2019-08-15T08:23:06-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2017-10-01 410874740 LAKEVIEW METHODIST HEALTH CARE CENTER LAKE 5072356606 610 SUMMIT DRIVE FAIRMONT MN 56031 DEBORAH M BARNES EXECUTIVE DIRECTOR 5072356606 2019-08-13 1 TRENT FAST P00692704 5074467100 2019-08-12 67.137.57.251 2019-08-13 14:18:05 CD P 0FD4EF385CD5022A6BCA3F6D48F1B56E012374BF AB06284E4704CF7B67F9A35832663F52291E9BBF 2017 2019-02-21 02:37:17Z DEBORAH M BARNES 610 SUMMIT DRIVE FAIRMONT MN 56031 9003552 0 X WWW.LAKEVIEWMETHODIST.ORG X 1985 MN TO PROVIDE LIFE ENHANCING SUPPORTIVE SERVICES FOR OLDER ADULTS AND THEIR FAMILIES. 9 9 185 70 0 0 17338 184872 7241359 8737039 1908 15884 55011 65650 7315616 9003445 64296 90404 0 0 4300234 4926651 0 0 0 2477010 2536720 6841540 7553775 474076 1449670 5560657 7758049 2155823 1917757 3404834 5840292 THE MISSION OF LAKEVIEW IS TO DEMONSTRATE GOD'S LOVE FOR HIS PEOPLE THROUGH A CONTINUUM OF LIFE ENHANCING SUPPORTIVE SERVICES FOR OLDER ADULTS AND THEIR FAMILIES. 0 0 6787474 90404 8737039 LAKEVIEW METHODIST HEALTH CARE CENTER OFFERS SKILLED NURSING CARE FOR THE ELDERLY BY OPERATING A 82 BED LICENSED FACILITY IN FAIRMONT, MN. THE ORGANIZATION PROVIDES SHORT-TERM STAYS WITH EXTENSIVE REHABILITATION SERVICES, LONG-TERM PLACEMENT, AND HOUSES A CHILD DAY CARE CENTER. DURING THE FISCAL YEAR THE CARE CENTER PROVIDED 25,599 INPATIENT SERVICE DAYS. THE ORGANIZATION ALSO MANAGES AN ASSISTED LIVING AND A HOUSING UNIT FOR THE ELDERLY. 6787474 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 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 1 0 0 0 1 8 0 185 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X DEBORAH M BARNES 5072356606 610 SUMMIT DRIVE FAIRMONT MN 56031 BRAD MUSSER PRESIDENT 1.00 X X 0 0 0 COURTNEY CUTLER VICE PRESIDENT 1.00 X X 0 0 0 VICKI PASKEY SECRETARY/TREASURER 1.00 X X 0 0 0 LES ANDERSON DIRECTOR 1.00 X 0 0 0 JERRY EVELSIZER DIRECTOR 1.00 X 0 0 0 DARIN HAUGEN DIRECTOR 1.00 X 0 0 0 TOM HAWKINS DIRECTOR 1.00 X 0 0 0 DR JOHN LUND DIRECTOR 1.00 X 0 0 0 NANCY NORDSTROM DIRECTOR 1.00 X 0 0 0 DEBORAH BARNES EXECUTIVE DIRECTOR 32.00 X 96161 0 1068 KRIS ISENBERG FINANCIAL DIRECTOR 36.00 X 48921 0 12252 145082 0 13320 0 0 0 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY 350101 US FOODS PO BOX 1450 MINNEAPOLIS MN 55485 FOOD-DIETARY 314055 STERLING LTC 1601 STATE AVE NW OWATONNA MN 55060 PHARMACY SERVICES 101617 3 184872 184872 RESIDENT CARE 623000 8465842 8465842 MANAGEMENT FEES 624210 194682 194682 DAY CARE CENTER 624410 39021 39021 MEALS ON WHEELS 561000 37494 37494 8737039 15991 15991 26400 0 26400 26400 26400 107 -107 -107 -107 OTHER INCOME 623990 39250 39250 39250 9003445 8737039 0 81534 90404 90404 162927 162927 3895264 3692227 203037 32511 31049 1462 545778 507310 38468 290171 264768 25403 15000 15000 3703 3703 21792 21792 452367 452367 25937 25937 23373 23373 252066 220657 31409 28817 3567 25250 52845 52845 345864 345864 85149 85149 FOOD 451411 451411 SURCHARGE 230830 230830 SUPPLIES 127445 127445 LAUNDRY/HOUSEKEEPING EX 65312 65312 354809 251418 103391 7553775 6787474 766301 0 153629 1128174 95526 25277 572753 536838 65140 73197 11745909 7653660 3853458 4092249 559981 260170 1902314 5560657 7758049 540071 681115 9867 10708 1295395 911444 310490 314490 2155823 1917757 X 2873329 5317358 262402 253831 269103 269103 3404834 5840292 5560657 7758049 X 1449670 985788 X X 0 1 X 1 0 X 248445 11685 2322 184872 447324 6347068 5969943 6546363 7241359 8737039 34841772 6595513 5981628 6546363 7243681 8921911 35289096 0 0 0 35289096 19285 16620 376 16924 42391 95596 19285 16620 376 16924 42391 95596 29321 37148 43369 46211 39250 195299 6644119 6035396 6590108 7306816 9003552 35579991 0.99180 0.99250 0.00270 0.00190 X 0 1 X 269103 269103 269103 269103 269103 269103 269103 269103 269103 269103 1.00000 0 1 1 25645 25645 8990862 5480912 3509950 665008 639045 25963 1861086 1533703 327383 203308 203308 4092249 RELATED PARTY 335482 SECURITY DEPOSIT 21064 INTEREST IN NET ASSETS OF FOUNDATION 1545768 1902314 DUE TO RELATED PARTY 247191 OTHER LIABILITIES 48299 SECURITY DEPOSITS 19000 314490 X PART IV, LINE 2B: THE ESCROW ACCOUNT LIABILITY INCLUDES RESIDENT FUNDS AND RESIDENT COUNCIL AMOUNTS PAYABLE. THE ORGANIZATION IS THE TRUSTEE OF RESIDENTS' FUNDS AND HAS A FIDUCIARY RESPONSIBLITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS. PART V, LINE 4: THE ENDOWMENT IS HELD AT LAKEVIEW METHODIST HEALTHCARE FOUNDATION INC. TO SUPPORT THE CARE FOR THE ELDERLY AT LAKEVIEW METHODIST CARE CENTER AND MAPLEWOOD RESIDENCE. PART X, LINE 2: LAKEVIEW UNITED METHODIST CARE CENTER, INC., LAKEVIEW UNITED METHODIST HEALTH CARE FOUNDATION, INC. AND MAPLEWOOD RESIDENT, INC. ARE TAX EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CONSEQUENTLY RECORDS NO PROVISION FOR INCOME TAXES. LAKEVIEW UNITED METHODIST HEALTH SERVICES, INC. AND AFFILIATES FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. EACH ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. 1 NURSING SCHOLARSHIP 36 90404 SCHEDULE I, PART III, LINE 1 SCHOLARSHIP RECIPIENTS MUST BE AN EMPLOYEE WORK A MINIMUM OF 15 HOURS PER WEEK AND BE IN GOOD STANDING. RECIPIENTS SUBMIT A WRITTEN APPLICATION FORM AND ATTEND A PERSONAL INTERVIEW WITH THE SCHOLARSHIP COMMITTEE. TRANSCRIPT OF GRADES, PROGRESS REPORTS, AND ACCOUNTABILITY OF FUNDS MUST ALSO BE SUBMITTED TO THE SCHOLARSHIP COMMITTEE. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEE THAT HAS THE AUTHROITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR LEADS THE REVIEW BY THE BOARD OF DIRECTORS AT THE BOD MEETING AFTER THE 990 HAS BEEN COMPLETED AND PRIOR TO DUE DATE AND SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C AS BOARD MEMBERS ARE CHOSEN TO SERVE, THE NOMINATING COMMITTEE REVIEWS POLICYS WITH THEM AND POTENTIAL CONFLICTS OF BANKING, FINANCIAL OR COMPETITIVE NATURE ARE REVIEWED BEFORE OFFERS ARE GIVEN. IF A CONFLICT ARISES DURING A DISCUSSION, BOARD MEMBER WITH CONFLICT PLEDGES TO ABSTAIN. CURRENT BOARD MEMBERS ANNUALLY REVIEW AND MONITOR POLICYS AND POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE CHAIR OF THE BOARD OF DIRECTORS INITIATES A REVIEW PROCESS OF THE EXECUTIVE DIRECTOR WITH THE OTHER BOARD MEMBERS. CHAIR OBTAINS COMPARATIVE SALARY INFORMATION FROM LEADING AGE OF MINNESOTA FOR THE CURRENT YEAR AND DECIDES WITH THE BOARD WHERE COMPENSATION SHOULD BE. CHAIR THEN MEETS WITH EXECUTIVE DIRECTOR TO DISCUSS AREAS OF THE REVIEW AND UPCOMING YEAR'S COMPENSATION. ALL DISCUSSIONS AND DECISIONS CONCERNING EXECUTIVE DIRECTOR COMPENSATIONS ARE INCLUDED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSET OF FOUNDATION 985,787. ROUNDING 1. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. LAKEVIEW UNITED METHODIST HEALTH SERVICES INC 610 SUMMIT DRIVE FAIRMONT MN 56031 363358840 PARENT ORGANIZATION WITH NO ACTIVITY MN 501(C)3 LINE 12A-I N/A 0 LAKEVIEW METHODIST HEALTH CARE FOUNDATION 610 SUMMIT DRIVE FAIRMONT MN 56031 411456428 SUPPORTS LAKEVIEW METHODIST HEALTH CARE CENTER MN 501(C)3 LINE 12B-II LAKEVIEW UNITED METHODIST HEALTH SERVICES INC 1 MAPLEWOOD RESIDENCE INC 620 SUMMIT DRIVE FAIRMONT MN 56031 363361594 HOUSING FOR THE ELDERLY MN 501(C)3 LINE 10 LAKEVIEW UNITED METHODIST HEALTH SERVICES INC 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 1 LAKEVIEW METHODIST HEALTH CARE FOUNDATION C 195721 CASH GRANT