2019-08-01T12:35:53-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-10-01 331124162 MINNEWASKA HOME CARE INC MINN 3202392217 PO BOX 40 STARBUCK MN 56381 KAYO ASLAGSON BOARD CHAIR 3202392217 2019-07-23 1 CORY RUTLEDGE P01329381 6123764500 67.137.57.251 2019-07-23 15:20:03 CD P 00BE1F513142CA66DA2C367DB88293381486700F 9DCB77BB5DA20F06DC527A2BE3898FDA4E15C9A7 2017 2019-02-21 02:37:17Z CHRISTOPHER KNOLL PO BOX 40 STARBUCK MN 56381 222871 0 X WWW.MCHS-HEALTHCARE.ORG X 2005 MN A COMMUNITY OF SERVICES GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE. X 10 10 0 10 0 0 0 0 337209 172109 -841 43784 7854 6978 344222 222871 0 0 0 0 309265 145336 0 0 0 96406 64031 405671 209367 -61449 13504 126322 115773 26357 2304 99965 113469 X A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL. 0 1 168699 0 172109 MINNEWASKA HOME CARE, A MEDICARE CERTIFIED HOME CARE AGENCY, PROMOTES HEALTH OF THE COMMUNITY MEMBERS IT SERVES BY PROVIDING A VARIETY OF HEALTH CARE SERVICES IN THE PATIENT'S HOME SETTING. OUR SERVICES INCLUDE BUT ARE NOT LIMITED TO SKILLED NURSING, HOME HEALTH AID, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND HOMEMAKING SERVICES WITHIN A 30-MILE RADIUS OF STARBUCK, MN. MINNEWASKA HOME CARE PROVIDES THESE SERVICES ON A DAILY BASIS MONDAY THRU FRIDAY, 8:00AM TO 4:30PM, AND HAS A 24-HOUR ON CALL REGISTERED NURSE AVAILABLE FOR EMERGENCIES.MINNEWASKA HOME CARE IS GOVERNED BY A TEN PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND TEN AREA CHURCH MEMBERS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACTING WITH THE HIGHEST INTEGRITY AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE AT ITS MAXIMUM POTENTIAL FOR THE BENEFIT OF THE CLIENTS WE SERVE. 168699 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 MN X CAROLINE HENDREN 3202392217 605 MAIN STREET STARBUCK MN 56381 KAYO ASLAGSON CHAIR 0.50 1.50 X X 0 0 0 LAURIS JOHNSHOY VICE CHAIR 0.50 1.50 X X 0 0 0 ARNE STOEN TREASURER 0.50 1.50 X X 0 0 0 JOHN SAMUELSON SECRETARY 0.50 1.50 X X 0 0 0 PETER BRANDT DIRECTOR 0.50 1.50 X 0 0 0 RONALD FEIGUM DIRECTOR 0.50 1.50 X 0 0 0 WARREN HAGESTUEN DIRECTOR 0.50 1.50 X 0 0 0 ROBERT HENDRICKSON DIRECTOR 0.50 1.50 X 0 0 0 ALICE REESE DIRECTOR 0.50 1.50 X 0 0 0 STAN STARK DIRECTOR 0.50 1.50 X 0 0 0 CHRISTOPHER KNOLL ADMINISTRATOR 1.00 39.00 X 0 84258 18244 BRIAN ENGLER DIRECTOR OF FINANCE (THRU APRIL 2018) 8.00 32.00 X 0 68899 6213 CAROLINE HENDREN DIRECTOR OF FINANCE 8.00 32.00 X 0 0 0 0 153157 24457 0 0 0 0 0 RESIDENT REVENUES 623000 172109 172109 172109 51 51 43733 0 43733 43733 43733 OTHER REVENUE 900099 6978 6978 6978 222871 172109 0 50762 125638 111451 14187 425 377 48 9599 8515 1084 9674 8582 1092 750 750 6253 6253 10150 10150 616 616 3113 2906 207 19554 19554 501 501 6519 2658 3861 8364 8364 1731 1731 OTHER 3952 3952 DUES 870 870 LICENSES 832 832 BAD DEBT 826 826 209367 168699 40668 0 35157 97933 70570 17840 0 0 20595 0 126322 115773 -5715 2304 32072 26357 2304 X 99965 113469 99965 113469 126322 115773 13504 0 X 0 1 X 1 0 X 305313 369919 435489 337209 172109 1620039 305313 369919 435489 337209 172109 1620039 0 0 0 1620039 73 77 74 52 51 327 73 77 74 52 51 327 4029 2843 7598 7854 6978 29302 309415 372839 443161 345115 179138 1649668 0.98200 0.98720 0.00020 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME 0 X PART X, LINE 2: FROM NOTE 1 TO THE ORGANIZATION'S FINANCIAL STATEMENTS: THE HOME, MHD, HOLLY RIDGE, AND HOME CARE HAVE ALL BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND APPLICABLE STATE STATUTES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF ANY OF ITS ENTITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. SOFTWARE, EQUIPMENT AND AUTOMOBILES 2018-05-24 52000 COMPARABLES 416006942 GLACIAL RIDGE HOSPITAL SYSTEMS 10 FOURTH AVENUE SE GLENWOOD MN 56334 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 COMPANY WAS SOLD ON 5/24/18 TO GLACIAL RIDGE HOSPITAL SYSTEM AND CEASED OPERATIONS AS OF THAT DATE BUT HAD A BALANCE SHEET AS ON THE FISCAL YEAR END OF 9/30/18. THE NEXT 990 WILL BE FINAL. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MINNEWASKA HOME CARE CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MN AND HOFFMAN, MN. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINNEWASKA LUTHERAN CHURCH - STARBUCK, MINNESOTA ST. JOHN'S LUTHERAN CHURCH - STARBUCK, MINNESOTA IMMANUEL LUTHERAN CHURCH - STARBUCK, MINNESOTA INDHERRED LUTHERAN CHURCH - STARBUCK, MINNESOTA EAST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA WEST ZION LUTHERAN CHURCH - HANCOCK, MINNESOTA TRINITY LUTHERAN CHURCH - CYRUS, MINNESOTA MESSIAH LUTHERAN CHURCH - HOFFMAN, MINNESOTA FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT TEAM WILL DISCUSS THE COMPLETED FORM 990 AT THE AUGUST 29, 2019 BOARD MEETING AFTER IT IS FILED. THE PROCESS WILL BE LEAD BY CAROLINE HENDREN, DIRECTOR OF FINANCE AND CHRISTOPHOER KNOLL, ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEE WITH BOARD-DELEGATED POWERS. ANY INDIVIDUAL WITH AN ACTUAL OR POTENTIAL CONFLICT IS REQUIRED TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE MATERIAL FACTS, THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE BY MAJORITY VOTE WHETHER A CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE BOARD OR COMMITTEE SEEKS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE, THE BOARD OR COMMITTEE DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL MAY NOT BE PRESENT FOR A DISCUSSION OF, OR VOTE ON, WHETHER TO ENTER THE TRANSACTION. THE RELEVANT FACTS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN STATEMENTS DISCLOSING EXISTING CONFLICTS OF INTEREST. 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. MINNEWASKA LUTHERAN HOME PO BOX 40 STARBUCK MN 56381 410845402 SKILLED NURSING FACILITY MN 501(C)(3) LINE 10 N/A 1 HOLLY RIDGE MANOR PO BOX 40 STARBUCK MN 56381 411649721 ASSISTED LIVING MN 501(C)(3) LINE 12B, II MINNEWASKA LUTHERAN HOME 1 MINNEWASKA HOME DEVELOPMENT PO BOX 40 STARBUCK MN 56381 411504339 FUNDRAISING MN 501(C)(3) LINE 12B, II N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0