2013-08-12T11:25:58-05:00 2012-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-10-01 331124162 MINNEWASKA HOME CARE INC MINN 3202392217 605 MAIN STREET STARBUCK MN 56381 MURRAY FINGER 3202392217 2013-08-09 1 CORY RUTLEDGE P01329381 6123764500 2011 2016-02-24 21:20:13Z MURRAY FINGER 605 MAIN STREET STARBUCK MN 56381 281143 0 X WWW.MCHS-HEALTHCARE.ORG X 2005 MN A COMMUNITY OF SERVICES GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE. 9 9 0 11 0 0 1000 0 315168 281098 28 45 1990 0 318186 281143 0 0 0 0 207414 197107 0 0 0 99572 77169 306986 274276 11200 6867 156529 171617 24333 32554 132196 139063 X A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL. 0 0 212236 0 281098 MINNEWASKA HOME CARE, A MEDICARE CERTIFIED HOME CARE AGENCY, PROMOTES HEALTH OF THE COMMUNITY MEMBERS IT SERVES BY PROVIDING A VARIETY OF HEALTH CARE SERVICES IN THE PATIENT'S HOME SETTING. OUR SERVICES INCLUDE BUT ARE NOT LIMITED TO SKILLED NURSING, HOME HEALTH AID, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND HOMEMAKING SERVICES WITHIN A 30-MILE RADIUS OF STARBUCK, MN. MINNEWASKA HOME CARE PROVIDES THESE SERVICES ON A DAILY BASIS MONDAY THRU FRIDAY, 8:00AM TO 4:30PM, AND HAS A 24-HOUR ON CALL REGISTERED NURSE AVAILABLE FOR EMERGENCIES.MINNEWASKA HOME CARE IS GOVERNED BY A NINE PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND EIGHT AREA CHURCH MEMBERS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACTING WITH THE HIGHEST INTEGRITY AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE AT ITS MAXIMUM POTENTIAL FOR THE BENEFIT OF THE CLIENTS WE SERVE. 212236 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 MN X BRIAN ENGLER 3202397121 605 MAIN STREET STARBUCK MN 56381 KAYO ASLAGSON 0.50 X X 0 0 0 LAURIS JOHNSHOY 0.50 X X 0 0 0 ARNE STOEN 0.50 X X 0 0 0 LONNIE ANDERSON 0.50 X X 0 0 0 PATRICIA DINSMORE 0.50 X 0 0 0 JOHN SAMUELSON 0.50 X 0 0 0 WARREN HAGESTUEN 0.50 X 0 0 0 MARK SCHUMANN 0.50 X 0 0 0 KEITH NAIG 0.50 X 0 0 0 ROBERT HENDRICKSON 0.50 X 0 0 0 RONALD FEIGUM 0.50 X 0 0 0 DEBBIE SCHNEIDER 2.40 X 0 54590 5698 BRIAN ENGLER 11.90 X 0 40811 5436 MURRAY FINGER 5.00 X 0 0 0 0 95401 11134 0 0 0 0 0 RESIDENT REVENUES 623000 281098 281098 281098 45 45 281143 281098 0 45 177024 155165 21859 1419 1244 175 5122 4490 632 13542 11870 1672 4922 4922 9303 9303 3494 3494 3730 3383 347 13480 13480 7814 3196 4618 1061 1061 25555 25555 3495 3495 LICENCES 2050 2050 OTHER 1502 1502 DUES 758 758 BAD DEBT 5 5 274276 212236 62040 0 71330 96197 24973 40749 122350 87679 60226 34671 156529 171617 -1965 3663 26298 28891 24333 32554 X 132196 139063 132196 139063 156529 171617 6867 0 X 0 1 1 X 0 X 48550 43035 1000 92585 401409 399938 303244 315168 281098 1700857 449959 399938 346279 316168 281098 1793442 0 0 0 1793442 351 309 64 28 45 797 351 309 64 28 45 797 945 1343 1990 4278 450310 401192 347686 318186 281143 1798517 0.99720 0.99800 0.00040 0.00050 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME 122350 87679 34671 34671 DUE TO RELATED PARTY 28891 28891 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FROM NOTE 1 TO THE ORGANIZATION'S FINANCIAL STATEMENTS: THE HOME, MHD, HOLLY RIDGE, AND HOME CARE HAVE ALL BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND APPLICABLE STATE STATUTES. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD 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 INCOME TAX RETURNS OF THE ORGANIZATION IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF ANY OF ITS ENTITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MINNEWASKA HOME CARE CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MINNESOTA. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINNEWASKA LUTHERAN CHURCH - STARBUCK, MINNESOTA ST. JOHN'S LUTHERAN CHURCH - STARBUCK, MINNESOTA IMMANUEL LUTHERAN CHURCH - STARBUCK, MINNESOTA INDHERRED LUTHERAN CHURCH - STARBUCK, MINNESOTA EAST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA WEST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA TRINITY LUTHERAN CHURCH - CYRUS, MINNESOTA FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE EMAILED TO THE BOARD PRIOR TO FILING WITH THE IRS. IT WILL THEN BE DISCUSSED IN DETAIL WITH MANAGEMENT AT THEIR AUGUST 28TH BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEE WITH BOARD-DELEGATED POWERS. ANY INDIVIDUAL WITH AN ACTUAL OR POTENTIAL CONFLICT IS REQUIRED TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE MATERIAL FACTS, THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE BY MAJORITY VOTE WHETHER A CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE BOARD OR COMMITTEE SEEKS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE, THE BOARD OR COMMITTEE DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL MAY NOT BE PRESENT FOR A DISCUSSION OF, OR VOTE ON, WHETHER TO ENTER THE TRANSACTION. THE RELEVANT FACTS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN STATEMENTS DISCLOSING EXISTING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALLOCATION OF TIME BETWEEN RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A THE OFFICERS OF MINNEWASKA HOME CARE ALSO SERVE AS THE OFFICERS OF THREE RELATED ORGANIZATIONS: MINNEWASKA HOME DEVELOPMENT, MINNEWASKA LUTHERAN HOME, AND HOLLY RIDGE MANOR. THE AVERAGE WEEKLY HOURS OF EACH OFFICER WERE SPENT AS FOLLOWS FOR THE YEAR ENDED SEPTEMBER 30, 2012. DEBBIE SCHNEIDER - ADMINISTRATOR: MINNEWASKA LUTHERAN HOME - 25.9 HOURS MINNEWASKA HOME CARE - 2.4 HOURS HOLLY RIDGE MANOR - 1.4 HOURS MINNEWASKA HOME DEVELOPMENT - 0.3 HOURS MURRAY FINGER - ADMINISTRATOR: MINNEWASKA LUTHERAN HOME - 32 HOURS MINNEWASKA HOME CARE - 5 HOURS HOLLY RIDGE MANOR - 3 HOURS BRIAN ENGLER - DIRECTOR OF FINANCE: MINNEWASKA LUTHERAN HOME - 17.39 HOURS MINNEWASKA HOME CARE - 11.89 HOURS HOLLY RIDGE MANOR - 2.39 HOURS MINNEWASKA HOME DEVELOPMENT - 0.32 HOURS THE BOARD MEMBERS OF MINNEWASKA HOME CARE ALSO SERVE AS THE BOARD MEMBERS OF THREE RELATED ORGANIZATIONS: MINNEWASKA HOME DEVELOPMENT, MINNEWASKA LUTHERAN HOME, AND HOLLY RIDGE MANOR. EACH BOARD MEMBER SERVES EACH ORGANIZATION FOR APPROXIMATELY 0.50 HOURS PER WEEK, OR FOR A TOTAL OF APPROXIMATELY 2.0 HOURS MONTHLY. MINNEWASKA LUTHERAN HOME 605 MAIN STREET STARBUCK MN 56381 410845402 MN 501(C)(3) LINE 9 N/A 0 HOLLY RIDGE MANOR 500 HOLLY RIDGE DRIVE STARBUCK MN 56381 411649721 MN 501(C)(3) 11 - TYPE 2 N/A 0 MINNEWASKA HOME DEVELOPMENT 605 MAIN STREET STARBUCK MN 56381 411504339 MN 501(C)(3) 11 - TYPE 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0