2012-11-08T10:47:58-06:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-01-01 411310487 LYNGBLOMSTEN CARE CENTER INC LYNG 6516462941 1415 ALMOND AVENUE ST PAUL MN 55108 BRADLEY J JACOBSON 6516462941 2012-10-30 1 CORY RUTLEDGE P01329381 6123764500 2011 2016-02-24 21:20:13Z PAUL MIKELSON 1415 ALMOND AVENUE ST PAUL MN 55108 19921516 0 9386 X WWW.LYNGBLOMSTEN.ORG X 1976 MN TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 17 16 517 1547 0 0 49929 73053 18345039 19138746 159964 154544 89336 224504 18644268 19590847 0 1000000 0 0 13342140 13499275 0 0 0 4778895 4925026 18121035 19424301 523233 166546 14689973 14126890 4615698 4039753 10074275 10087137 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 17730283 1000000 19138746 THE LYNGBLOMSTEN CARE CENTER, A 237-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING ALZHEIMER'S CARE. IN 2011, 618 PERSONS RECEIVED CARE - AN INCREASE OF 16% 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 AND SOCIAL EVENTS ARE HOSTED TO ENHANCE THE LIVES OF THESE SENIORS AND THEIR FAMILIES. ONE OF THE HIGHLIGHTS FROM 2011 WAS THE EXPANSION (NEARLY 400 SQUARE FEET) OF OUR THERAPY GYM TO ACCOMMODATE THE PREVIOUSLY EXPANDED TRANSITIONAL CARE UNIT AND THE SUBSEQUENT GROWTH IN THE NUMBER OF RESIDENTS REQUIRING REHABILITATIVE SERVICES.LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. 17730283 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 0 1 29 0 517 1 0 0 0 0 0 0 0 0 0 0 X 17 16 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 ESTHER TATLEY 1.00 X X 0 0 0 CAROL PLETCHER 1.00 X X 0 0 0 CHARLES NORTON 1.00 X X 0 0 0 HOWARD OSTREM 1.00 X X 0 0 0 FERYLE BORGESON 1.00 X 0 0 0 KIM DURKEE 1.00 X 0 0 0 REV JAY EBERTH 1.00 X 0 0 0 LISA EDSTROM 1.00 X 0 0 0 LEONARD EILTS 1.00 X 0 0 0 GINGER FISCHER 1.00 X 0 0 0 LESLIE GRANT 1.00 X 0 0 0 LARRY GRAY 1.00 X X 0 0 0 MAYNARD JACOBSON 1.00 X 0 0 0 BILL SANDEN 1.00 X 0 0 0 JEANETTE SEVERSON 1.00 X 0 0 0 DON WALCH 1.00 X 0 0 0 PAUL MIKELSON 30.20 X X 136410 44264 14666 CARL BUETTEMEIER 1.00 X 0 0 0 BETCHEN OBERDORFER 1.00 X 0 0 0 TOM SCHULTZ 1.00 X 0 0 0 KAREN VENINGA 1.00 X 0 0 0 BRADLEY J JACOBSON 36.00 X 95005 0 11784 JEFF HEINECKE 40.00 X 95776 0 21722 327191 44264 48172 1 0 1 0 0 73053 73053 RESIDENT SERVICES 623000 19138746 19138746 19138746 137185 137185 348028 330669 17359 17359 17359 BEAUTY SHOP REVENUE 900099 112261 112261 MISCELLANEOUS REVENUE 900099 56785 56785 SATELITE TV REVENUE 900099 23245 23245 32213 32213 224504 19590847 19138746 0 379048 1000000 1000000 371771 371771 10389393 9671809 717584 257959 244642 13317 1647190 1515005 132185 832962 751755 81207 12665 12665 52968 52968 733932 703511 30421 37576 37576 727011 701724 25287 407980 330557 77423 26865 26865 121597 109092 12505 859102 770752 88350 135100 121206 13894 LICENSE SURCHARGE 667155 667155 FOOD 607981 607981 MEDICAL SUPPLIES 535094 535094 19424301 17730283 1694018 0 1600498 1466051 1453919 1462033 1340185 1409536 155828 62942 22182406 15167182 7503077 7015224 1806398 1984380 399180 399180 78535 67042 352353 260502 14689973 14126890 1664707 1427524 41640 39126 2828625 2472612 80726 100491 4615698 4039753 X 10004102 10030860 70173 56277 10074275 10087137 14689973 14126890 X 166546 -153684 X 0 1 1 X 0 X 261128 428379 401086 49929 73053 1213575 17687892 18084374 18418142 18345039 19138746 91674193 17949020 18512753 18819228 18394968 19211799 92887768 0 0 0 92887768 205455 147375 125937 179367 137185 795319 205455 147375 125937 179367 137185 795319 45684 56623 -187122 89336 224504 229025 18200159 18716751 18758043 18663671 19573488 93912112 0.98910 0.99060 0.00850 0.00920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 94767 94767 19571997 13377907 6194090 2442256 1728354 713902 73386 60921 12465 7015224 CAPITAL LEASE OBLIGATION 7061 ASSET RETIREMENT OBLIGATION 13159 DEFERRED COMPENSATION PLAN 80271 100491 PART IV, LINE 2B: THE CORPORATION IS THE TRUSTEE OF VARIOUS RESIDENT AND TENANT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS AND INVESTMENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION 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 CORPORATION'S FINANCIAL STATEMENTS. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2008 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. 1 LYNGBLOMSTEN FOUNDATION 1415 ALMOND AVENUE ST PAUL MN 55108 363371887 501(C)(3) 1000000 TO FUND FUTURE LYNGBLOMSTEN CARE CENTER OPERATIONS 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 0 0 0 0 0 0 0 0 0 PAUL MIKELSON 119374 38737 4328 1405 12708 4122 4966 1611 6108 1981 147484 47856 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: LYNGBLOMSTEN CARE CENTER, INC. PAYS THE COMPENSATION FOR THE OFFICERS AND EMPLOYEES OF THE ORGANIZATION. HERITAGE APARTMENTS, INC. THEN REIMBURSES LYNGBLOMSTEN CARE CENTER, INC. FOR ALL SALARIES AND BENEFIT EXPENSES. LYNGBLOMSTEN CARE CENTER, INC. USES THE FOLLOWING WHEN DETERMINING COMPENSATION FOR OFFICERS AND EMPLOYEES: (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) COMPENSATION SURVEY OR STUDY, AND (4) APPROVAL BY BOARD OF DIRECTORS OR COMPENSATION COMMITTEE. 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 LYNGBLOMSTEN CORPORATE BOARD OF DIRECTORS SERVE AS THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC. AND ELECT THAT BOARD OF DIRECTORS. 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 CEO 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 LYNGBLOMSTEN CARE CENTER, INC. RELIES ON THE LYNGBLOMSTEN CORPORATE BOARD'S EXECUTIVE COMMITTEE WHO REVIEWS AND SETS CEO'S COMPENSATION. THE CEO SETS THE ANNUAL EVALUATION PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES AND THE LYNGBLOMSTEN CARE CENTER, INC. BOARD APPROVES THE ANNUAL BUDGET. THE COMPENSATION REVIEW PROCESS IS CONDUCTED EACH YEAR IN JANUARY AND WAS LAST CONDUCTED IN JANUARY 2011. THE CORPORATE BOARD'S EXECUTIVE COMMITTEE ALSO PERFORMS A COMPENSATION STUDY APROXIMATELY EVERY 5 YEARS, LAST COMPLETED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -153,684. EXPLANATION OF HOURS WORKED FORM 990, PART VII, SECTION A PAUL MIKELSON, CEO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: LYMBLOMSTEN CARE CENTER: 30.2 HOURS LYNGBLOMSTEN APARTMENTS: 2.86 HOURS HERITAGE APARTMENTS, INC.: 2.86 HOURS LYNGBLOMSTEN FOUNDATION: 3.48 HOURS LYNGBLOMSTEN SERVICES: 0.6 HOURS BRADLEY J. JACOBSON, CFO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: LYMBLOMSTEN CARE CENTER: 36 HOURS LYNGBLOMSTEN APARTMENTS: 1 HOUR HERITAGE APARTMENTS, INC.: 1 HOUR LYNGBLOMSTEN FOUNDATION: 1 HOUR LYNGBLOMSTEN SERVICES: 1 HOUR IN ADDITION TO BEING A BOARD MEMBER OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, ESTHER TATLEY, CAROL PLETCHER, HOWARD OSTREM, CHARLES NORTON, FERYLE BORGESON, KIM DURKEE, REV. JAY EBERTH, LEONARD EILTS, GINGER FISCHER, LESLIE GRANT, LARRY GRAY, BILL SANDEN, CARL BUETTEMEIER, BETCHEN OBERDORFER, TOM SCHULTZ AND KAREN VENINGA ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATION LYNGBLOMSTEN SERVICES, INC. FOR AN AVERAGE OF 1 HOUR PER WEEK. IN ADDITION TO BEING A BOARD MEMBER OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, CAROL PLETCHER, HOWARD OSTREM, LARRY GRAY AND CHARLES NORTON ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATIONS, HERITAGE APARTMENTS, INC. AND LYNGBLOMSTEN APARTMENTS, INC. FOR AN AVERAGE OF 1 HOUR PER WEEK. IN ADDITION TO BEING BOARD MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, CAROL PLETCHER, CHARLES NORTON, AND ESTHER TATLEY ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATION, LYNGBLOMSTEN FOUNDATION FOR AN AVERAGE OF 1 HOUR PER WEEK. LYNGBLOMSTEN APARTMENTS INC 1455 ALMOND AVE ST PAUL MN 55108 411327121 LOW INCOME SENIOR HOUSING MN 501(C)3 9 LYNGBLOMSTEN 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 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 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1