2016-07-21T09:09:55-05:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2014-10-01 410859026 ST LUKES LUTHERAN CARE CENTER STLU 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 DONNIS MATHEWS BOARD CHAIRMAN 5075262184 2016-07-14 1 BRAD SVENBY P00449887 5074347000 2014 2016-09-27 15:27:22Z MARGARET BRANDT 1219 SOUTH RAMSEY BLUE EARTH MN 56013 8250219 0 X WWW.STLCARE.COM X 1963 MN TO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES. 16 16 274 75 0 0 217305 148569 8207207 7993346 8964 7709 90217 90145 8523693 8239769 0 10908 0 0 5764100 5647214 0 0 0 2853570 2782078 8617670 8440200 -93977 -200431 9119413 8743715 8175970 8003920 943443 739795 ST. LUKE'S LUTHERAN CARE CENTER PROVIDES ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES AND IS SPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY AND HAPPINESS. 0 0 7818327 10908 7964288 PROVISION OF CARE AND HOUSING FOR THE ELDERLY AND HANDICAPPED BY OPERATING A 108-BED LICENSED NURSING FACILITY AND A 28-UNIT ASSISTED LIVING FACILITY IN BLUE EARTH, MINNESOTA. 28031 29058 PROVISION OF LICENSED ADULT DAY CARE SERVICE FOR 13 INDIVIDUALS PER DAY 7846358 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 1 0 0 1 11 0 274 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 MN X SUSAN SALISBURY 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 DON AMUNDSON DIRECTOR 1.00 X 0 0 0 RUTH HENDRICKSON DIRECTOR 1.00 X 0 0 0 CAROL MAHNKE DIRECTOR 1.00 X 0 0 0 DONNIS MATHEWS BOARD CHAIR 1.00 X X 0 0 0 MARIA LINDBERG DIRECTOR 1.00 X 0 0 0 PAT COUPANGER BOARD SECRETARY 1.00 X X 0 0 0 GLORIA MATTSON DIRECTOR 1.00 X 0 0 0 SHERYL ECKHARDT DIRECTOR 1.00 X 0 0 0 KATHY SATRE DIRECTOR 1.00 X 0 0 0 SHARON HOFFMAN DIRECTOR 1.00 X 0 0 0 RONALD ERICKSON DIRECTOR 1.00 X 0 0 0 JEANETTE FENSKE DIRECTOR 1.00 X 0 0 0 DENNIS MADSEN VICE CHAIRMAN 1.00 X X 0 0 0 CHRISTINA OLSON DIRECTOR 1.00 X 0 0 0 MARILYN KRIEGER DIRECTOR 1.00 X 0 0 0 BOB HANSON DIRECTOR 1.00 X 0 0 0 BRUCE ANDERSON DIRECTOR 1.00 X 0 0 0 JACQUI DIKKEN DIRECTOR 1.00 X 0 0 0 ERIN FARLAND CFO 40.00 X 73970 0 15751 MARGARET BRANDT CEO/ADMINISTRATOR 40.00 X 79053 0 15843 153023 0 31594 0 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 341836 1 127512 21057 148569 RESIDENT REVENUE 623000 3850606 3850606 MEDICARE/MEDICAID PMTS 623000 3065394 3065394 FRIENDSHIP COURT REV 623000 892467 892467 SOUTHVIEW ESTATES REV 623000 109652 109652 NEW LIFE MANOR REV 623000 46169 46169 29058 29058 7993346 7709 7709 14685 10450 4235 4235 BEAUTY SHOP REVENUE 812900 57617 57617 MISCELLANEOUS INCOME 900099 16856 16856 GUEST/EMPLOYEE MEALS 900099 11437 11437 85910 8239769 7993346 0 97854 10908 10908 184617 184617 4141217 4015676 125541 29701 27571 2130 974909 905009 69900 316770 294058 22712 375 375 29558 1664 27894 114281 114281 13580 13580 467776 415624 52152 286352 286352 2820 2820 20761 9039 11722 320284 320284 517402 517402 52716 52716 THERAPY EXPENSE 356008 356008 NURSING HOME ASSESSMENT 300267 300267 FOOD COSTS 256503 256503 MISCELLANEOUS 13708 13708 29687 12892 16795 8440200 7846358 593842 0 839921 1073437 207925 231684 567665 382668 61083 63396 107392 66056 15079972 8490524 7051028 6589448 253072 300825 31327 36201 9119413 8743715 649593 632384 7453849 7301572 72528 69964 8175970 8003920 X 943443 739795 943443 739795 9119413 8743715 -200431 -3217 0 X X 0 1 X 1 0 X 81359 101644 90581 145184 81192 499960 8614011 8614828 8512474 8223100 7993346 41957759 8695370 8716472 8603055 8368284 8074538 42457719 134189 160000 152416 180991 127512 755108 0 134189 160000 152416 180991 127512 755108 41702611 101169 94594 82174 77835 75086 430858 101169 94594 82174 77835 75086 430858 89035 81812 79755 84507 100595 435704 8885574 8892878 8764984 8530626 8250219 43324281 0.96260 0.96470 0.00990 0.01030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97373 97373 12092413 6777162 5315251 2532173 1467866 1064307 358013 245496 112517 6589448 RESIDENT TRUST PAYABLE 1666 ASSET RETIREMENT OBLIGATION 41776 SECURITY DEPOSITS 26522 69964 X PART X, LINE 2: ST. LUKE'S LUTHERAN CARE CENTER AND AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ST. LUKE'S LUTHERAN CARE CENTER 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. 1 NURSING FACILITY EMPLOYEE SCHOLARSHIP PROGRAM 3 10908 PART I, LINE 2: THE ORGANIZATION FOLLOWS OUR WRITTEN EMPLOYEE SCHOLARSHIP PROGRAM. FORM 990, PART VI, SECTION B, LINE 11 BOARD HAS DIRECTED THE MANAGEMENT OF THE CARE CENTER TO REVIEW THE FORM 990 PRIOR TO SIGNING BY THE CARE CENTER BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ANNUALLY REVIEW AND SIGN NEW CONFLICT OF INTEREST AND CONFIDENTIALITY AGREEMENTS. CARE CENTER ADMINISTRATION MONITORS FOR COMPLIANCE WITH ESTABLISHED POLICIES & PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS USED TO SET THE ADMINISTRATORS ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF COMPENSATION SURVEYS AS WELL AS THE EXPERIENCE AND PERFORMANCE OF THE ADMINISTRATOR AS DETERMINED BY THE BOARD OF DIRECTORS. THIS IS ONLY FOR THE CEO/ADMINISTRATOR. OTHER KEY EMPLOYEES, INCLUDING CFO, HAVE THEIR SALARIES SET BY THE ADMINISTRATOR AND ARE ALSO ELIGIBLE AND RECEIVE ANY COST OF LIVING ADJUSTMENTS (COLA) SET BY THE STATE OF MINNESOTA. THE ADMINISTRATOR DOES NOT RECEIVE THE COLA. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT REQUEST IN THE ADMINISTRATIVE OFFICE. FORM 990, PART XII, LINE 2C: FORM 990, PART XII, LINE 2C: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. SOUTHVIEW ESTATES 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411845740 ELDERLY & HANDICAPPED HOUSING MN 501(C)(3) 9 ST LUKES LUTHERAN CARE CENTER 0 ST LUKE'S NURSING HOME FOUNDATION 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411483909 SUPPORT ST. LUKE'S LUTHERAN CARE CENTER MN 501(C)(3) 11A, I ST LUKES LUTHERAN CARE CENTER 1 NEW LIFE MANOR INC 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411401396 ELDERLY & HANDICAPPED HOUSING MN 501(C)(3) 9 ST LUKES LUTHERAN CARE CENTER 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 ST LUKE'S NURSING HOME FOUNDATION C 127512 CASH GRANT