIGHTS 412 DUNLAP STREET N ST PAUL MN 55104 204250735 SENIOR HOUSING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 CORNELIA HOUSE 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 061692748 SENIOR HOUSING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 EH SERVICES INC 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 455322401 FACILITIES MANAGMENT MN 501(C)(3) LINE 12B, II EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOME CARE AND SERVICES 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 270907277 HOME CARE MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOMES FOUNDATION OF MINNESOTA 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 411703612 FUNDRAISING MN 501(C)(3) LINE 7 EPISCOPAL HOMES OF MINNESOTA 1 IRIS PARK COMMONS 1850 UNIVERSITY AVENUE WEST ST PAUL MN 55104 411433860 ASSISTED LIVING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 KINGS CROSSING APARTMENTS 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 264270887 SENIOR HOUSING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 MIDWAY POINTE 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 454788152 LOW INCOME HOUSING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 SEABURY 1830 UNIVERSITY AVENUE WEST ST PAUL MN 55104 411997880 LOW INCOME HOUSING MN 501(C)(3) LINE 10 EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOMES MANAGEMENT SERVICES OF MINNESOTA INC 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 411695916 MANAGEMENT MN N/A C 0 EPISCOPAL HOMES OWNERS ASSOCIATION 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 413917931 MANAGEMENT MN N/A C 0 0 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 EPISCOPAL HOMES FOUNDATION OF MINNESOTA B 250000 BOOK VALUE IRIS PARK COMMONS C 550000 BOOK VALUE EH SERVICES M 1323596 BOOK VALUE EPISCOPAL HOMES FOUNDATION OF MINNESOTA M 74593 BOOK VALUE IRIS PARK COMMONS P 434415 BOOK VALUE EH SERVICES Q 3121963 BOOK VALUE CORNELIA HOUSE Q 90114 BOOK VALUE CARTY HEIGHTS Q 107902 BOOK VALUE EPISCOPAL HOME CARE & SERVICES Q 5941594 BOOK VALUE IRIS PARK COMMONS Q 698872 BOOK VALUE KINGS CROSSING Q 95993 BOOK VALUE SEABURY Q 164176 BOOK VALUE MIDWAY POINTE Q 91691 BOOK VALUE EPISCOPAL HOMES MANAGEMENT SERVICES OF MINNESOTA Q 128969 BOOK VALUE EPISCOPAL HOMES FOUNDATION OF MINNESOTA Q 228156 BOOK VALUE