2016-08-15T13:57:12-05:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-10-01 410845402 MINNEWASKA LUTHERAN HOME MINN 3202392217 PO BOX 40 STARBUCK MN 56381 BRIAN ENGLER DIRECTOR OF FINANCE 3202392217 2016-08-15 1 KACIE MCEWEN P01599614 6123764500 2014 2016-09-27 15:27:22Z CHRISTOPHER KNOLL PO BOX 40 STARBUCK MN 56381 4303275 0 X WWW.MCHS-HEALTHCARE.ORG X 1958 MN NURSING HOME - A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE. 9 9 189 75 0 0 47370 55641 4285328 4215836 12948 7176 28697 19785 4374343 4298438 8570 0 0 0 2966984 3063837 0 0 0 1384058 1449645 4359612 4513482 14731 -215044 4956954 4478224 2624431 2373657 2332523 2104567 X A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL. 1 1 4032223 0 4215836 MINNEWASKA LUTHERAN HOME, A 65-BED SKILLED NURSING FACILITY, PROMOTES HEALTH TO THE COMMUNITY BY PROVIDING SKILLED NURSING CARE AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE:OUTPATIENT THERAPY SERVICES: MINNEWASKA LUTHERAN HOME PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY TO COMMUNITY MEMBERS IN NEED OF THESE SERVICES ALLOWING THEM TO RESUME THEIR NORMAL ACTIVITIES OF DAILY LIVING. MINNEWASKA LUTHERAN HOME IS GOVERNED BY A NINE PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND EIGHT 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 AND THE COMMUNITY. 0 0 0 COMMUNITY OUTREACH EXERCISE PROGRAM: EXERCISE PROGRAM THAT STRESSES STRENGTH AND STABILITY. THIS PROGRAM IS OFFERED THREE TIMES PER WEEK TO COMMUNITY MEMBERS AT NO CHARGE. 0 0 0 ROAD TO AGING GRACEFULLY: FREE MONTHLY EDUCATION TO ANY PERSON IN THE COMMUNITY. ALL PROGRAMS RELATE TO THE MANAGEMENT OF CHRONIC DISEASES AND OTHER AGING HEALTH RELATED ISSUES. ALL INSTRUCTORS ARE LOCAL AND REGIONAL EXPERTS IN THEIR RELATED FIELD OFFERING THEIR SERVICES AT A REDUCED OR FREE CHARGE. 0 0 0 STAFF RETENTION, RECRUITMENT AND RESIDENT SATISFACTION: THIS PROJECT IS BASED ON IMPROVING EMPLOYEE RECRUITMENT, RETENTION AND TURNOVER. CONTINUITY OF STAFF HAS A DIRECT EFFECT ON QUALITY OF RESIDENT CARE. THE LONGER THE EMPLOYEE WORKS WITH A RESIDENT, THE MORE HE OR SHE GETS TO KNOW THE UNIQUE NEEDS AND COMMUNICATION STRATEGIES OF THE RESIDENT. STABLE STAFFING BETTER ALLOWS THE RESIDENT TO FORM A MEANINGFUL RELATIONSHIP WITH HIS OR HER CAREGIVER, WHICH IN TURN, RESULTS IN BETTER CARE. ADDRESSING STAFFING DEFICIENCIES IS OFTEN ACCOMPLISHED WITH OVERTIME AND INCREASES IN PATIENT LOAD, BOTH OF WHICH DECREASE QUALITY OF CARE AND INCREASE NEGATIVE CLINICAL OUTCOMES. IMPROVEMENTS IN RETENTION AND TURNOVER CAN ALSO BE A SUBSTANTIAL FINANCIAL SAVINGS TO FACILITIES. 0 0 0 4032223 1 1 0 0 0 0 0 0 1 0 1 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 0 0 1 1 0 0 0 1 12 0 189 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 0 0 MN X BRIAN ENGLER 3202397121 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 JOHN SAMUELSON SECRETARY 0.50 1.50 X X 0 0 0 ARNE STOEN TREASURER 0.50 1.50 X X 0 0 0 LONNIE ANDERSON DIRECTOR - THROUGH JANUARY 2015 0.50 1.50 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 CHRISTOPHER KNOLL ADMINISTRATOR 36.00 4.00 X 33310 0 1573 BRIAN ENGLER DIRECTOR OF FINANCE 28.00 12.00 X 56328 0 4741 89638 0 6314 0 0 0 0 0 32734 8500 14407 55641 RESIDENT REVENUES 623000 4215836 4215836 4215836 12013 12013 4837 -4837 -4837 -4837 MEALS REVENUE 722210 11530 11530 MISCELLANEOUS INCOME 900099 8255 8255 19785 4298438 4215836 0 26961 143238 143238 2477264 2317826 159438 10959 9829 1130 241746 216809 24937 190630 170966 19664 20529 20529 23919 23919 71557 62531 9026 10171 10171 185177 169449 15728 40198 40198 133911 133911 9647 9647 1610 1610 74998 74998 291561 291561 31502 31502 LICENSE SURCHARGE 191040 191040 MEDICAL SUPPLIES 169858 169858 FOOD 130197 130197 MISCELLANEOUS EXPENSE 33232 33232 30538 30538 4513482 4032223 481259 0 25 25 1157507 914657 429703 378271 27218 23782 8354298 5495960 3046435 2858338 165486 161621 2000 2000 59994 53742 68586 85788 4956954 4478224 325226 266018 6364 4311 2292841 2103328 2624431 2373657 X 2330922 2102964 1601 1603 2332523 2104567 4956954 4478224 -215044 -12912 0 X 0 1 X 1 0 X 35736 18589 37807 47370 55641 195143 4393422 4394214 4351067 4285328 4215836 21639867 4429158 4412803 4388874 4332698 4271477 21835010 5000 5000 1546737 1637269 1610998 1573236 1543752 7911992 1546737 1642269 1610998 1573236 1543752 7916992 13918018 13298 10687 10598 12948 12013 59544 13298 10687 10598 12948 12013 59544 76092 23195 19993 28697 19785 167762 4518548 4446685 4419465 4374343 4303275 22062316 0.63090 0.63160 0.00270 0.00300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME CABLE TV REVENUE MISCELLANEOUS INCOME MEALS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 228026 228026 6374524 4058657 2315867 124900 60129 64771 1592099 1377174 214925 34749 34749 2858338 X PART IV, LINE 2B: RESIDENT DEPOSITS CONSIST OF RESIDENT TRUST FUNDS HELD BY THE ORGANIZATION FOR THE RESIDENTS OF THE HOME. 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. FORM 990, PART III, LINE 2 NEW PIPP GRANT BEGAN 10/1/14. FORM 990, PART III, LINE 3 PIPP GRANT "NO PLACE LIKE HOME" THAT BEGAN 10/1/12 ENDED 9/30/14. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MINNEWASKA LUTHERAN HOME CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MINNESOTA. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINEWASKA 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 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 AND/OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 DUE TO THE DELAY IN GETTING THE CHECKLISTS SUBMITTED, THE MANAGEMENT TEAM AND BOARD MEMBERS WILL DISCUSS THE COMPLETED AND SUBMITTED FORM 990 AT THE AUGUST 31, 2016 BOARD MEETING AFTER THE RETURN IS FILED. THE REVIEW WILL BE LEAD BY BRIAN ENGLER, DIRECTOR OF FINANCE, AND CHRISTOPHER 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 B, LINE 15A THE ADMINISTRATOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. EVERY YEAR, THE ADMINISTRATOR PRESENTS A PROPOSAL FOR COMPENSATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN USES A CURRENT SALARY SURVEY (DONE BY LEADINGAGE OF MN) TO COMPARE TO THE PROPOSAL AND THEN COMES TO A CONCLUSION ON WHAT THE COMPENSATION WILL BE. THIS IS THEN INCORPORATED IN THE BOARD MINUTES AND ADMINISTRATOR'S ANNUAL REVIEW. THE PROCESS LAST OCCURRED AUGUST 1, 2015. 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 HOME CARE PO BOX 40 STARBUCK MN 56381 331124162 HOME CARE MN 501(C)(3) 9 N/A 1 HOLLY RIDGE MANOR 500 HOLLY RIDGE DRIVE STARBUCK MN 56381 411649721 ASSISTED LIVING MN 501(C)(3) 11 - TYPE 2 N/A 1 MINNEWASKA HOME DEVELOPMENT PO BOX 40 STARBUCK MN 56381 411504339 FUNDRAISING MN 501(C)(3) 11 - TYPE 2 N/A 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 1