2011-08-15T11:35:04-05:00 2010-12-31 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2010-01-01 411740311 Intergenerational Living & Health Care Inc INTE 9523618000 1107 Hazeltine Boulevard No 200 Chaska MN 55318 Denise Gustafson 9523618000 2011-08-11 1 Thomas M Montague 9525450424 2011-08-11 2010 2016-02-24 21:20:13Z Denise Gustafson 1107 Hazeltine Boulevard No 200 Chaska MN 55318 24900955 0 X www.iglhc.com X 1996 MN To provide housing, care, assistance, and living enhancement for the elderly and disabled. 6 5 610 117 0 0 5417791 16155 24423523 24843313 802349 -176389 0 0 30643663 24683079 0 0 0 0 10085112 10305855 0 0 0 16047721 13669540 26132833 23975395 4510830 707684 38408376 38577284 42946319 42383932 -4537943 -3806648 To provide housing care, assistance and living enhancements to the elderly and disabled. 0 0 19534154 24641155 The organization pioneers 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. The ILHC sponsors educational centers and programs for youth housing and services for seniors, intergenerational programs that link children and older adults. The 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, Inn on Westport, The Commons on Marice, and Arizona Grand. 19534154 1 1 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 0 1 145 0 1 610 1 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 X Denise Gustafson 9523618000 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Denise Gustafson 40.00 X X 65516 0 16379 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 111396 0 27849 214412 0 44228 1 0 0 0 The Goodman Group LLC 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Management & accounting services 1707882 John B Goodman Limited Partnership 1107 Hazeltine Blvd Suite 200 Chaska MN 55318 Construction management & development 1025986 Covenant Alliance Rehabilitation 1520 Kensington Road Suite 110 Oak Brook IL 60523 Therapy services - 1099 medical 566723 Nurses Plus Healthcare LLC PO Box 9576 Phoenix AZ 85068 Outside nursing school 249364 4 16155 16155 Resident Services 623000 17564123 17564123 Ancillary Services 623000 6971255 6971255 Other operating revenu 623000 307935 307935 24843313 25769 25769 15718 217876 -202158 -202158 -202158 24683079 24641155 0 25769 214412 103016 111396 9163054 8285447 877607 164812 136963 27849 763577 651126 112451 1694686 26640 1668046 60398 60398 404072 404072 1721608 1452247 269361 290055 290055 1156087 1156087 1809875 1572767 237108 90285 3112 87173 2098891 2098891 1336123 1336123 1270479 733277 537202 Dietary Food 1077065 1077065 Equipment rental & main 199449 199449 Taxes 164058 164058 Amortization 152282 152282 144127 95549 48578 23975395 19534154 4441241 0 3927563 4092630 1008405 268448 944233 1153815 60408 61170 532468 351182 41964437 14288021 27560558 27676416 4374741 4973623 38408376 38577284 2171083 2172158 4385 24445000 22410000 14082269 16521494 1027817 257612 1215765 1022668 42946319 42383932 X -4537943 -3806648 -4537943 -3806648 38408376 38577284 X 707684 23611 X X 0 1 1 X 0 X 1853530 13504 11380 5417791 16155 7312360 18892814 22467216 23142410 24423523 24641155 113567118 20746344 22480720 23153790 29841314 24657310 120879478 0 156011 5000 5365000 5526011 156011 5000 5365000 5526011 115353467 394069 1147508 1136879 815161 25769 3519386 394069 1147508 1136879 815161 25769 3519386 21140413 23628228 24290669 30656475 24683079 124398864 0.92730 0.96800 0.02830 0.03200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1816310 1816310 31530958 9531132 21999826 1841358 1333256 508102 6695591 3423633 3271958 80220 80220 27676416 Insurance escrow 209550 Reserve for replacement 1120789 Net amortized loan costs 1265441 Accrued interest receivable 13320 Debt service reserve 475000 Bond fund 1778559 Organization Costs 110964 4973623 Security Deposits 77844 Patient Funds 7309 Accrued Interest 296413 Deficit in Investment from Outside 641102 1022668 24683079 23975395 707684 23611 23611 731295 24861626 -23611 -23611 24885237 -202158 -202158 24683079 24177553 0 24177553 -202158 -202158 23975395 Description of Uncertain Tax Positions Under FIN 48: Part X: 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, 2010. 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, 2007, 2008, and 2009. Part XI, Line 8 - Other Adjustments: Gain on equity method of accounting in related organization 23,611. Part XII, Line 2d - Other Adjustments: Equity in gain from outside projects -23,611. Part XII, Line 4b - Other Adjustments: Loss on the Sale of Assets -202,158. Part XIII, Line 4b - Other Adjustments: Loss on the Sale of Assets -202,158. Dakota County Community Development Agency 411253302 23409VCW8 2007-03-01 23330000 Refinance facility in Dakota County, Minnesota, Series 2007 0 0 0 23330000 1888431 456053 2007 0 1 1 1 0 0 0 0 1 1 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. 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 a discussion of the Form 990 at the board meeting with the preparers and the management company's representative prior to the 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 questionaire. 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 5: Gain on equity method of accounting in related organization 23,611. Total to Form 990, Part XI, Line 5: 23,611. Form 990, Part XI, 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. Form 990, Part III, Line 4a Program Service Accomplishments Valley View Estates, 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 to support the mission of ILHC include: Ravalli County Council on Aging which was an open house benefitting Ravalli County Council on Aging Loan Closet and 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, donating food for the Bitterroot Winter Special Olympics, donation of auction item for Bitterroot Chamber of Commerce, donation of prize items and book bags for the Bitterroot Library Summer Reading Program, 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 schools 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: 2010 - $51,461) (Estimated value 2011: $80,000). 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: $4,800). United Way Drive an Inn on Westport employee chairs the annual drive for our building holding various fundraisers throughout the year. (Value: $2,000). 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: $1,250). 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). Center for Active Generations sponsor monthly bingo with prizes and an annual quilt show at the local center for seniors. (Value: $800). Goodwill Drive Donation twice annually donations of clothing and household goods are promoted and gathered at IOW. Employees, residents and family members all participate in this event. (Value: $500) (Non-cash). Samaritan's Purse/Operation Christmas Child shoeboxes are filled with donated small toys and personal hygiene items for children in third world countries. Twenty-seven boxes were donated in 2010. (Value: $270) (Non-cash). Butterfly House Volunteers residents volunteer their time to host at the local Butterfly House, a local nature spot. (Value: $150) (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). Warm Up Sioux Falls program where Inn on Westport residents make quilt blocks which are then made into blankets for local families in need. (Value: $100) (Non-cash). Kiwanis Club employees are members of local service club and residents attend special events as fundraisers. (Value: $200). 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 $386,890 under the state Medicaid program in 2010. In 2011, The Commons on Marice will likely discount an estimated $400,000 for residents who live with us and receive elderly waiver services. (Value: $386,890). Operation Christmas Child a ministry of Samaritan's Purse whose headquarters are in South Carolina. We started participating in this program in 2008, when we packed 24 shoeboxes with gifts. In 2009 we packed 42 boxes and in 2010 we packed 80 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: $1,200). 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. We also supported with ministry with a donation in January after the earthquake in Haiti. (Value: $1,300). Eagan Resource Center we have double bagged grocery bags for the ERC. All of the bags have been donated. A generous donation of a package of nearly 200 bags was given by Eagan Cub Foods. They did not give me a monetary value on this donation. 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 1,500 bandages over the last year and are hoping to expand this activity with our Memory Care community. (Value: $500) (Non-cash). Cheerful Givers (Eagan, MN)this organization's mission is to make sure that every child receives a birthday present on their birthday, regardless of the parents financial situation. In 2010 we have given nearly 100 birthday bags. The bags are filled with small gifts, and each bag is valued at $5.00. (Value: $500). Community Education The Commons does quarterly events for community education on various topics such as estate planning, insurance, coping with loss, etc. (Value: $400) (Non-cash). Family Resource Center (Rosemount, MN)in 2010 we gave over 15 hand tied fleece blankets to this ministry that were given to low-income children at Christmastime. (Value: $300). Form 990, Part III, Line 4a Program Service Accomplishments Family Resource Center (Rosemount, MN) in 2010 we gave over 15 hand tied fleece blankets to this ministry that were given to low-income children at Christmastime. (Value: $300). The Family Partnership (Minneapolis, MN) an agency working to respond to a variety of concerns with children and families. In the summer of 2009, we made play-dough for them to use in therapy situations with children. In 2010, we made 40-50 snack packs for their after school program and cut out spring decorations that children there colored and hung in their lobby. Materials were purchased. (Value: $300). Our Savior's Housing (Minneapolis, MN)an outreach ministry providing overnight housing to homeless individuals and other support services. We made sack lunches (40) that residents were able to take out with them during the day. Bags included a meat and cheese sandwich, apple, small water bottle, and pack of cookies. The Commons Food Service purchased the food items at cost. (Value: $120)Arizona Grand, Phoenix Arizona, is an independent living, assisted living, and skilled nursing facility. The Arizona Grand supports the mission of ILHC through charitable initiatives such as: Arizona Grand Angel Ministry Knitters knitting group formed by the residents of Arizona Grand who donate their time and money towards making hats and blankets for babies in need of assistance. The donations are made to the county hospital in Phoenix on a monthly basis. The group donates 75-100 hats and 10-15 blankets every month. (Value: $1,500). Alzheimer's Association outreach sales and marketing director is developing this program through an annual fundraising event and Alzheimer's walk. (Estimated value: $2,000). 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. ILHC of Phoenix LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 412193773 Senior Living AZ 13863 2208208 ILHC Inc ILHC of Sioux Falls LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 263697613 Senior Living SD 349935 12072656 ILHC Inc ILHC of Eagan LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 262956952 Senior Living MN 703310 18139241 ILHC Inc ILHC of Hamilton LLC 1107 Hazeltine Boulevard Suite 200 Chaska MN 55318 271387039 Senior Living MT -129944 3936938 ILHC Inc