2013-11-13T16:42:23-06:00 2012-12-31 411690382 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2012-01-01 411740311 Intergenerational Living & Health Care Inc INTE 9523618000 1107 Hazeltine Boulevard No 200 Chaska MN 55318 Denise Gustafson 9523618000 2013-10-29 1 Thomas M Montague P00089901 9525450424 2013-10-29 2012 2016-02-24 21:20:13Z Denise Gustafson 1107 Hazeltine Boulevard No 200 Chaska MN 55318 25712847 0 X www.iglhc.com X 1996 MN To embrace all generations through programs & services that create life-enriching communities. 6 5 646 125 0 0 154885 134406 25418026 25562560 -6743 -40075 0 0 25566168 25656891 0 0 0 0 10398628 11014822 0 0 0 13840263 13713279 24238891 24728101 1327277 928790 38945115 40081090 41308641 41582581 -2363526 -1501491 X Our mission is to create life enriching communities by embracing all generations through innovative services and programs. 0 0 20424314 25562560 Intergenerational Living and Health Care, Inc. (ILHC), a Minnesota nonprofit corporation, is an organization pioneering programs for children and seniors. The mission of ILHC includes strengthening connections and understanding between generations, providing enriching educational opportunities for children, enhancing the well-being of children and older adults, and serving individuals from all backgrounds, regardless of financial resources. In order to accomplish this mission, ILHC sponsors educational centers and programs for youth housing and services for seniors, intergenerational programs that link children and older adults. ILHC is made up of various senior living facilities, a foundation, and a daycare center. ILHC has facilities in Minnesota, Montana, South Dakota, and Arizona. These entities are referred to as Valley View Estates Health Care Center, The Inn on Westport, The Commons on Marice, and Arizona Grand Senior Living Community. The entity provided approximately 600 beds related to independent, assisted, and skilled nursing. 20424314 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 122 0 1 646 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 MN AZ X The Goodman Group LLC 9523618000 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Denise Gustafson 40.00 X X 70571 0 17643 Elaine Burton 1.00 X X 7500 0 0 Thomas A Egan 1.00 X 7500 0 0 John Kaiyalethe 1.00 X 7500 0 0 Mark Wilson 1.00 X 7500 0 0 Joseph Guertin 1.00 X 7500 0 0 Mary Yaeger 40.00 X 121704 0 30426 Dona King 40.00 X 105281 0 26320 335056 0 74389 2 0 0 0 The Goodman Group LLC 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Management, accounting services, & Infor 1961594 John B Goodman Limited Partnership 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Construction management & development 1542993 Covenant Alliance Rehabilitation 1520 Kensington Road Suite 110 Oak Brook IL 60523 Therapy services - 1099 medical 666865 Pharmerica Corporation of America PO Box 409251 Atlanta GA 30384 Pharmacy 186057 4 134406 134406 Resident Services 623990 17578374 17578374 Ancillary Services 623390 7725258 7725258 Other operating revenue 623390 258928 258928 25562560 15881 15881 55956 -55956 -55956 -55956 25656891 25562560 0 -40075 335056 108071 226985 9679382 8938214 741168 183765 183765 816619 715034 101585 1522798 26688 1496110 71515 71515 433389 433389 1595692 1376345 219347 293410 293410 1077174 1077174 1875246 1605820 269426 211624 39596 172028 35733 35733 1932413 1932413 1513071 1513071 1383587 857995 525592 Dietary Food 1112524 1112524 Equipment rental & main 322509 322509 Taxes 167013 167013 Amortization 49107 49107 116474 105565 10909 24728101 20424314 4303787 0 5800111 6170423 1192048 1096683 68478 63577 310476 382473 44982866 16613206 27650302 28369660 -525260 -592015 4448960 4590289 38945115 40081090 2117913 2356428 22125000 21830000 16681276 17031283 384452 364870 41308641 41582581 X -2456041 -1501491 92515 0 -2363526 -1501491 38945115 40081090 X 928790 -66755 X X 0 1 X 1 0 X 11380 5417791 16155 154885 134406 5734617 23142410 24423523 24641155 25390548 25506604 123104240 23153790 29841314 24657310 25545433 25641010 128838857 0 5365000 5365000 5365000 5365000 123473857 1136879 815161 25769 20735 15881 2014425 1136879 815161 25769 20735 15881 2014425 24290669 30656475 24683079 25566168 25656891 130853282 0.94360 0.93390 0.01540 0.02440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1809855 1809855 34592128 12695366 21896762 8152735 3917840 4234895 428148 428148 28369660 Tax and Insurance escrow deposits 234287 Replacement reserve account 756617 Net deferred loan costs and capitalized interest 1199369 Accrued interest receivable 1081 Operating reserve fund 484958 Debt service reserve fund/bond fund 1803013 Organization Costs 110964 4590289 Security Deposits 47568 Patient Funds 9011 Accrued Interest 308291 364870 X 25623763 0 25623763 33128 33128 25656891 24761728 66755 66755 24694973 33128 33128 24728101 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Company is exempt from taxation as a nonprofit organization in accordance with 501(c)(3) of the Internal Revenue Code.On January 1, 2010, the Company adopted the recognition requirements for uncertain income tax positions as required by the Financial Accounting Standards Board (FASB) Accounting Standards Codification 740-10 (formerly known as FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes), with no cumulative effect adjustment required. Income tax benefits are recognized for income tax positions taken or expected to be taken in a tax return, only when it is determined that the income tax position will more-likely-than-not be sustained upon examination by taxing authorities. The Company has analyzed tax positions taken for filing with the Internal Revenue Service and the state jurisdiction where it operates. The Company believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse affect on the Company's financial condition, results of operations or cash flows. Accordingly, the Company has not recorded any reserves, or related accruals for interest and penalties for uncertain income tax positions at December 31, 2012. The Company is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax open tax periods. The Company's open audit periods are the years ended December, 2009, 2010, and 2011. Part XI, Line 4b - Other Adjustments: Loss on the Disposal of Assets -55,956. Charitable expenses netted in revenues 89,084. Part XII, Line 2d - Other Adjustments: Equity in loss from outside projects 66,755. Part XII, Line 4b - Other Adjustments: Loss on the Disposal of Assets -55,956. Charitable expenses netted in revenues 89,084. A Dakota County Community Development Agency 411253302 23409VCW8 2007-03-01 23330000 Refinance facility in Dakota County, Minnesota, Series 2007 0 0 0 A 1500000 23378420 1433081 536712 566304 20842323 2007 0 1 1 1 A 0 0 0 0 0 0 0 A 1 1 0 1 DEPFA Bank 10.000000000000 1 0 0 Schedule K Supplental Information On Septemeber 29, 2008, DEPFA Bank's long-term counterparty credit rating dropped to BBB+, according to the S&P Rating Service. The Investment Agreement requires that the S&P rating not fall below AA-. On October 31st, the funds were moved from the GIC. Gross proceeds are different than issue price due to fact that bonds were sold at premium Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent certified public accounting firm. It is then reviewed by the controller of the management company who is a CPA. The form 990 is given to each board member in advance of a scheduled meeting of the board for their review. There is discussion of the form 990 at the board meeting with the preparers and the management company's representative prior to board approval of the Form 990. Form 990, Part VI, Section B, line 12c Each member of the governing board annually completes a disclosure of conflict of interest questionnaire. Form 990, Part VI, Section B, line 15 Compensation is based on experience and market salary surveys and is annualized every year. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Loss on equity method of accounting in related organization -66,755. Financial Statement Preperation FORM 990, PART XII, LINE 2C: The financial statements are prepared by an independent accounting firm. The statements are reviewed and approved by the board before being issued. This process was the same as last year. Related Organization Compensation: Made an effort to obtain information on compensation, if any were paid from a related organization. No other compensation or transactions noted other than board compensation as listed on Form 990, Part VII Line 1a. Program Service Accomplishments Form 990, Part III, Line 4a Valley View Estates Health Care Center, Hamilton, Montana is a long-term care community that serves 98 older adults. A program where residents and children work side by side to create gift packages for disadvantaged children is just one of many intergenerational programs that helped this community win several awards for its innovative care from the Montana Health Care Association. Other programs and charitable initiatives provided by Valley View Estates Health Care Center to support the mission of ILHC include: Ravalli County Council on Aging Loan Closet donations of furniture and equipment, Operation Christmas Child in which 25 gift boxes were made, Backpacks for School Kids an annual give away of 25 backpacks full of school supplies and school supplies for one classroom at Washington Elementary School, donating food for the Bitterroot Winter Special Olympics, donation of items for Christmas stockings for the Bitterroot Youth Home, donation of auction items twice a year for the Bitterroot Valley Chamber of Commerce, donation of prize items and book bags for the Bitterroot Library Summer Reading Program, donations of food and paper products to the area food banks: Haven House, Darby Bread Box and Pantry Partners, and hosted bi-monthly group meetings for the Alzheimer's Support Group. The Inn on Westport, Sioux Falls, South Dakota offers a full range of care and services including independent living, assisted living, and memory care in 134 residences in a beautiful, park-like environment. Our goal is to have every resident at the Inn on Westport enjoy each day with the maximum independence and the highest quality of life, health and well-being. At the Inn on Westport, our "Aging in Place" philosophy allows residents to remain in their apartment home with health services delivered directly to them. We are the only retirement community in Sioux Falls and surrounding areas to offer this unique experience. To support the mission of ILHC at this senior living community, teenagers and seniors gather for a "senior prom" hosted by the local high school's honor society. The Inn on Westport also supports the mission of ILHC through other various charitable initiatives such as: Rent Reduction-program that offers reduced rates for residents to live at The Inn on Westport due to income qualifications. (Value: 2012 - $53,030) (Estimated value 2013: $58,200). Monetary Donations-cash donations are collected every Sunday through chapel services and used towards the following: The Banquet (meals for homeless), Hope Prison Mission, Gospel Mission, World Vision (world-wide missionary outreach), Gideon Bible donations, Achieve (school and work for developmentally disabled), and Salvation Army. (Value: $1,300). United Way Drive-an Inn on Westport employee chairs the annual drive for our building holding various fundraisers throughout the year. (Value: $1,500). Meals on Wheels-a program where an employee and a resident drive weekly to deliver noon meals to home bound elderly in the Sioux Fall community. (Value: $1,800). Alzheimer's and Parkinson's Associations-The Inn on Westport hosts events for both agencies and sponsors and participates in their annual fundraisers. (Value: $1,000). The Senior Concert Association. (Value - $1,000) (Holiday Clearing House-employees and residents adopt two families during the holidays and are given a list of needs and wants. Items are given or money is donated to purchase items and is presented in person. (Non-cash value: $1,000) (Non-cash). Center for Active Generations-sponsor monthly bingo with prizes and an annual quilt show at the local center for seniors and a community taste-testing event. (Value: $1,500). Goodwill Drive Donation-twice annually donations of clothing and household goods are promoted and gathered at The Inn on Westport. Employees, residents and family members all participate in this event. (Value: $500) (Non-cash). Ronald McDonald House-The Inn on Westport participates in a campaign to collect pop tabs for the Ronald McDonald House, which they in turn are able to use to raise funds. (Value: $150) (Non-cash). Kiwanis Club-employees are members of local service club and residents attend special events as fundraisers. (Value: $500). Program Service Accomplishments (Continued) Form 990, Part III, Line 4a The Commons on Marice, Eagan, Minnesota is a gracious senior living community that offers 156 residences where seniors choose independent living with optional services, or assisted living with around-the-clock staffing and personal and health-related services. The Memory Center cares for individuals with Alzheimer's disease and is designed with a residential feel to familiarize residents with their surroundings to maximize independence while maintaining a safe environment. The Commons on Marice offers what few other senior communities can, an opportunity to interact in meaningful ways with children. The Intergenerational Learning Center, located one block away, provides both children and older adults with extraordinary opportunities for sharing and learning where children six weeks to eight years of age, not only develop confidence, skills and self-esteem, they also build meaningful relationships with the residents of The Commons on Marice. In addition to the Intergenerational Learning Center, The Commons on Marice also supports the mission of ILHC through other various charitable initiatives such as: Elderly Waiver Program-the elderly waiver program is the Minnesota state Medicaid program for licensed assisted living facilities that choose to participate. The Commons on Marice discounted care services a total of $474,820 under the state Medicaid program in 2012. In 2013, The Commons on Marice will likely discount an estimated $583,200 for residents who live with us and receive elderly waiver services. (Value: $474,820). Operation Christmas Child-a ministry of Samaritan's Purse whose headquarters are in South Carolina. We started participating in this program in 2008. 2012 we packed 123 boxes. The value of each box is about $10-15. This year boxes were packed with a variety of school supplies, clothing items (hats, gloves, and socks), personal hygiene items, and toys. Materials are purchased with offering money designated to Operation Christmas Child and residents help with shipping costs. This is our biggest outreach of the year with 40 residents participating. (Value: $2,000). Feed My Starving Children (Eagan, MN)-we go to FMSC 3 times a year. This is an organization that packs bags of a special rice recipe and works with ministries around the world to serve hungry children. We have packed food and also gone to put labels on the bags. FMSC requests that volunteers make a donation when they volunteer to help cover costs. We don't do this but have supported this organization with money. (Value: $1,500). We have also bundled and given cards that were made by our card making club. Supplies for the cards were purchased through the Activity budget. (Value: $500). Global Health Ministries (Fridley, MN)-GHM is an organization that sends out medical supplies to relief organizations in countries where medical supplies are either hard to come by or very expensive. One of the ways we support them is rolling bandages from old white sheets. We have done this project several times this year. The sheets have been donated from an individual donor and the Hyatt Regency, Downtown Minneapolis. The bandage rollers that we use (made of wood) were donated by a church youth group. We have made 350 bandages over the last year and are hoping to expand this activity with our Memory Care community. (Value: $175) (Non-cash). Community Education-The Commons on Marice does quarterly events for community education on various topics such as estate planning, insurance, coping with loss, etc. (Value: $400) (Non-cash). The Family Partnership (Minneapolis, MN)-an agency working to respond to a variety of concerns with children and families; in 2012, we made play-dough for them to use in therapy situations with children. We also made 40 snack packs for their after school program and 100 laundry packets (Value $110). Soles4Souls-The Commons on Marice collected shoes from staff and residents for the Soles4Souls/Shoe Drive, collecting 210 pairs of gently worn shoes for people living in impoverished areas. (Value: $630) People Serving People-Staff and residents pooled their spare change together and collected $150, which went to relief efforts for a mission trip to Africa. The Commons also sent care packages to the Homeless shelters in the area valued at $300. The residents also made dog toys through purchased materials ($50) for the Animal Park Shelter. The Lewis House women's shelter benefitted by receiving 25 gift packages for Mother's day valued at $75.00 through materials purchased. The Urban Ventures Center for Fathering received 60 gift packages for Father's day through materials purchased and put together by our residents valued at $120. The residents and staff members donated new toys to the Shriner's hospital valued at $300. The residents and Staff members collected non-perishable food items in the amount of $200 that were donated to the Eagan Resource Center. Lastly, ILHC donated a new golf cart to Caponi Art Park to assist the elderly with mobility around the park. (Value: $9,925). Arizona Grand Senior Living Community, Phoenix Arizona, is an independent living, assisted living, and skilled nursing facility. Arizona Grand Senior Living Community supports the mission of ILHC through charitable initiatives such as: Alzheimer's Association-fundraising events throughout the year and the annual Alzheimer's walk every November. (Estimated value: $200). Just Three Things (J3T) Foundation-Arizona Grand collects food items to be donated to area foster children and youth in transition programs for teens that would otherwise go without food. Just Three Things contacts Arizona Grand on a routine basis to update recommended "just three things" donation items list and arrange pickup of donated items to distribute. (Estimated value $1,200). Donations in the way of furniture, walkers, Televisions and other medical equipment were made to St. Vincent De Paul (Estimated value: $2,500). Independent board members Form 990, Part VI, Section A, Line 1b: Denise Gustafson is compensated as an officer of the entity and an employee,therefore is not considered an independent board member. Closely held company Form 990, Part X, Line 12 The entity owes a 50% equity in Northern Arizona Senior Living Community valued by the equity method. This investment does not meet the 5% of total assets threshold to be included on the Schedule D, Part X, but is considered a closely held company. ILHC of Phoenix LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 412193773 Senior Living AZ 7063503 2503762 ILHC Inc ILHC of Sioux Falls LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 263697613 Senior Living SD 5460354 12445027 ILHC Inc ILHC of Eagan LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 262956952 Senior Living MN 8227798 19380382 ILHC Inc ILHC of Hamilton LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 271387039 Senior Living MT 3955415 4222972 ILHC Inc