2015-08-07T12:45:34-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-01-01 411310487 LYNGBLOMSTEN CARE CENTER INC LYNG 6516462941 1415 ALMOND AVENUE ST PAUL MN 55108 BRADLEY J JACOBSON CFO 6516462941 2015-08-05 1 KACIE MCEWEN P01599614 6123764500 2014 2016-04-25 22:37:26Z JEFF HEINECKE 1415 ALMOND AVENUE ST PAUL MN 55108 20522788 0 9386 X WWW.LYNGBLOMSTEN.ORG X 1976 MN TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 18 17 514 1132 0 0 565513 206707 18949573 19857394 182048 144900 266119 190592 19963253 20399593 14092 155000 0 0 14063519 14475631 0 0 0 5293427 5449853 19371038 20080484 592215 319109 13236748 13403386 1904126 1808193 11332622 11595193 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. 0 0 17952049 155000 19857394 THE LYNGBLOMSTEN CARE CENTER, A 237-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING ALZHEIMER'S AND PARKINSON'S CARE. IN 2014, 783 PERSONS RECEIVED CARE - AN INCREASE OF NEARLY 10% OVER THE PREVIOUS YEAR. CHAPLAINS, VOLUNTEERS, AND PROFESSIONAL STAFF ENSURE RESIDENTS RECEIVE QUALITY HEALTH CARE IN A DIGNIFIED MANNER. ALTHOUGH HEALTH ISSUES PREVENT THESE SENIORS FROM ENJOYING LIVING IN THEIR OWN HOMES, LYNGBLOMSTEN PROMOTES PERSON-CENTERED CARE, GIVING THESE 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 SENIORS AND THEIR FAMILIES. IN 2014:- IN OCTOBER 2014 THE LYNGBLOMSTEN BOARD OF DIRECTORS UNANIMOUSLY APPROVED A FIVE-YEAR STRATEGIC DIRECTION FOR THE ORGANIZATION. ONE OF THE SIX PRIORITIES FOR 2015-2020 IS TO CREATE RECOGNITION-WORTHY, DESTINATION SERVICES TO ELIMINATE GEOGRAPHIC BARRIERS AND PROMOTE EXCELLENCE IN THE CONSUMER EXPERIENCE. - LYNGBLOMSTEN CONTINUED DEVELOPMENT OF THE WEB-BASED SOFTWARE TOOL EMENUCHOICE IN PREPARATION FOR OFFERING THE PRODUCT TO OTHER LONG-TERM CARE FACILITIES. THE TOOL REDUCES COMMUNICATION BARRIERS FOR RESIDENT MEAL ORDERING WHILE ENABLING PERSON-CENTERED CHOICES, MAXIMIZING ACCURACY, AND STREAMLINING KITCHEN MEAL PREP. - REMODELING OF THE CARE CENTER FRONT ENTRY BEGAN.LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. 17952049 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 23 0 514 1 0 0 0 0 0 0 0 0 0 0 X 18 17 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 CHARLES NORTON CHAIR 1.00 4.00 X X 0 0 0 WILLIAM C SANDEN VICE CHAIR 1.00 4.00 X X 0 0 0 WILLIAM STACEY TREASURER 1.00 3.00 X X 0 0 0 WESLEY JOHNSON SECRETARY 1.00 3.00 X X 0 0 0 JEFF HEINECKE PRESIDENT & CEO 30.20 9.80 X X 117182 38026 23630 REV CARL BUETTEMEIR DIRECTOR 1.00 1.00 X 0 0 0 JANE DANIELSON DIRECTOR 1.00 1.00 X 0 0 0 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 REV JOY JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 ANDREW LOWTHER 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 KAREN VENINGA FORMER DIRECTOR (THRU MAY) 1.00 1.00 X 0 0 0 CAROL PLETCHER FORMER VICE CHAIR (THRU MAY) 1.00 4.00 X X 0 0 0 BRADLEY J JACOBSON CFO 36.00 4.00 X 123642 0 16161 BRENDA JOHNSON ADMINISTRATOR 40.00 0.00 X 115290 0 24176 356114 38026 63967 3 0 1 0 PRO REHAB 200 LEWIS AVENUE SOUTH SUITE 210 WATERTOWN MN 55388 THERAPY 665969 MERWIN LONG TERM CARE INC 1811 OLD HWY 8 NW SUITE B NEW BRIGHTON MN 55112 MEDICAL/PHARMACY 347227 W GOHMAN CONSTRUCTION CO 815 E COUNTY ROAD 75 PO BOX 250 ST JOSEPH MN 56374 CONSTRUCTION FEES 262733 CLIFTONLARSONALLEN 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 554021436 ACCOUNTING FEES 105533 4 206707 206707 RESIDENT SERVICES 623000 19857394 19857394 19857394 132639 132639 58400 77056 40300 82895 18100 -5839 12261 12261 BEAUTY SHOP REVENUE 900099 89416 89416 MISCELLANEOUS REVENUE 900099 47003 47003 SATELLITE TV REVENUE 900099 27550 27550 26623 26623 190592 20399593 19857394 0 335492 155000 155000 414293 414293 10589647 9952772 636875 268508 251427 17081 2359798 2132922 226876 843385 748534 94851 200 200 51348 51348 852235 801226 51009 20197 20197 487349 346048 141301 111395 111395 458032 410928 47104 44284 19349 24935 2319 2081 238 865703 776674 89029 93078 83506 9572 MEDICAL SUPPLIES 952488 952488 LICENSE SURCHARGE 667155 667155 FOOD 630077 630077 BAD DEBT EXPENSE 147776 147776 66217 21862 44355 20080484 17952049 2128435 0 1867674 1831310 64314 64436 1455598 1679302 18182 74884 23538522 17603798 6164521 5934724 2843002 3094613 399180 399180 424277 324937 13236748 13403386 1592252 1598207 39684 46900 272190 163086 1904126 1808193 X 11206281 11556993 126341 38200 11332622 11595193 13236748 13403386 319109 -56538 0 X 0 1 X 1 0 X 49929 73053 155222 565513 206707 1050424 18345039 19138746 18558754 18949573 19857394 94849506 18394968 19211799 18713976 19515086 20064101 95899930 0 0 0 95899930 179367 137185 115389 71821 132639 636401 179367 137185 115389 71821 132639 636401 89336 224504 183055 266119 181469 944483 18663671 19573488 19012420 19853026 20378209 97480814 0.98380 0.98740 0.00650 0.00660 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP REVENUE SATELLITE TV REVENUE TELEPHONE REVENUE MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 94767 94767 20124646 15457421 4667225 2788710 2072991 715719 530399 73386 457013 5934724 CAPITAL LEASE OBLIGATION 41035 ASSET RETIREMENT OBLIGATION 72608 DEFERRED COMPENSATION PLAN 49443 163086 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. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS PRIOR TO 2011 ARE NO LONGER OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. 1 LYNGBLOMSTEN FOUNDATION 1415 ALMOND AVENUE ST PAUL MN 55108 363371887 501(C)(3) 155000 SUPPORT FOR COMMUNITY HOME BASED SERVICES TO THE ELDERLY. 1 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 113807 36931 1125 365 2250 730 4817 1563 13024 4226 135023 43815 0 0 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 THE LYNGBLOMSTEN CORPORATION 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 THE LYNGBLOMSTEN CORPORATION, ELECT THE LYNGBLOMSTEN CORPORATE BOARD. THE BOARD OF DIRECTORS OF LYNGBLOMSTEN CARE CENTER CONSISTS SOLELY OF DULY ELECTED AND QUALIFIED MEMBERS OF THE BOARD OF DIRECTORS OF THE LYNGBLOMSTEN CORPORATION. ELECTION AS A DIRECTOR OF THE LYNGBLOMSTEN CORPORATION 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 OR POSTING TO THEIR INTERNAL WEBSITE. 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. 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