2014-02-11T12:13:50-06:00 2013-09-30 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2012-10-01 410859026 ST LUKES LUTHERAN CARE CENTER STLU 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 DONNIS MATHEWS 5075262184 2014-01-20 1 TRENT FAST P00692704 5074347000 2012 2015-11-30 17:44:51Z MARGARET BRANDT 1219 SOUTH RAMSEY BLUE EARTH MN 56013 8765024 0 X WWW.STLCARE.COM X 1963 MN TO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES. 16 16 284 45 0 0 188486 168093 8597392 8493857 7880 4702 86742 85570 8880500 8752222 0 0 0 0 6020599 5991898 0 0 0 3262920 3019789 9283519 9011687 -403019 -259465 9803870 9423778 8514822 8391570 1289048 1032208 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 8289083 8456492 PROVISION OF CARE AND HOUSING FOR THE ELDERLY AND HANDICAPPED BY OPERATING A 112-BED LICENSED NURSING FACILITY AND A 28-UNIT ASSISTED LIVING FACILITY IN BLUE EARTH, MINNESOTA. 52839 37365 PROVISION OF LICENSED ADULT DAY CARE SERVICE FOR 10 INDIVIDUALS PER DAY 8341922 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 284 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 ERIN FARLAND 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 DON AMUNDSON 1.00 X 0 0 0 HENRIK HENDRICKSON 1.00 X 0 0 0 CAROL MAHNKE 1.00 X 0 0 0 DONNIS MATTHEWS 1.00 X X 0 0 0 MARIA LINDBERG 1.00 X 0 0 0 PAT COUPANGER 1.00 X X 0 0 0 GLORIA MATTSON 1.00 X 0 0 0 EVERETT WESSELS 1.00 X 0 0 0 SHERYL ECKHARDT 1.00 X 0 0 0 KATHY SATRE 1.00 X 0 0 0 SHARON HOFFMAN 1.00 X 0 0 0 RONALD ERICKSON 1.00 X 0 0 0 JEANETTE FENSKE 1.00 X 0 0 0 DENNIS MADSEN 1.00 X X 0 0 0 ROGER LEGRED 1.00 X 0 0 0 CHRISTINA OLSON 1.00 X 0 0 0 ERIN FARLAND 40.00 X 66497 0 15458 MARGARET BRANDT 40.00 X 68171 0 15549 134668 0 31007 0 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 378873 1 2635 152416 13042 168093 MEDICARE/MEDICAID PMTS 623000 4020240 4020240 RESIDENT REVENUE 623000 3465592 3465592 FRIENDSHIP COURT REV 623000 811587 811587 SOUTHVIEW ESTATES REV 623000 112981 112981 NEW LIFE MANOR REV 623000 46092 46092 37365 37365 8493857 4662 4662 40 0 40 40 40 0 2635 0 0 18617 12802 5815 5815 BEAUTY SHOP REVENUE 812900 47186 47186 MISCELLANEOUS INCOME 900099 20605 20605 GUEST/EMPLOYEE MEALS 900099 11964 11964 79755 8752222 8493857 0 90272 88951 88951 4492723 4236220 256503 40812 38011 2801 1068540 995205 73335 300872 280223 20649 2633 2633 34395 818 33577 135583 135583 13332 13332 533405 474436 58969 276202 276202 3726 3726 22382 13783 8599 334913 334913 546170 546170 53430 53430 THERAPY EXPENSE 370098 370098 NURSING HOME ASSESSMENT 319033 319033 FOOD COSTS 298538 298538 PRE-ADMISSION SCREENING 23823 23823 52126 18963 33163 9011687 8341922 669765 0 620527 872451 248311 200936 622571 511050 64484 63356 82819 77472 14887414 7421222 7971476 7466192 158231 205555 35451 26766 9803870 9423778 707458 724784 7736636 7598244 70728 68542 8514822 8391570 X 1289048 1032208 1289048 1032208 9803870 9423778 -259465 2625 0 X X 0 1 X 1 0 X 72373 75879 81359 101644 90581 421836 8603962 8745686 8614011 8614828 8512474 43090961 8676335 8821565 8695370 8716472 8603055 43512797 153792 140700 134189 160000 152416 741097 0 153792 140700 134189 160000 152416 741097 42771700 126240 95270 101169 94594 82174 499447 126240 95270 101169 94594 82174 499447 89035 81812 79755 250602 8802575 8916835 8885574 8892878 8764984 44262846 0.96630 0.96780 0.01130 0.01250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97373 97373 12076131 5922158 6153973 2370589 1273895 1096694 343321 225169 118152 7466192 RESIDENT TRUST PAYABLE 3132 ASSET RETIREMENT OBLIGATION 41776 SECURITY DEPOSITS 23634 68542 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2010, 2011, AND 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. 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: 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 0 0 0 0 0 0 0 0 0 0 0 ST LUKE'S NURSING HOME FOUNDATION C 152416 CASH GRANT