2014-11-04T09:14:41-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-01-01 411310487 LYNGBLOMSTEN CARE CENTER INC LYNG 6516462941 1415 ALMOND AVENUE ST PAUL MN 55108 BRADLEY J JACOBSON CFO 6516462941 2014-10-29 1 CORY RUTLEDGE P01329381 6123764500 2013 2015-11-30 17:44:51Z JEFF HEINECKE 1415 ALMOND AVENUE ST PAUL MN 55108 20727642 0 9386 X WWW.LYNGBLOMSTEN.ORG X 1976 MN TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 18 17 499 1197 0 0 155222 565513 18558754 18949573 78355 182048 106927 266119 18899258 19963253 100000 14092 0 0 13242554 14063519 0 0 0 5351923 5293427 18694477 19371038 204781 592215 12898378 13236748 2348822 1904126 10549556 11332622 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 17251120 14092 18949573 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 2013, 712 PERSONS RECEIVED CARE - AN INCREASE OF 2.3% 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. EDUCATIONAL (INCLUDING THE ARTS) AND SOCIAL EVENTS ARE HOSTED TO ENHANCE THE LIVES OF THESE SENIORS AND THEIR FAMILIES. IN 2013:- LYNGBLOMSTEN RECEIVED THE "EXCELLENCE IN THE WORKPLACE" AWARD FROM AGING SERVICES OF MINNESOTA. - THE PARKINSON'S CARE NETWORK COLLABORATION WITH STRUTHERS PARKINSON'S CENTER LAUNCHED, CREATING MORE AWARENESS FOR PARKINSON'S DISEASE THROUGH ADVANCED TRAINING AND ONGOING EDUCATION, AS WELL AS HOLDING A MONTHLY PARKINSON'S SUPPORT GROUP.- AFTER MUCH PLANNING AND REMODELING, THE CONVERSION OF THE OLD GIFT AND COFFEE SHOP INTO ANNA'S, AN EXPANDED CAFE WITH GIFT SHOP, WAS COMPLETED. ANNA'S HAS AN ARRAY OF FOOD OPTIONS INCLUDING DAILY HOT ENTREES FOR RESIDENTS, TENANTS, VOLUNTEERS, GUESTS, AND EMPLOYEES.- AN ELECTRONIC MENU ORDERING SYSTEM WAS CREATED, WHICH ALLOWS RESIDENTS TO SEE A PHOTO AND DESCRIPTION OF THEIR FOOD CHOICES FOR MEALS, AS WELL AS STREAMLINES WORK FOR THE DIETARY DEPARTMENT. LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. 17251120 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 33 0 499 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 (FORMER VICE CHAIR) 1.00 4.00 X X 0 0 0 CAROL PLETCHER VICE CHAIR (FORMER 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/FORMER ADMINISTRATOR 30.20 9.80 X X 101473 10512 21342 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 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 ANDREW LOWTHER DIRECTOR 1.00 1.00 X 0 0 0 BETCHEN OBERDORFER DIRECTOR 1.00 1.00 X 0 0 0 BILL SANDEN DIRECTOR 1.00 1.00 X 0 0 0 TOM 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 DIRECTOR 1.00 1.00 X 0 0 0 LESLIE GRANT FORMER DIRECTOR 1.00 1.00 X 0 0 0 ESTER TATLEY FORMER DIRECTOR 1.00 2.00 X 0 0 0 PAUL MIKELSON FORMER PRESIDENT & CEO (THRU OCT) 30.20 9.80 X X 128688 41759 12550 BRADLEY J JACOBSON CFO 36.00 4.00 X 119271 0 14877 MELANIE DAVIS CHIEF DEVELOPMENT OFFICER 15.00 25.00 X 21597 43495 20852 BRENDA JOHNSON ADMINISTRATOR 40.00 0.00 X 92273 0 21657 463302 95766 91278 3 0 1 0 PRO REHAB 200 LEWIS AVENUE SOUTH SUITE 210 WATERTOWN MN 55388 THERAPY 635384 MERWIN LONG TERM CARE INC 1811 OLD HWY 8 NW SUITE B NEW BRIGHTON MN 55112 MEDICAL/PHARMACY 303541 2 565513 565513 RESIDENT SERVICES 623000 18949573 18949573 18949573 71821 71821 814153 60463 704361 60028 109792 435 110227 110227 MISCELLANEOUS REVENUE 900099 119894 119894 BEAUTY SHOP REVENUE 900099 92142 92142 SATELLITE TV REVENUE 900099 27790 27790 26293 26293 266119 19963253 18949573 0 448167 14092 14092 535917 535917 10217123 9684869 532254 251502 239210 12292 2239461 2030327 209134 819516 725518 93998 1583 1583 48626 48626 829837 739500 90337 30663 30663 514460 357114 157346 85269 85269 400360 359187 41173 37603 16170 21433 2584 2318 266 854694 766797 87897 93829 84180 9649 MEDICAL SUPPLIES 863613 863613 LICENSE SURCHARGE 667155 667155 FOOD 632391 632391 BAD DEBT EXPENSE 115402 115402 115358 68679 46679 19371038 17251120 2119918 0 1568843 1867674 64189 64314 1667450 1455598 15522 18182 22976936 16812415 6469838 6164521 2372048 2843002 399180 399180 341308 424277 12898378 13236748 1619497 1592252 51187 39684 678138 272190 2348822 1904126 X 10410724 11206281 138832 126341 10549556 11332622 12898378 13236748 592215 190851 0 X 0 1 X 1 0 X 401086 49929 73053 155222 565513 1244803 18418142 18345039 19138746 18558754 18949573 93410254 18819228 18394968 19211799 18713976 19515086 94655057 0 0 0 94655057 125937 179367 137185 115389 71821 629699 125937 179367 137185 115389 71821 629699 -187122 89336 224504 183055 266119 575892 18758043 18663671 19573488 19012420 19853026 95860648 0.98740 0.98870 0.00660 0.00740 X SCHEDULE A, PART II, 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 20030108 14770514 5259594 2756411 1971329 785082 95650 70572 25078 6164521 CAPITAL LEASE OBLIGATION 54038 ASSET RETIREMENT OBLIGATION 69506 DEFERRED COMPENSATION PLAN 148646 272190 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 2010 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. 1 LYNGBLOMSTEN SERVICES INC 1415 ALMOND AVENUE ST PAUL MN 55108 363371887 501(C)(3) 14092 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 PAUL MIKELSON FORMER PRESIDENT & CEO (THRU OCT) 100771 32700 313 102 27604 8957 4668 1515 4807 1560 138163 44834 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