2013-11-14T16:12:06-06:00 2012-12-31 420714325 MCGLADREY LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2012-01-01 272357574 HUTCHINSON SENIOR CARE SERVICES HUTC 3204844472 1555 SHERWOOD STREET SE HUTCHINSON MN 55350 PAMELA LARSON 3204844472 2013-11-12 1 TODD A JACKSON P00092672 6123324300 2012 2016-02-24 21:20:13Z HARMONY RIVER LIVING CENTER DR STEVEN MULDER 1555 SHERWOOD STREET SE HUTCHINSON MN 55350 8811817 0 X N/A X 2009 MN PROVIDE LONG-TERM CARE TO THE COMMUNITY OF HUTCHINSON, MINNESOTA AND SURROUNDING AREA. 9 9 0 235 0 0 20896 0 0 8811817 0 0 0 0 20896 8811817 0 0 0 0 0 6400641 0 0 0 39354 4309202 39354 10709843 -18458 -1898026 22876527 20778057 20034594 18819013 2841933 1959044 HEALTH CARE SERVICES 0 0 8790951 8811817 HUTCHINSON SENIOR CARE SERVICES IS LOCATED IN HUTCHINSON, MN. IT CONSISTS OF 120 SKILLED NURSING FACILITY BEDS WITH 20 DEDICATED TO HIGHER ACUTE CARE CLIENTS AS PART OF A TRANSITIONAL CARE MODEL. THE CAMPUS ALSO HAS 18 ASSISTED LIVING APARTMENTS DEDICATED TO SERVING OLDER ADULTS WITH MEMORY CARE NEEDS. 8790951 1 0 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 MN X PAMELA LARSON 3204844472 1095 HIGHWAY 15 SOUTH HUTCHINSON MN 55350 SEVER B KNUTSON 1.00 X X 0 0 0 RICHARD SCOTT SCHAEFER 1.00 X X 0 0 0 MICHAEL J BOO 1.00 X X 0 0 0 MICHAEL P CANNON 1.00 X X 0 0 0 ERIC C YOST 1.00 X 0 0 0 MICHAEL J MUELLER 1.00 X 0 0 0 DR JAMES E ALLEN 1.00 X 0 0 0 DIANA D ANDERSON 1.00 X 0 0 0 DR DAVID BYRON 1.00 1.90 X 0 0 0 DR STEVEN MULDER 1.00 39.00 X 0 279282 56433 PAMELA LARSON 1.00 39.00 X 0 136319 39883 0 415601 96316 0 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 CONTRACTED THERAPY 437441 PHS MANAGEMENT LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 MANAGEMENT SERVICES 264409 2 PATIENT AND RESIDENT S 623000 8768873 8768873 OTHER OPERATING REVENU 623000 42944 42944 8811817 8811817 8811817 0 0 5281349 4436333 845016 119777 100613 19164 655445 550574 104871 344070 289019 55051 264409 264409 30337 30337 16688 16688 132510 111308 21202 28643 24060 4583 2451 2059 392 46104 38727 7377 700046 588039 112007 1288575 1082403 206172 81443 68412 13031 MEDICAL AND OTHER SUPPL 415493 349014 66479 FOOD 385796 324069 61727 UTILITIES 380642 319739 60903 MN CARE/MA SURCHARGE 337800 337800 198265 168782 29483 10709843 8790951 1918892 0 386805 892240 59169 20402146 1257247 19510289 19144899 3366238 294944 22876527 20778057 1747894 869424 18286700 17949589 20034594 18819013 X 2841933 1959044 2841933 1959044 22876527 20778057 X -1898026 1015137 X 0 1 X 1 0 X 2860391 20896 2881287 8811817 8811817 2860391 20896 8811817 11693104 0 0 0 11693104 2860391 20896 8811817 11693104 X 225000 225000 13154101 13154101 2552999 2552999 4470046 1257247 3212799 19144899 LONG-TERM DEBT AND OTHER OBLIGATIONS 17725304 CURRENT PORTION OF LONG-TERM DEBT AND OTHER OBLIGATIONS 224285 17949589 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS MEETING THE RECOGNITION THRESHOLD AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. 0 1 0 0 0 0 0 0 0 DR STEVEN MULDER 0 264365 0 0 0 14917 0 44446 0 11987 0 335715 0 0 PAMELA LARSON 0 134093 0 0 0 2226 0 16475 0 23408 0 176202 0 0 PART I, LINE 4B DR. STEVEN MULDER, CEO, PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN OF HUTCHINSON HEALTH, A RELATED ORGANIZATION. SUPPLEMENTAL INFORMATION PART III PART I, LINE 4: THE ORGANIZATION DOES NOT PAY COMPENSATION. HUTCHINSON HEALTH, A RELATED ORGANIZATION, PAYS THE CEO AND CFO'S COMPENSATION AND USES THE FOLLOWING TO ESTABLISH COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION STUDY OR SURVEY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A CITY OF HUTCHINSON MN 416005253 448333AA2 2010-12-30 13300000 CONSTRUCTION OF HARMONY RIVER LIVING CENTER 0 1 0 A 114355 13300000 250299 63000 12779413 2012 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF HUTCHINSON, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 04/11/2012 FORM 990, PART VI, SECTION A, LINE 3 PRESBYTERIAN HOMES MANAGEMENT & SERVICES, INC. IS CONTRACTED TO MANAGE. FORM 990, PART VI, SECTION A, LINE 6 HUTCHINSON HEALTH IS THE SOLE CORPORATE MEMBER OF HUTHINSON SENIOR CARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE CFO OF THE ORGANIZATION AND THEN FORWARDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENT ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER FROM HUTCHINSON HEALTH 1,015,137. HUTCHINSON HEALTH 1095 HIGHWAY 15 SOUTH HUTCHINSON MN 55350 841715908 HOSPITAL FACILITY MN 501(C)(3) 170(B)(1) (A)(III) N/A 1 HUTCHINSON HEALTH FOUNDATION 1095 HIGHWAY 15 SOUTH HUTCHINSON MN 55350 363317820 SUPPORT OF HUTCHINSON HEALTH MN 501(C)(3) 509(A)(3)(III) HUTCHINSON HEALTH 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HUTCHINSON HEALTH E 17949643 AGSTAR DEBT & USDA DEBT HUTCHINSON HEALTH C 1015137 ACTUAL AMOUNT