2019-10-29T15:28:46-05:00 2018-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2018-01-01 410706110 EPISCOPAL CHURCH HOME OF MINNESOTA EPIS 6516460622 1879 FERONIA AVENUE ST PAUL MN 55104 MARVIN PLAKUT PRESIDENT & CEO 6512098529 2019-10-10 1 MICHAEL J PETERSON CPA P01833529 2187224705 2019-10-10 4.30.113.218 2019-10-10 09:27:03 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E433C82216CF4B1B7B2D83A781BC20530CAF3EA5 2018 2019-02-21 02:37:17Z MARVIN PLAKUT 1879 FERONIA AVENUE ST PAUL MN 55104 18378339 0 1194 X WWW.EHOMESMN.ORG X 1894 MN PROVIDE SKILLED CARE IN THE OPERATION OF NURSING HOME. 18 18 595 149 0 16026 76521 0 14508371 15566808 253277 167982 20642 1090 14858811 15735880 0 0 0 0 8773225 9070578 0 0 0 6008045 6995758 14781270 16066336 77541 -330456 14378360 14860900 11189533 12676953 3188827 2183947 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 14488116 0 15567070 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. 14488116 1 0 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 6 0 595 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 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 E LYNNHURST AVENUE ST PAUL MN 55104 DAVID CARLSEN DIRECTOR 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 CAROL FORBES DIRECTOR 0.10 1.10 X 0 0 0 MELISSA GILBERTSON DIRECTOR 0.10 1.10 X 0 0 0 PETER GOVE DIRECTOR 0.10 1.10 X 0 0 0 MARY LILJA DIRECTOR 0.10 1.10 X 0 0 0 CATHY MCCALLISTER DIRECTOR 0.10 1.10 X 0 0 0 ROBERT MCCLAY 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 JEROME O'BRIEN SLAWIK DIRECTOR 0.10 1.10 X 0 0 0 JAMES TIFT DIRECTOR 0.10 1.10 X 0 0 0 LEWIS ZIEDNER DIRECTOR 0.10 1.10 X 0 0 0 TOM HOVE CHAIR 0.10 1.10 X X 0 0 0 BRIAN OSTENSO VICE CHAIR 0.10 1.10 X X 0 0 0 CHRIS HOWARD SECRETARY 0.10 1.10 X X 0 0 0 DENISE COLE TREASURER 0.10 1.10 X X 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 3.00 37.00 X 206148 0 34824 JOHN T HENRY CFO 3.00 37.00 X 133912 0 29988 STEVEN MORK COO 3.00 37.00 X 153538 0 17532 MARY ROUTHIEAUX CAO 3.00 37.00 X 122599 0 25609 616197 0 107953 4 0 1 0 EH SERVICES 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 MANAGEMENT SERVICES 1100524 1 PATIENT SERVICE REVENUE 531110 15566808 15566808 15566808 45353 45353 2765088 2642459 122629 122629 122629 CAFE REVENUE 722210 262 262 828 828 1090 15735880 15567070 0 168810 724150 710938 13212 6912011 6785911 126100 84486 82945 1541 631771 620246 11525 718160 705058 13102 1105154 225158 879996 22943 22943 106484 106484 5484 5484 1293016 1172624 120392 1001 1001 302717 224487 78230 130630 26782 103848 260484 260484 17445 8565 8880 28106 8777 19329 619711 619711 756556 756556 43932 43932 BAD DEBT EXPENSE 762448 762448 MEDICAL SUPPLIES & DRUG 601525 601525 FOOD SERVICE 377563 377563 EQUIPMENT & REPAIRS 189238 160042 29196 371321 334364 36957 16066336 14488116 1578220 0 24110 0 475468 337308 1759150 2221151 51329 38744 20337627 11465352 8470669 8872275 3597634 3391422 14378360 14860900 1150858 1207303 9690998 10746307 13924 9222 333753 714121 11189533 12676953 X 2697226 2105043 286569 78904 205032 0 3188827 2183947 14378360 14860900 -330456 -674424 0 X X 0 1 X 1 0 X 289953 156539 61670 76521 584683 12485813 12784881 14533338 14508774 15567070 69879876 43174 90256 79174 20239 828 233671 12818940 13031676 14674182 14605534 15567898 70698230 0 0 0 70698230 25124 45177 108019 59835 45353 283508 25124 45177 108019 59835 45353 283508 12844064 13076853 14782201 14665369 15613251 70981738 0.99600 0.99600 0.00400 0.00400 X 0 1 X 181281 181281 18107055 9691342 8415713 2049291 1774010 275281 8872275 INTEREST IN NET ASSETS OF EHF 9418 RELATED PARTY RECEIVABLES 126763 INVESTMENTS HELD BY FOUNDATION 2409834 ASSETS LIMITED AS TO USE - HELD BY EHF 845407 3391422 ASSET RETIREMENT OBLIGATION LIABILITY 119858 DUE TO RELATED PARTIES 594263 714121 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. X X X 0 0 0 0 0 0 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 206148 0 0 0 0 0 6049 0 28775 0 240972 0 0 0 JOHN T HENRY CFO 133912 0 0 0 0 0 4271 0 25717 0 163900 0 0 0 STEVEN MORK COO 153538 0 0 0 0 0 4803 0 12729 0 171070 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 2140000 8425000 168500 8256500 2008 0 0 1 1 B 841876 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, 12/31/2018, THE OUTSTANDING BALANCE OF THE BOND FOR EPISCOPAL CHURCH HOME OF MINNESOTA AND IRIS PARK COMMONS WAS $3,281,250 AND $6,093,750 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 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 EH SERVICES M 1100524 BOOK VALUE EH SERVICES Q 3024104 BOOK VALUE CORNELIA HOUSE Q 93817 BOOK VALUE CARTY HEIGHTS Q 86242 BOOK VALUE EPISCOPAL HOME CARE & SERVICES Q 5504307 BOOK VALUE IRIS PARK COMMONS Q 601690 BOOK VALUE KINGS CROSSING Q 83229 BOOK VALUE SEABURY Q 146931 BOOK VALUE MIDWAY POINTE Q 90539 BOOK VALUE EPISCOPAL HOMES MANAGEMENT SERVICES OF MINNESOTA Q 122491 BOOK VALUE IRIS PARK COMMONS P 433115 BOOK VALUE EPISCOPAL HOMES FOUNDATION OF MINNESOTA M 54992 BOOK VALUE EPISCOPAL HOMES FOUNDATION OF MINNESOTA Q 267267 BOOK VALUE CORNELIA HOUSE P 150052 BOOK VALUE