2016-07-21T11:24:33-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-01-01 411310487 LYNGBLOMSTEN CARE CENTER INC LYNG 6516462941 1415 ALMOND AVENUE ST PAUL MN 55108 BRADLEY J JACOBSON CFO 6516462941 2016-06-30 1 CORY RUTLEDGE P01329381 6123764500 2015 2016-12-15 16:53:06Z JEFF HEINECKE 1415 ALMOND AVENUE ST PAUL MN 55108 20569023 0 9386 X WWW.LYNGBLOMSTEN.ORG X 1976 MN TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 17 16 520 1160 0 0 206707 181690 19857394 19949802 144900 187357 190592 225851 20399593 20544700 155000 435000 0 0 14475631 15088748 0 0 0 5449853 5421696 20080484 20945444 319109 -400744 13403386 12695539 1808193 1726490 11595193 10969049 X INFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE. 1 0 18840879 435000 19949802 THE LYNGBLOMSTEN CARE CENTER, A 237-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING SPECIALIZED CARE FOR ALZHEIMER'S DISEASE AND OTHER DEMENTIAS, PARKINSON'S DISEASE, AND PALLIATIVE CARE. IN 2015, 752 PERSONS RECEIVED CARE. CHAPLAINS, VOLUNTEERS, AND PROFESSIONAL STAFF ENSURE RESIDENTS RECEIVE QUALITY HEALTH CARE IN A DIGNIFIED MANNER. ALTHOUGH HEALTH ISSUES PREVENT THESE OLDER ADULTS FROM ENJOYING LIVING IN THEIR OWN HOMES, LYNGBLOMSTEN PROMOTES PERSON-CENTERED CARE, GIVING OLDER ADULTS AS MANY CHOICES AND COMFORTS OF HOME AS POSSIBLE. PROGRAMMING (INCLUDING THE ARTS) AND SOCIAL EVENTS ARE HOSTED TO ENHANCE THE LIVES OF THESE OLDER ADULTS AND THEIR FAMILIES. LYNGBLOMSTEN CONTINUED PARTICIPATION IN THE THIRD YEAR OF THE RESIDENT CARE CENTERED CAREFORCE DEVELOPMENT (RCCD) GRANT PROJECT TO IMPROVE OVERALL RESIDENT CARE THROUGH INCREASING STAFF RETENTION RATES, PROVIDING QUALITY TRAINING AND MENTORING OPPORTUNITIES TO STAFF, AND INCORPORATING TECHNOLOGIES TO IMPROVE EFFICIENCIES IN CARE DELIVERY. LYNGBLOMSTEN ALSO CONTINUED PARTICIPATION IN THE SECOND YEAR OF THE PERSON CENTERED CARE CONNECTIONS (PCCC) GRANT. IN AN EFFORT TO DECREASE RE-HOSPITALIZATIONS, THE PROGRAM'S GOAL IS TO HELP PATIENTS SUCCESSFULLY TRANSITION FROM LYNGBLOMSTEN'S TRANSITIONAL CARE UNIT BACK HOME.IN 2015:- LYNGBLOMSTEN CARE CENTER JOINED THE LAKE SUPERIOR QUALITY INNOVATION NETWORK IN APRIL 2015 AS PART OF A FIVE-YEAR COMMITMENT TO IMPROVE OUTCOMES AND OVERALL QUALITY OF CARE IN THE LONG-TERM CARE SETTING, AND IS A RECOGNIZED MEMBER OF THE CENTERS FOR MEDICARE & MEDICAID SERVICES NATIONAL NURSING HOME QUALITY CARE COLLABORATIVE. - IN SEPTEMBER 2015, LYNGBLOMSTEN INSTALLED IPADS IN EACH OF ITS 30 TRANSITIONAL CARE UNIT ROOMS FOR PATIENTS AND THEIR FAMILIES TO USE. THE IPADS CONTAIN EMENUCHOICE, PROGRAMS AND APPS FOR ENTERTAINMENT, AND COPIES OF THE RESIDENT/FAMILY HANDBOOK, THE RESIDENT BILL OF RIGHTS, AND ALL SOCIAL SERVICE ADMISSIONS PAPERWORK. - LYNGBLOMSTEN BECAME A MUSIC & MEMORY CERTIFIED CARE FACILITY IN OCTOBER 2015. THE PROGRAM HELPS PERSONS WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA BENEFIT FROM THE THERAPEUTIC POTENTIAL OF MUSIC THROUGH PERSONALIZED PLAYLISTS ON IPODS.-LYNGBLOMSTEN CONTINUED DEVELOPMENT OF THE WEB-BASED SOFTWARE TOOL EMENUCHOICE , WHICH REDUCES COMMUNICATION BARRIERS FOR RESIDENT MEAL ORDERING WHILE ENABLING PERSON-CENTERED CHOICES, MAXIMIZING ACCURACY, STREAMLINING KITCHEN MEAL PREP, AND REDUCING WASTE. IN PREPARATION FOR OFFERING THE PRODUCT TO OTHER LONG-TERM CARE FACILITIES AND SENIOR HOUSING BUILDINGS, A SEPARATE ENTITY WAS ESTABLISHED IN AUGUST 2015: EMENUCHOICE LLC. IN DECEMBER 2015, AN AGREEMENT WAS REACHED WITH A LOCAL DEVELOPER OF SOFTWARE FOR SENIOR LIVING TO BE THE EXCLUSIVE DISTRIBUTOR OF THE PRODUCT. EMENUCHOICE LLC SUPPORTS THE PRODUCT'S USERS AND CONTINUES THE DEVELOPMENT OF NEW FEATURES. WHAT BEGAN AS A CUSTOM SOLUTION TO A CHALLENGE AT LYNGBLOMSTEN CARE CENTER HAS BLOSSOMED INTO A TOOL THAT WILL NOW IMPROVE THE QUALITY OF LIFE FOR OLDER ADULTS ALL ACROSS THE NATION.LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. 18840879 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 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 1 0 0 0 1 27 0 520 1 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X BRADLEY J JACOBSON 6516325310 1415 ALMOND AVENUE ST PAUL MN 55108 WILLIAM C SANDEN CHAIR/FORMER VICE CHAIR(THROUGH MAY) 1.00 4.00 X X 0 0 0 CHARLES NORTON FORMER CHAIR (THROUGH MAY) 1.00 4.00 X X 0 0 0 ANDREW LOWTHER VICE CHAIR/ FORMER DIRECTOR 1.00 4.00 X X 0 0 0 WILLIAM STACEY TREASURER 1.00 3.00 X X 0 0 0 JANE DANIELSON SECRETARY/FORMER DIRECTOR 1.00 3.00 X X 0 0 0 WESLEY JOHNSON FORMER SECRETARY (THROUGH MAY) 1.00 3.00 X X 0 0 0 JEFF HEINECKE PRESIDENT & CEO 30.20 9.80 X X 124723 40473 28098 REV CARL BUETTEMEIR DIRECTOR 1.00 1.00 X 0 0 0 DR ELIZABETH DETLIE DIRECTOR 1.00 1.00 X 0 0 0 PAM DRAGSETH DIRECTOR 1.00 1.00 X 0 0 0 KIM DURKEE DIRECTOR 1.00 1.00 X 0 0 0 LEONARD EILTS DIRECTOR 1.00 1.00 X 0 0 0 GINGER FISCHER DIRECTOR 1.00 1.00 X 0 0 0 DR LESLIE GRANT DIRECTOR 1.00 1.00 X 0 0 0 REV JOY JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 BETCHEN OBERDORFER DIRECTOR 1.00 1.00 X 0 0 0 THOMAS J SCHULTZ DIRECTOR 1.00 1.00 X 0 0 0 JIM STENDER DIRECTOR 1.00 1.00 X 0 0 0 REV PAM STOFFERAHN DIRECTOR 1.00 1.00 X 0 0 0 BRADLEY J JACOBSON CFO 36.00 4.00 X 133816 0 16340 BRENDA JOHNSON ADMINISTRATOR 40.00 X 126417 0 26667 GREGORY WAINMAN DIRECTOR OF NURSING 40.00 X 125246 0 24348 510202 40473 95453 4 0 1 0 PRO REHAB 200 LEWIS AVENUE SOUTH SUITE 210 WATERTOWN MN 55388 THERAPY 684060 MERWIN LONG TERM CARE INC 1811 OLD HWY 8 NW SUITE B NEW BRIGHTON MN 55112 MEDICAL/PHARMACY 357185 W GOHMAN CONSTRUCTION CO 815 E COUNTY ROAD 75 PO BOX 250 ST JOSEPH MN 56374 CONSTRUCTION FEES 182961 3 181690 181690 RESIDENT SERVICES 623000 19949802 19949802 19949802 181871 181871 26397 3412 23370 953 3027 2459 5486 5486 MISCELLANEOUS REVENUE 900099 85215 85215 BEAUTY SHOP REVENUE 900099 83985 83985 SATELLITE TV REVENUE 900099 25050 25050 31601 31601 225851 20544700 19949802 0 413208 435000 435000 449178 449178 11298690 10639319 659371 289655 272197 17458 2161696 1967977 193719 889529 792145 97384 22486 22486 49288 49288 893180 828115 65065 20755 20755 563777 412010 151767 68294 68294 442029 396571 45458 44602 17605 26997 1848 1658 190 870017 780181 89836 60674 54434 6240 MEDICAL SUPPLIES 888145 888145 LICENSE SURCHARGE 667155 667155 FOOD 664670 664670 BAD DEBT EXPENSE 100512 100512 64264 23697 40567 20945444 18840879 2104565 0 1831310 1803359 64436 64559 1679302 1873512 74884 14215 24048581 18456850 5934724 5591731 3094613 2705684 399180 399180 324937 243299 13403386 12695539 1598207 1559333 46900 55077 163086 112080 1808193 1726490 X 11556993 10933638 38200 35411 11595193 10969049 13403386 12695539 -400744 -225400 0 X 0 1 X 1 0 X 73053 155222 565513 206707 181690 1182185 19138746 18558754 18949573 19857394 19949802 96454269 19211799 18713976 19515086 20064101 20131492 97636454 0 0 0 97636454 137185 115389 71821 132639 181871 638905 137185 115389 71821 132639 181871 638905 224504 183055 266119 181469 225851 1080998 19573488 19012420 19853026 20378209 20539214 99356357 0.98270 0.98380 0.00640 0.00650 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP REVENUE SATELLITE TV REVENUE TELEPHONE REVENUE GUEST MEAL REVENUE MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 94767 94767 20747481 16139227 4608254 3132947 2244237 888710 73386 73386 0 5591731 CAPITAL LEASE OBLIGATION 36215 ASSET RETIREMENT OBLIGATION 75865 112080 X PART IV, LINE 2B: THE CORPORATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS. PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. 1 LYNGBLOMSTEN FOUNDATION 1415 ALMOND AVENUE ST PAUL MN 55108 363371887 501(C)(3) 135000 TO SUPPORT GENERAL OPERATIONS. LYNGBLOMSTEN SERVICES INC 1415 ALMOND AVENUE ST PAUL MN 55108 411760448 501(C)(3) 300000 SUPPORT FOR COMMUNITY HOME BASED SERVICES TO THE ELDERLY. 2 0 PART I, LINE 2: LYNGBLOMSTEN CARE CENTER MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. ALL RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE USE OF THESE FUNDS THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS. X X X X 0 0 0 0 0 0 0 0 0 JEFF HEINECKE PRESIDENT & CEO 122951 39898 0 0 1772 575 5181 1681 16033 5203 145937 47357 0 0 BRADLEY J JACOBSON CFO 133816 0 0 0 0 0 5502 0 10838 0 150156 0 0 0 BRENDA JOHNSON ADMINISTRATOR 126417 0 0 0 0 0 5321 0 21346 0 153084 0 0 0 FORM 990, PART III, LINE 2 IN PREPARATION FOR OFFERING THE WEB-BASED SOFTWARE TOOL EMENUCHOICE TO OTHER LONG-TERM CARE FACILITIES AND SENIOR HOUSING BUILDINGS, A SEPARATE ENTITY WAS ESTABLISHED IN AUGUST 2015: EMENUCHOICE LLC. THE SOFTWARE REDUCES COMMUNICATION BARRIERS FOR RESIDENT MEAL ORDERING WHILE ENABLING PERSON-CENTERED CHOICES, MAXIMIZING ACCURACY, STREAMLINING KITCHEN MEAL PREP, AND REDUCING WASTE. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS MADE UP THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY OF THE BOARD ALONG WITH PRESIDENT/CEO OF THE CORPORATION. ALL ITEMS APPROVED BY THE EXECUTIVE COMMITTEE ARE REAFFIRMED BY THE FULL BOARD AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF LYNGBLOMSTEN ARE THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE CONGREGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO, AS MEMBERS OF LYNGBLOMSTEN, ELECT THE LYNGBLOMSTEN BOARD. THE BOARD OF DIRECTORS OF LYNGBLOMSTEN CARE CENTER CONSISTS SOLELY OF DULY ELECTED AND QUALIFIED MEMBERS OF THE BOARD OF DIRECTORS OF LYNGBLOMSTEN. ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CONSTITUTES ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CARE CENTER FOR THE SAME TERM. FORM 990, PART VI, SECTION A, LINE 7B CHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL. FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND CEO REVIEW THE DOCUMENT, WHICH IS EMAILED TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO THEIR MEETING FOR REVIEW AND COMMENT. THE BOARD RECEIVES THE DOCUMENT PRIOR TO THEIR BOARD MEETING BY EMAIL. PAPER COPIES ARE AVAILABLE AT THE BOARD MEETING FOR FURTHER DISCUSSION AND BOARD APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C AN UPDATED CONFLICT OF INTEREST POLICY IS SIGNED BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THIS POLICY IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER AND IF ANY CONFLICTS OF INTERESTS EXIST THAT INDIVIDUAL IS EXCLUDED FROM PARTICIPATION AND VOTING ON RELATED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15A THE LYNGBLOMSTEN BOARD'S EXECUTIVE COMMITTEE REVIEWS AND SETS THE CEO'S COMPENSATION ANNUALLY AND PERFORMS A COMPENSATION STUDY APPROXIMATELY EVERY 5 YEARS, LAST COMPLETED IN 2013. THE CEO SETS THE ANNUAL EVALUATION PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES AND THE LYNGBLOMSTEN CARE CENTER, INC. BOARD APPROVES THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. EMENUCHOICE LLC 1415 ALMOND AVENUE ST PAUL MN 55108 320473417 MAINTAINS, DEVELOPS, AND OFFERS WEB-BASED MEAL AND DIEATARY SOFTWARE PROGRAM MN 0 1418 LYNGBLOMSTEN CARE CENTER INC LYNGBLOMSTEN APARTMENTS INC 1455 ALMOND AVE ST PAUL MN 55108 411327121 LOW INCOME SENIOR HOUSING MN 501(C)3 9 LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC 0 HERITAGE APARTMENTS INC 1440 MIDWAY PARKWAY ST PAUL MN 55108 411913420 MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIES MN 501(C)3 9 LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC 0 LYNGBLOMSTEN FOUNDATION 1415 ALMOND AVE ST PAUL MN 55108 363371887 FUNDRAISING FOR LYNGBLOMSTEN MN 501(C)3 7 LYNGBLOMSTEN 0 LYNGBLOMSTEN SERVICES INC 1415 ALMOND AVE ST PAUL MN 55108 411760448 SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTH MN 501(C)3 9 LYNGBLOMSTEN 0 LYNGBLOMSTEN 1415 ALMOND AVE ST PAUL MN 55108 410693865 MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONS MN 501(C)3 9 N/A 0 LYNGBLOMSTEN SENIOR HOUSING INC 1415 ALMOND AVE ST PAUL MN 55108 411913422 MANAGEMENT OVERSIGHT SERVICES TO LYNGBLOMSTEN APTS & HERITAGE APTS MN 501(C)3 9 LYNGBLOMSTEN 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1