2011-02-15T11:44:52-06:00 2010-09-30 LARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2009-10-01 410859697 ST MARK'S LUTHERAN HOME STMA 5074374594 400 15TH AVENUE SW AUSTIN MN 55912 MARTY HELLE 5074374594 2011-02-08 1 Trent Fast 5074347000 2009 2016-02-24 21:20:13Z CHRISTINE HARRIS 400 15TH AVENUE SW AUSTIN MN 55912 8244186 0 9386 X www.stmarksaustinmn.org X 1963 MN ST. MARK'S IS DEDICATED TO PROVIDE A CONTINUUM OF SERVICES IN THE SPIRIT OF GOD'S LOVE. THESE SERVICES ARE DESIGNED TO PROMOTE PHYSICAL, EMOTIONAL, MENTAL, SOCIAL, AND SPIRITUAL HEALTH. 11 11 283 200 0 0 10229 13340 9517818 8114164 5316 5654 127935 111028 9661298 8244186 0 0 5345357 5083691 0 0 3920934 3385332 9266291 8469023 395007 -224837 6092157 5633149 2685272 2521731 3406885 3111418 St. Mark's is dedicated to provide a continuum of services in the spirit of God's love. These services are designed to promote physical, emotional, mental, social, and spiritual health. 0 0 7416877 8114164 PROVISION OF HOUSING AND NURSING CARE TO THE ELDERLY BY OPERATING A 106-BED LICENSED NURSING FACILITY AND AN INDEPENDENT HOUSING PROJECT. 7416877 1 0 0 0 0 0 0 0 0 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 1 17 0 1 283 1 0 0 0 0 0 0 0 0 0 11 11 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 MN X ECUMEN SERVICES INC 6517664300 3530 LEXINGTON AVENUE n SHOREVIEW MN 551268164 MARTY HELLE 1.00 X 0 0 0 BRAD JOHNSON 1.00 X 0 0 0 FRED LUTHE 1.00 X 0 0 0 MARK HAUGLAND 1.00 X 0 0 0 MIKE GOSHA 1.00 X 0 0 0 REV JEFF FORBES 1.00 X 0 0 0 cathie sayles 1.00 X 0 0 0 DAVID SOLOMONSON 1.00 X 0 0 0 GENE LEITER 1.00 X 0 0 0 JOAN SKOV 1.00 X 0 0 0 JACKIE HOLST 1.00 X 0 0 0 christine harris 40.00 X 98921 0 51080 98921 0 51080 0 0 1 1 REHABCARE GROUP INC 7733 Forsyth Blvd Suite 1700 St Louis MO 63105 THERAPY SERVICES 376597 ECUMEN SERVICES INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 551268164 ADMINISTRATOR & OTHER CONSULTING 297915 TEXTILE CARE SERVICES 225 WOOD LAKE DR SE ROCHESTER MN 55904 LAUNDRY SERVICE 114160 3 13340 13340 RESIDENT REVENUE 623000 7697455 7697455 SMA REVENUES 623000 416709 416709 8114164 5654 5654 MISCELLANEOUS INCOME 900099 74272 74272 BEAUTY SHOP INCOME 812900 25921 25921 VENDING INCOME 900099 5431 5431 5404 5404 111028 8244186 8114164 0 116682 4229717 3868468 361249 151426 139312 12114 398287 365829 32458 304261 278230 26031 357240 357240 1944 1944 23745 23745 440502 439257 1245 15534 15534 43909 43909 349554 319012 30542 4538 4538 6381 6381 92155 92155 472961 472961 94166 6380 87786 BED SURCHARGE 305427 305427 FOOD COST 266053 266053 PATIENT CARE SUPPLIES 242297 242297 PHARMACY 135328 135328 CONTRACT MEALS 126638 126638 406960 359530 47430 8469023 7416877 1052146 0 918128 902585 395970 404120 896764 668916 19157 13589 74592 87878 12671449 9426301 3463101 3245148 324445 310913 6092157 5633149 715945 637048 1756042 1603407 213285 281276 2685272 2521731 X 3406885 3111418 3406885 3111418 6092157 5633149 X 0 1 1 X 0 X 3011 2543 7247 10229 13340 36370 9154927 9220926 9216654 9469476 8112944 45174927 9157938 9223469 9223901 9479705 8126284 45211297 10141 10141 217204 217204 10141 217204 227345 44983952 21526 32819 22305 5316 5654 87620 21526 32819 22305 5316 5654 87620 9179464 9256288 9246206 9485021 8131938 45298917 0.99300 0.99690 0.00190 0.00230 X 77063 77063 9123755 6654672 2469083 3470631 2771629 699002 3245148 SECURITY DEPOSITS 34669 DEFERRED FINANCING COSTS 41547 RESIDENT TRUST 7756 UNDER MORTGAGE AGREEMENTS 226941 310913 RESIDENT TRUST FUNDS 25990 TENANT SECURITY DEPOSITS 10043 NET PENSION LIABILITY - UNION 168588 ASSET RETIREMENT OBLIGATION 76655 281276 Part X: Description of Uncertain Tax Positions Under FIN 48: ST. MARK'S LUTHERAN HOME AND AFFILIATE 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 2007, 2008, AND 2009 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. 0 0 0 0 0 0 0 0 0 christine harris 98921 0 0 0 0 0 0 0 0 0 98921 0 0 0 Supplemental Information Part III ST. MARK'S LUTHERAN HOME DOES NOT PAY IT'S ADMINISTRATOR DIRECTLY, RATHER THE HOME IS PAYING THE ADMINISTRATOR THROUGH AN INDEPENDENT CONTRACTOR ARRANGEMENT WITH A MANAGEMENT COMPANY NAMED ECUMEN SERVICES, INC. THE HOME IS CONTRACTED TO PAY ECUMEN SERVICES, INC. FOR THE ADMINISTRATOR POSITION AND OTHER MANAGEMENT CONSULTING SERVICES. THE COMPENSATION INFORMATION ON FORM 990 IS THE AMOUNT OF COMPENSATION THAT ECUMEN PAID THE ADMINISTRATOR AND AS A RESULT THE COMPENSATION INFORMATION PROVIDED IS NOT THE AMOUNT THE HOME PAID TO ECUMEN UNDER THE MANAGEMENT CONTRACT ARRANGEMENT. PER THE IRS INSTRUCTIONS THE COMPENSATION INFORMATION IS FOR THE CALENDAR YEAR 2009. NOTE FOR 2009 THE ADMINISTRATOR DID NOT RECEIVE ANY DEFERRED COMPENSATION OR NON-TAXABLE BENEFITS FROM ECUMEN. ECUMEN PREPARES A STUDY OF COMPARABLE SENIOR CARE FACILITIES OF SIMILAR SIZE TO DETERMINE THE COMPENSATION APPLICABLE FOR PROVIDING THE ADMINISTRATOR POSITION TO THE HOME. Supplemental Information Part III CHRISTINE HARRIS WAS PAID WAGES IN THE AMOUNT OF $98,921 FROM ECUMEN SERVICES, INC. Form 990, Part VI, Section A, line 3 ST. MARK'S LUTHERAN HOME DOES NOT PAY IT'S ADMINISTRATOR DIRECTLY, RATHER THE HOME IS PAYING THE ADMINISTRATOR THROUGH AN INDEPENDENT CONTRACTOR ARRANGEMENT WITH A MANAGEMENT COMPANY NAMED ECUMEN SERVICES, INC. THE HOME IS CONTRACTED TO PAY ECUMEN SERVICES, INC. FOR THE ADMINISTRATOR POSITION AND OTHER MANAGEMENT CONSULTING SERVICES. THE COMPENSATION INFORMATION ON FORM 990 IS THE AMOUNT OF COMPENSATION THAT ECUMEN PAID THE ADMINISTRATOR AND AS A RESULT THE COMPENSATION INFORMATION PROVIDED IS NOT THE AMOUNT THE HOME PAID TO ECUMEN UNDER THE MANAGEMENT CONTRACT ARRANGEMENT. PER THE IRS INSTRUCTIONS THE COMPENSATION INFORMATION IS FOR THE CALENDAR YEAR 2009. NOTE FOR 2009 THE ADMINISTRATOR DID NOT RECEIVE ANY DEFERRED COMPENSATION OR NON-TAXABLE BENEFITS FROM ECUMEN. ECUMEN PREPARES A STUDY OF COMPARABLE SENIOR CARE FACILITIES OF SIMILAR SIZE TO DETERMINE THE COMPENSATION APPLICABLE FOR PROVIDING THE ADMINISTRATOR POSITION TO THE HOME. Form 990, Part VI, Section B, line 11 A MOTION WAS PASSED BY THE BOARD OF DIRECTORS TO HAVE THE BOARD PRESIDENT REVIEW AND APPROVE THE FORM 990 BEFORE IT IS SIGNED AND SUBMITTED TO THE IRS. Form 990, Part VI, Section B, line 12c Employees annually complete a survey related to business relationships and family members that could, or do, create a conflict of interest. These are summarized and filed along with the board meeting minutes. Conflicts of interest are determined by a review of the potential conflicts by the administrator and the board of directors. If a conflict exists, then the conflicted board member or key employee is excluded from discussion and votes related to any potential or existing relationships involving the conflict of interest. If it is determined that a conflict of interest was intentionally hidden by a board member, then the situation would be investigated and the board member could be suspended and subject to dismissal. Additionally, the remaining board members and key employees will review, for fairness, all transactions back to the time the conflict became relevant. If a transaction appears to lack arms-length, either to the detriment of the organization, or to the unfair advantage of the board member, then all legal remedies will be considered. Form 990, Part VI, Section B, line 15a ECUMEN SERVICES, INC. PREPARES A STUDY OF COMPARABLE SENIOR CARE FACILITIES OF SIMILAR SIZE TO DETERMINE THE COMPENSATION APPLICABLE FOR PROVIDING THE ADMINISTRATOR POSITION TO THE HOME. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART XI, 2c: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS. ST MARK'S FOUNDATION INC 400 15TH AVENUE SW AUSTIN MN 55912 411374304 PROVISION OF BENEFITS AND SUPPORT TO ST. MARK'S LUTHERAN HOME MN 501(C)(3) 11A - TYPE I ST MARK'S LUTHERAN HOME 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NO TRANSACTIONS IN FY10 WITH ST MARK'S FOUNDATION INC