2012-03-05T14:42:34-06:00 2011-09-30 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2010-10-01 410859026 ST LUKES LUTHERAN CARE CENTER STLU 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 SONJA WILLMERT 5075262184 2012-03-02 1 TRENT FAST 5074347000 2010 2016-02-24 21:20:13Z DENNIS REIMAN 1219 SOUTH RAMSEY BLUE EARTH MN 56013 8905410 0 X WWW.STLCARE.COM X 1963 MN TO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES. 12 12 279 225 0 0 168571 170919 8745686 8614011 -56317 11609 108273 98215 8966213 8894754 0 0 0 0 5736098 5792813 0 0 0 3020033 3262296 8756131 9055109 210082 -160355 9951378 10287641 8104696 8603142 1846682 1684499 ST. LUKE'S LUTHERAN CARE CENTER PROVIDES ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES AND IS SPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY AND HAPPINESS. 0 0 8067459 8656808 PROVISION OF CARE AND HOUSING FOR THE ELDERLY AND HANDICAPPED BY OPERATING A 127-BED LICENSED NURSING FACILITY AND A 28-UNIT ASSISTED LIVING FACILITY IN BLUE EARTH, MINNESOTA. 57646 42797 PROVISION OF LICENSED ADULT DAY CARE SERVICE FOR 10 INDIVIDUALS PER DAY 8125105 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 11 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 MN X ERIN FARLAND 5075262184 1219 SOUTH RAMSEY BLUE EARTH MN 56013 JOHN HUISMAN 1.00 X X 0 0 0 CAROLYN HALVORSON 1.00 X X 0 0 0 DONNIS MATTHEWS 1.00 X X 0 0 0 PAT COUPANGER 1.00 X 0 0 0 ROGER HOLLAND 1.00 X 0 0 0 ROGER LEGRED 1.00 X 0 0 0 EVERETT WESSELS 1.00 X 0 0 0 HENRIK HENDRICKSEN 1.00 X 0 0 0 SONJA WILLMERT 1.00 X 0 0 0 SHARON HOFFMAN 1.00 X 0 0 0 KATHY SATRE 1.00 X 0 0 0 AUDREY KIIHN 1.00 X 0 0 0 GENE NELSON 40.00 X 218937 0 12856 ERIN FARLAND 40.00 X 57533 0 15095 DENNIS REIMAN 40.00 X 0 0 0 276470 0 27951 1 0 1 0 WAGNER CONSTRUCTION PO BOX 698 AUSTIN MN 55912 GENERAL CONTRACTOR 710183 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 383305 2 11355 134189 25375 170919 MEDICARE/MEDICAID PMTS 623000 4891651 4891651 RESIDENT REVENUE 623000 2902087 2902087 FRIENDSHIP COURT REV 623000 651999 651999 SOUTHVIEW ESTATES REV 623000 91406 91406 ADULT DAY CARE REV 623000 42797 42797 34071 34071 8614011 11609 11609 0 11355 0 0 19836 10656 9180 9180 BEAUTY SHOP REVENUE 812900 46221 46221 MISCELLANEOUS INCOME 900099 26648 26648 GUEST/EMPLOYEE MEALS 900099 16166 16166 89035 8894754 8614011 0 109824 304421 304421 4356656 4224913 131743 51041 46447 4594 772719 703174 69545 307976 280258 27718 4534 4534 23380 770 22610 143926 143926 18858 18858 582031 512793 69238 283760 283760 5640 5640 142706 21441 121265 317697 317697 511247 511247 43740 43740 THERAPY EXPENSE 376182 376182 NURSING HOME ASSESSMENT 355863 355863 FOOD COSTS 308787 308787 MISCELLANEOUS 75468 75468 PRE-ADMISSION SCREENING 22797 22797 45680 32207 13473 9055109 8125105 930004 0 834307 602121 143658 238172 598240 781993 56339 61895 45891 71591 14706998 6317547 8166929 8389451 71479 110894 34535 31524 9951378 10287641 931216 685771 7014834 7855422 158646 61949 8104696 8603142 X 1846682 1684499 1846682 1684499 9951378 10287641 X -160355 -1828 X X 0 1 1 X 1 1 X 49177 38562 72373 75879 81359 317350 8001538 8276022 8603962 8745686 8633847 42261055 8050715 8314584 8676335 8821565 8715206 42578405 148733 108272 153792 140700 134189 685686 0 148733 108272 153792 140700 134189 685686 41892719 166759 132604 126240 95270 101169 622042 166759 132604 126240 95270 101169 622042 89035 89035 8217474 8447188 8802575 8916835 8905410 43289482 0.96770 0.96700 0.01440 0.01610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97373 97373 12073590 5015964 7057626 2202530 1102703 1099827 333505 198880 134625 8389451 RESIDENT TRUST PAYABLE 5605 ASSET RETIREMENT OBLIGATION 39476 SECURITY DEPOSITS 16868 61949 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ST. LUKE'S LUTHERAN CARE CENTER AND AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ST. LUKE'S LUTHERAN CARE CENTER AND AFFILIATES FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. EACH ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2008, 2009, AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. X X X 1 0 0 0 0 0 0 0 0 GENE NELSON 117342 0 0 0 101595 0 0 0 12856 0 231793 0 0 0 PART I, LINE 4A GENE NELSON - SEVERANCE PAYMENT OF $101,594.70 FORM 990, PART VI, SECTION B, LINE 11 BOARD HAS DIRECTED THE MANAGEMENT OF THE CARE CENTER TO REVIEW THE FORM 990 PRIOR TO SIGNING BY THE CARE CENTER BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ANNUALLY REVIEW AND SIGN NEW CONFLICT OF INTEREST AND CONFIDENTIALITY AGREEMENTS. CARE CENTER ADMINISTRATION MONITORS FOR COMPLIANCE WITH ESTABLISHED POLICIES & PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS USED TO SET THE ADMINISTRATORS ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF COMPENSATION SURVEYS AS WELL AS THE EXPERIENCE AND PERFORMANCE OF THE ADMINISTRATOR AS DETERMINED BY THE BOARD OF DIRECTORS. THIS IS ONLY FOR THE CEO/ADMINISTRATOR. OTHER KEY EMPLOYEES, INCLUDING CFO, HAVE THEIR SALARIES SET BY THE ADMINISTRATOR AND ARE ALSO ELIGIBLE AND RECEIVE ANY COST OF LIVING ADJUSTMENTS (COLA) SET BY THE STATE OF MINNESOTA. THE ADMINISTRATOR DOES NOT RECEIVE THE COLA. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT REQUEST IN THE ADMINISTRATIVE OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,828. OTHER EQUITY TRANSFERS FORM 990, PART XI, LINE 2C: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. SOUTHVIEW ESTATES 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411845740 ELDERLY & HANDICAPPED HOUSING MN 501(C)(3) 9 ST LUKES LUTHERAN CARE CENTER 0 ST LUKE'S NURSING HOME FOUNDATION 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411483909 SUPPORT ST. LUKE'S LUTHERAN CARE CENTER MN 501(C)(3) 11A, I ST LUKES LUTHERAN CARE CENTER 0 NEW LIFE MANOR INC 1219 SOUTH RAMSEY BLUE EARTH MN 56013 411401396 ELDERLY & HANDICAPPED HOUSING MN 501(C)(3) 9 ST LUKES LUTHERAN CARE CENTER 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ST LUKE'S NURSING HOME FOUNDATION C 134189 CASH GRANT