2015-11-16T11:21:35-06:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-01-01 410946810 INTER-FAITH CARE CENTER INTE 2183844258 811 THIRD STREET CARLTON MN 55718 LINDA KAEHLER VICE PRESIDENT 2183844258 2015-11-16 1 KACIE MCEWEN P01599614 6123764500 2014 2016-02-25 16:41:14Z REV DAVE TUSHAR 811 THIRD STREET CARLTON MN 55718 8105420 0 X HTTP://INTER-FAITHCARE.ORG X 1967 MN PROVIDE NURSING HOME CARE AND HOUSING FOR THE ELDERLY. 13 13 297 250 7655774 0 5118 15778 7286889 7655774 153146 136769 287874 297099 7733027 8105420 0 0 0 0 4619651 4844871 0 0 0 3668106 3808138 8287757 8653009 -554730 -547589 14590789 13499448 13965011 13387863 625778 111585 SUPPORTING THE LIVES OF THOSE WE CARE FOR WITH RESPECT, DIGNITY, AND COMPETENCE. 0 0 7143656 0 6811702 INTER-FAITH CARE CENTER PROVIDES NURSING HOME CARE FOR RESIDENTS TO INCLUDE NURSING CARE, ACTIVITIES, LAUNDRY, HOUSEKEEPING, MAINTENANCE, SOCIAL SERVICES, CHAPLAINCY SERVICES, AND THERAPY SERVICES. FOR FISCAL YEAR 2014, INTER-FAITH CARE CENTER HAD 87.4% OCCUPANCY. 355520 0 501480 CARLTON PLACE IS AN ASSISTED LIVING FACILITY. WE PROVIDE MEALS, LAUNDRY SERVICES, HOUSEKEEPING SERVICES, MEDICATION MONITORING, ACTIVITIES, ASSISTANCE WITH SETTING UP APPOINTMENTS, EMERGENCY RESPONSE, AND NURSING SERVICES. FOR FISCAL YEAR 2014, CARLTON PLACE HAD 98.6% OCCUPANCY. 344961 0 342591 PINE VIEW APARTMENTS IS AN INDEPENDENT SENIOR HOUSING FACILITY. WE PROVIDE ONCE A WEEK HOUSEKEEPING SERVICES, MEALS, ACTIVITIES, AND EMERGENCY RESPONSE. FOR FISCAL YEAR 2014, PINE VIEW APARTMENTS HAD 95.7% OCCUPANCY. 7844137 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 297 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 0 0 0 MN X FR DAVE TUSHAR 2183844258 811 THIRD STREET CARLTON MN 55718 RON STAHL PRESIDENT 1.00 X X 0 0 0 GENE BRYANT VICE PRESIDENT 1.00 X X 0 0 0 BOB DECAIGNY SECRETARY 1.00 X X 0 0 0 MIKE HAUBNER TREASURER 1.00 X X 0 0 0 PASTOR LOREN SCHUMACHER DIRECTOR 1.00 X 0 0 0 JOANN GUSTAFSON DIRECTOR 1.00 X 0 0 0 REV DAVE TUSHAR DIRECTOR 1.00 X 0 0 0 REX LAAKSONEN DIRECTOR 1.00 X 0 0 0 LINDA KAEHLER DIRECTOR 1.00 X 0 0 0 JANE ANDERSON DIRECTOR 1.00 X 0 0 0 PASTOR BOB GOODIN DIRECTOR 1.00 X 0 0 0 MARILYN WILLIAMS DIRECTOR (FORMER) 1.00 X 0 0 0 BEV KETCHUM DIRECTOR (FORMER) 1.00 X 0 0 0 JACKIE RANCO DIRECTOR 1.00 X 0 0 0 CONSTANCE ANDERSON ADMINISTRATOR 50.00 X 81849 0 11749 81849 0 11749 0 0 0 0 HEALTH DIMENSIONS REHAB INC 1994 EAST RUM RIVER DRIVE SOUTH CAMBRIDGE MN 55008 THERAPY SERVICES 441700 CLIFTONLARSONALLEN LLP 220 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 OUTSOURCING/ACCOUNTING 163715 OPPENHEIMER WOLFF & DONNELL LLP 222 SOUTH NINTH STREET MINNEAPOLIS MN 55402 LEGAL 141315 3 15778 15778 ROOM & BOARD 623000 6815385 6815385 APARTMENT RENTS 623000 824458 824458 NURSING SERVICES 623000 15931 15931 7655774 131117 131117 270939 0 270939 270939 270939 5652 0 5652 5652 5652 TELEPHONE INCOME 623000 15596 15596 DAYCARE 623000 8503 8503 OTHER REVENUE 623000 1760 1760 301 301 26160 8105420 0 7655774 433868 93598 74878 18720 3726763 3538090 188673 136289 130194 6095 531363 503231 28132 356858 337646 19212 139081 139081 204104 204104 33533 33533 720837 700095 20742 35126 35126 154531 106154 48377 18351 18351 348615 342985 5630 1316 1316 5021 5021 720594 708956 11638 485359 477520 7839 81819 81819 LICENSE & FEES 303485 303485 MEDICAL SUPPLIES 277965 277965 FOOD 227586 227586 BAD DEBTS 29540 29540 21275 21275 8653009 7844137 808872 0 398896 104658 786747 556148 43194 20490 16876442 8425120 8782732 8451322 3080171 2868119 97856 93507 1401193 1405204 14590789 13499448 947347 748881 12677282 12414930 15247 10011 325135 214041 13965011 13387863 X 625778 111585 625778 111585 14590789 13499448 -547589 33396 0 X 0 1 X 1 0 X 19297 12884 14980 5118 15778 68057 7358468 7349522 7504044 7286889 7655774 37154697 7377765 7362406 7519024 7292007 7671552 37222754 0 0 0 37222754 358063 353878 363922 393926 402056 1871845 358063 353878 363922 393926 402056 1871845 27104 25407 26881 27524 26160 133076 7762932 7741691 7909827 7713457 8099768 39227675 0.94890 0.94280 0.04770 0.04690 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME TELEPHONE INCOME VENDING MACHING INCOME DAYCARE 0 1 X 366043 366043 14510689 6657065 7853624 171240 139663 31577 1828470 1628392 200078 8451322 BOND FUND 396417 RESERVE FUND 998776 RESIDENT TRUST FUNDS 10011 1405204 APARTMENT DEPOSITS 35940 LINE OF CREDIT 178101 214041 X 8138816 33396 33396 8105420 0 8105420 8653009 0 8653009 0 8653009 PART IV, LINE 2B: RESIDENT TRUST FUNDS ARE TENANT FUNDS HELD BY INTER-FAITH CARE CENTER IN A SEPARATE BANK ACCOUNT. THESE FUNDS MAY BE REQUESTED FOR USE BY RESIDENTS AT ANY TIME. THESE FUNDS ARE DUE BACK TO THE RESIDENTS UPON TERMINATION OF THEIR RENTAL AGREEMENT. PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVEUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE GUIDANCE RELATED TO UNCERTAIN TAX POSITIONS. THE TAX RETURNS FOR THE YEARS 2011 TO 2014 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. A CITY OF CARLTON 416005036 143042AC3 2006-07-01 14340000 REFINANCE THE 2000 BONDS 0 0 0 A 1925070 14340000 1395193 286800 14053200 2001 0 1 1 1 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF CARLTON DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2011 ROXANNE HEDLUND FAMILY MEMBER OF CECILA ANDERSON, FORMER BOARD MEMBER 51439 COMPENSATION PAID TO ROXANNE HEDLUND BY INTER-FAITH CARE CENTER. 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS. MEMBERS SHALL BE THOSE CHURCHES IN CARLTON COUNTY, MINNESOTA, WHO ARE ELECTED TO PARTICIPATE, AND MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE DIRECTORS IS ELECTED BY A MAJORITY VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE EMAILED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY ALL BOARD MEMBERS. IF THERE ARE QUESTIONED CONFLICTS OF INTEREST, THEY WILL BE REVIEWED WITH THE POTENTIAL PERSON IN CONFLICT AND A VOTE OF THE BOARD WILL TAKE PLACE. THAT POTENTIAL PERSON IN CONFLICT MAY OR MAY NOT BE PRESENT FOR THE VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR'S COMPENSATION PACKAGE WAS DETERMINED UPON HIRE. SALARY INCREASES ARE DETERMINED AND APPROVED BY THE BOARD ON AN ANNUAL BASIS. THE ADMINISTRATOR RECEIVES THE SAME HOURLY INCREASE THAT OTHER EMPLOYEES RECEIVE. THIS PROCESS WAS LAST COMPLETED IN 2014. FORM 990, PART VI, SECTION C, LINE 19 INTER-FAITH CARE CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ANNUAL MEETING OR UPON REQUEST.