2019-11-01T10:14:28-05:00 2018-12-31 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2018-01-01 410907322 EDGEBROOK CARE CENTER EDGE 5074427121 505 WEST TROSKY ROAD EDGERTON MN 56128 ALLEN BRUMMEL PRESIDENT 5074427121 2019-10-28 0 LAURIE HANSON P00851848 6053391999 2019-10-28 216.147.181.46 2019-10-28 12:14:43 CD P C5ADF3E96DC5FD5E5884512D59AB882B10EDFEC1 58563A860C08994041E53A5B7FE60D5BE488C1AC 2018 2020-03-31 21:24:44Z ALLEN BRUMMEL 505 WEST TROSKY ROAD EDGERTON MN 56128 5263220 0 X WWW.GOOD-SAM.COM X 1966 MN OPERATION OF A LONG-TERM CARE FACILITY, ASSISTED LIVING FACILITY, AND SENIOR APARTMENT FACILITY. 9 9 155 169 0 0 4180 1705 4903284 5246032 6049 4052 3649 7616 4917162 5259405 14471 20121 0 0 2859614 3084413 0 0 0 1812854 2025187 4686939 5129721 230223 129684 6223575 6245455 897998 790667 5325577 5454788 X TO PROVIDE CARE FOR ALL THOSE WHO FOR VARIOUS REASONS MUST RELY ON OTHERS TO CARE FOR THEM. THIS CARE IS BASED ON CHRISTIAN LOVE AND CONCERN WITH AN EMPHASIS ON MEETING THE NEEDS OF THE WHOLE PERSON WHILE RESPECTING INDIVIDUAL RIGHTS AND PERSONAL DIGNITY. EVERYONE INVOLVED IN THIS CARE, INCLUDING FAMILY MEMBERS, FRIENDS, CHURCH FAMILY, VOLUNTEERS, AND STAFF, SEEK TO SHARE THIS COMMON GOAL OF REACHING OUT TO THE RESIDENTS AS AMBASSADORS OF A LOVING GOD. 0 0 4190983 20121 5221050 ROUTINE RESIDENT CARE BY OPERATION OF A 56 BED LONG-TERM CARE UNIT, A 16 BED ASSISTED LIVING FACILITY, AND A 21-UNIT SENIOR APARTMENT FACILITY; THE NUMBER OF RESIDENT DAYS DURING 2018 WAS 31,329. 4190983 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 155 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X MICHAEL REDINGER 5074427121 505 WEST TROSKY ROAD EDGERTON MN 56128 X ALLEN BRUMMEL PRESIDENT 0.50 X X 0 0 0 RANDY LANDHUIS VICE PRESIDENT 0.50 X X 0 0 0 ORA BOBELDYK SECRETARY/TREASURER 0.50 X X 0 0 0 GORDON DYK DIRECTOR 0.50 X 0 0 0 SHELA GUNNINK DIRECTOR 0.50 X 0 0 0 DONNA HANENBURG DIRECTOR 0.50 X 0 0 0 EILEEN ROZEBOOM DIRECTOR BEG 07/2018 0.50 X 0 0 0 BILL SANDBULTE DIRECTOR BEG 07/2018 0.50 X 0 0 0 LOIS SCHMIDT DIRECTOR BEG 07/2018 0.50 X 0 0 0 WENDY KROSSHELL DIRECTOR UNTIL 06/2018 0.50 X 0 0 0 BOB VAN ESSEN DIRECTOR UNTIL 06/2018 0.50 X 0 0 0 LONNA VIS DIRECTOR UNTIL 06/2018 0.50 X 0 0 0 MICHAEL REDINGER ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 TRANE US INC 6225 S PINNACLE PL SUITE 101 SIOUX FALLS SD 57108 GENERAL CONTRACTOR, INCLUDING MATERIAL E 496143 THE EVANGELICAL LUTHERAN GOOD SAMARITAN 4800 WEST 57TH STREET SIOUX FALLS SD 57108 MANAGEMENT FEES & BILLING SERVICES, SHAR 289456 AEGIS THERAPIES INC PO BOX 8103 FT SMITH AR 72902 CONTRACT THERAPY SERVICES 191730 3 1705 1705 RESIDENT ROUTINE CARE 623000 4930431 4930431 OTHER REVENUE 623000 163307 163307 ANCILLARY CHARGES 623000 119696 119696 MEALS - STAFF & GUEST 624210 32598 32598 5246032 7867 7867 7616 0 7616 7616 7616 3815 -3815 -3815 -3815 5259405 5221050 0 36650 20121 20121 2407418 2227146 180272 31499 5505 25994 471660 464374 7286 173836 162754 11082 350056 350056 20200 20200 313882 252325 61557 3076 3076 82641 58212 24429 119 119 214942 214942 7843 4232 3611 304217 301079 3138 99832 92868 6964 PROGRAM SUPPLIES 372122 372122 STATE BED SURCHARGE 158329 158329 EMPLOYEE AND PUBLIC REL 41257 6446 34811 LICENSE AND FEES 17501 17501 39170 8738 30432 5129721 4190983 938738 0 1837988 1669202 292411 317599 14789 18682 48160 56608 8682045 4513391 4016051 4168654 14176 14710 6223575 6245455 665796 366268 36702 39899 195500 384500 897998 790667 X 5322485 5451039 3092 3749 5325577 5454788 6223575 6245455 129684 -473 0 X 0 1 X 1 0 X 14595 24376 7821 4180 1705 52677 4194504 4590903 4953609 4859485 5213434 23811935 56945 34570 45029 43799 32598 212941 4266044 4649849 5006459 4907464 5247737 24077553 0 794154 477302 1002537 1021896 1161029 4456918 794154 477302 1002537 1021896 1161029 4456918 19620635 6696 10303 13918 9698 15484 56099 6696 10303 13918 9698 15484 56099 4272740 4660152 5020377 4917162 5263221 24133652 0.81300 0.82910 0.00230 0.00200 X 7030 7030 7403352 3609311 3794041 917423 702868 214555 354240 201212 153028 4168654 TENANT SECURITY DEPOSITS 18500 HOUSING ENTRY FEES 366000 384500 X 5258932 -473 -473 5259405 0 5259405 5129721 0 5129721 0 5129721 PART X, LINE 2: EDGEBROOK CARE CENTER, INC. IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 SCHOLARSHIPS 19 20121 PART I, LINE 2: THE SCHOLARSHIPS WERE PAID DIRECTLY TO THE UNIVERSITY BY THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES TO THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, AN UNRELATED ORGANIZATION. MICHAEL REDINGER, ADMINISTRATOR, RECEIVED $86,025 IN COMPENSATION AND $21,128 IN OTHER BENEFITS FOR MANAGEMENT SERVICES PROVIDED TO EDGEBROOK CARE CENTER IN 2018. FORM 990, PART VI, SECTION A, LINE 8B AS A WHOLE THERE WERE NO COMMITTEE MEETINGS TO MAKE ANY FORMAL DECISIONS WITHOUT BRINGING RECOMMENDATIONS TO THE BOARD. THE COMMITTEES WERE USED PRIMARILY FOR GUIDANCE BY THE ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY AT LEAST ONE WEEK PRIOR TO THE FILING DATE AND A DETAILED REVIEW IS COMPLETED BY THE ADMINISTRATOR AND BOARD PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND THE ADMINISTRATOR ARE COVERED BY THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED OR SUSPECTED, THAT BOARD MEMBER WILL BE ASKED TO ABSTAIN FROM VOTING ON THAT TOPIC. THEY MAY PROVIDE INFORMATION ON THE TOPIC THAT IS BEING DISCUSSED. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR FOR THE ORGANIZATION IS COMPENSATED THROUGH A MANAGEMENT AGREEMENT WITH AN UNRELATED MANAGEMENT COMPANY, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. THE COMPENSATION IS REVIEWED AND DETERMINED BY THE UNRELATED MANAGEMENT COMPANY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.