2015-11-13T13:27:50-06:00 2014-12-31 390758449 WIPFLI LLP 7601 FRANCE AVENUE SOUTH SUITE 400 MINNEAPOLIS MN 55435 990 2014-01-01 410706110 EPISCOPAL CHURCH HOME OF MINNESOTA EPIS 6516460622 1879 FERONIA AVENUE ST PAUL MN 55104 MARVIN PLAKUT PRESIDENT & CEO 6512098529 2015-11-12 1 TIM A RITTER CPA P00732856 9525483400 2015-11-12 2014 2016-04-25 22:37:26Z MARVIN PLAKUT 1879 FERONIA AVENUE ST PAUL MN 55104 12844064 0 1194 X WWW.EHOMESMN.ORG X 1894 MN PROVIDE SKILLED CARE IN THE OPERATION OF NURSING HOME. 22 22 388 23 0 0 54509 289953 12012281 12496028 85734 25124 31404 32959 12183928 12844064 249867 156323 0 0 6896589 7168179 0 0 0 5365802 5273733 12512258 12598235 -328330 245829 15561801 15429156 12173909 11646027 3387892 3783129 OUR MISSION IS TO ENHANCE THE QUALITY OF LIFE FOR SENIOR ADULTS BY PROVIDING HOMES AND SERVICES THAT SUPPORT EACH INDIVIDUALS PHYSICAL, SOCIAL AND SPIRITUAL NEEDS. 0 0 11176273 156323 12485813 EPISCOPAL CHURCH HOME PROVIDES TOP-NOTCH 24-HOUR SKILLED NURSING CARE IN PLEASANT, HOME-LIKE SETTINGS CALLED HOUSEHOLDS. RESIDENTS LIVE IN COMFORTABLE, PRIVATE ROOMS WITHIN HOUSEHOLD COMMUNITIES. EACH HOUSEHOLD HAS ITS OWN TEAM OF QUALIFIED, CARING STAFF MEMBERS. THE SERVICES INCLUDED ARE ON-SITE PHYSICIANS, NURSE PRACTITIONERS, PODIATRISTS, DENTISTS, OPTOMETRISTS, PSYCHOLOGIST AND HEARING AID SPECIALISTS. THERE IS ALSO SPIRITUAL WELLNESS PROVIDED BY ON-STAFF CHAPLAINS, WITH A VARIETY OF MINISTRY AND WORSHIP SERVICES IN TWO ON-SITE CHAPELS. 11176273 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 10 0 388 1 0 0 0 0 0 0 0 0 0 0 X 22 22 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 0 MN X TOM HENRY 6512098529 490 E LYNNHURST AVENUE ST PAUL MN 55104 SAMUEL ABDULLAI DIRECTOR (THRU NOVEMBER) 0.10 1.10 X 0 0 0 BETTE ASHCROFT DIRECTOR 0.10 1.10 X 0 0 0 AMY FISTLER DIRECTOR 0.10 1.10 X 0 0 0 KRIS HENNELLY DIRECTOR 0.10 1.10 X 0 0 0 TOM HOVE DIRECTOR 0.10 1.10 X 0 0 0 CHRIS HOWARD DIRECTOR 0.10 1.10 X 0 0 0 MARY HUBER DIRECTOR 0.10 1.10 X 0 0 0 BETSY KELLY DIRECTOR 0.10 1.10 X 0 0 0 JAMES JOHNSON DIRECTOR 0.10 1.10 X 0 0 0 MARY LILJA DIRECTOR 0.10 1.10 X 0 0 0 CATHY MCCALLISTER DIRECTOR 0.10 1.10 X 0 0 0 ROBERT MCCLAY DIRECTOR 0.10 1.10 X 0 0 0 THE REV DIANE MCGOWAN DIRECTOR 0.10 1.10 X 0 0 0 THE REV REX MCKEE DIRECTOR 0.10 1.10 X 0 0 0 CATHERINE MYERS DIRECTOR 0.10 1.10 X 0 0 0 SARAH NOWLIN DIRECTOR 0.10 1.10 X 0 0 0 MIKE SEMSCH DIRECTOR 0.10 1.10 X 0 0 0 CYNTHIA VERHEY DIRECTOR 0.10 1.10 X 0 0 0 JIM WENKER DIRECTOR 0.10 1.10 X 0 0 0 RICK RINKOFF CHAIR 0.10 1.10 X X 0 0 0 DENISE COLE VICE CHAIR 0.10 1.10 X X 0 0 0 ALDEN DREW SECRETARY 0.10 1.10 X X 0 0 0 BOB STUPKA TREASURER 0.10 1.10 X X 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 3.00 37.00 X 172013 0 12877 MIKE KAREL ADMINISTRATOR 3.00 37.00 X 141251 0 5928 SANDRA PETERS CFO (THRU JANUARY) 3.00 37.00 X 12611 0 0 KEVIN HEIL CFO 3.00 37.00 X 74344 0 2964 400219 0 21769 2 0 1 0 AVIANDS 1751 W COUNTY RD B2 SUITE 300 ROSEVILLE MN 55122 FOOD SERVICE 847653 EH SERVICES 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 MANAGEMENT SERVICES 542976 2 265631 24322 289953 PATIENT SERVICE REVENUE 531110 12485813 12485813 SATELLITE TELEVISION REVENUE 900099 10215 10215 12496028 25124 25124 32959 32959 32959 12844064 12485813 0 68298 X 137481 137481 18842 18842 421989 105498 316491 5544659 5509646 35013 8651 8651 760311 725382 34929 432569 408180 24389 542976 542976 20528 20528 23972 23972 1761217 1682637 78580 30926 30926 633752 606328 27424 94201 94201 256968 255040 1928 14306 5645 8661 8036 3391 4645 569634 569634 701031 701031 101784 101784 DHS SURCHARGE 228015 228015 EQUIPMENT RENTAL 125189 125013 176 DUES AND SUBSCRIPTIONS 52176 75 52101 BAD DEBT EXPENSE 30154 30154 78868 55630 23238 12598235 11176273 1421962 0 484193 634986 552196 458458 0 300 3838556 830813 360035 49237 17812944 8565269 9649350 9247675 65 65 677406 4207622 15561801 15429156 929424 713215 11073750 10550750 11234 9066 58308 250000 101193 122996 12173909 11646027 X 2891209 3409162 291651 168935 205032 205032 3387892 3783129 15561801 15429156 X 245829 158528 -9120 X X 0 1 X 1 0 X 66605 45518 52845 54509 289953 509430 11542374 11981884 11769964 12002831 12485813 59782866 822 44108 40854 43174 128958 11608979 12028224 11866917 12098194 12818940 60421254 0 0 0 60421254 37693 23412 27683 32853 25124 146765 37693 23412 27683 32853 25124 146765 11646672 12051636 11894600 12131047 12844064 60568019 0.99760 0.99610 0.00240 0.00390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 181281 181281 15864455 7337326 8527129 1767208 1227943 539265 9247675 INTEREST IN NET ASSETS OF EHF 309317 DEFERRED FINANCING 241044 RELATED PARTY RECEIVABLES 848329 INVESTMENTS HELD BY FOUNDATION 2808932 4207622 ASSET RETIREMENT OBLIGATION LIABILITY 93762 RELATED PARTY PAYABLES 29234 122996 X 12840880 0 12840880 3184 3184 12844064 12460754 0 12460754 137481 137481 12598235 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF RESIDENT FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS OF THE ORGANIZATION. PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2014 AND 2013. FEDERAL RETURNS FOR THE YEARS ENDED 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION RECORDED TO NET ASSETS ON F/S 3,184. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS & ASSISTANCE RECORDED TO NET ASSETS ON F/S 137,481. 1 EH SERVICES INC 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 455322401 501(C)(3) 134239 GENERAL SUPPORT 1 0 SCHOLARSHIPS 10 18842 PART I, LINE 2: THE ORGANIZATION ONLY GRANTS FUNDS TO ORGANIZATIONS THAT SHARE THE SAME SOLE MEMBER, EPISCOPAL HOMES OF MINNESOTA. THE FUNDS ARE MONITORED BY THE ORGANIZATION'S FISCAL AND OPERATIONAL DEPARTMENTS. X X X 0 0 0 0 0 0 0 0 0 MARVIN PLAKUT PRESIDENT/CEO 172013 0 0 0 0 0 11184 0 1693 0 184890 0 0 0 A HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST PAUL MN 416005521 792893FE4 2006-11-02 8591616 REMODELING AND EXPANSION OF NURSING HOME 0 0 0 B HOUSING AND REDEVELOPMENT AUTHORITY OF THE CITY OF ST PAUL MN 521440935 792908CB9 2012-11-15 10216876 REFUNDING OF 1999 BOND ISSUE, AND RESERVES RELATED TO CAMPUS EXPANSION 0 0 0 A 1175000 8591616 168500 8256500 2008 0 0 1 1 B 321876 10216876 652417 6370776 205000 2988683 2013 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 PART III, LINE 9 & PART V THE ORGANIZATION WOULD CONSULT WITH BOND COUNSEL TO ADDRESS ANY VIOLATIONS OF FEDERAL TAX REQUIREMENTS AND RELATED REMEDIATION. FORM 990, SCHEDULE K, PART I, ISSUER B THE ORGANIZATION SHARES THE PROCEEDS AND PURPOSE OF THE FUNDS FROM THIS BOND WITH A RELATED ORGANIZATION, IRIS PARK COMMONS. AT THE END OF TAX YEAR, 12/31/2014, THE OUTSTANDING BALANCE OF THE BOND FOR EPISCOPAL CHURCH HOME OF MINNESOTA AND IRIS PARK COMMONS WAS $3,550,750 AND $6,594,250 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 3 EH SERVICES, INC. IS A RELATED, 501(C)(3) ORGANIZATION THAT IS RESPONSIBLE FOR MANAGING THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, EPISCOPAL HOMES OF MINNESOTA, A MINNESOTA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, EPISCOPAL HOMES OF MINNESOTA, HAS THE VOTING RIGHTS OF THE ORGANIZATION AND THEREFORE THE ABILITY TO ELECT AND APPOINT ALL MEMBERS OF THE GOVERNING BODY. ALL BOARD MEMBERS OF EPISCOPAL HOMES OF MINNESOTA, ARE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE CORPORATION, EPISCOPAL HOMES OF MINNESOTA, HAS THE ABILITY TO ELECT AND APPOINT ALL MEMBERS OF THE GOVERNING BODY AND THEREFORE ARE RESERVED THE RIGHT TO MAKE GOVERNANCE DECISIONS FOR THE ORGANIZATION. ALL BOARD MEMBERS OF EPISCOPAL HOMES OF MINNESOTA, ARE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY THE CPA FIRM HIRED BY THE ORGANIZATION TO PERFORM THE AUDIT USING INFORMATION PROVIDED BY THE ORGANIZATION. THE CFO REVIEWS THE RETURN AND APPROVES. THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS ARE RESPONSIBLE TO - WITHOUT REQUEST - MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF HIS OR HER CONFLICT OF INTEREST THEREIN TO THE ENTIRE BOARD PRIOR TO ANY ACTION UPON THE MATTER, CONTRACT, OR TRANSACTION THAT CAUSE CONFLICT. IF THE BOARD DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE PERSON SHALL REMOVE THEM SELF FROM THE MEETING ROOM OR FROM THE COMMUNICATION MEANS BY WHICH THE MEETING IS BEING HELD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE ACCOMPLISHMENTS OF THE CEO COMPARED TO THE GOALS SET FOR THE YEAR. MARKET RESEARCH IS ALSO DONE ANNUALLY TO COMPARE THE COMPENSATION OF THE CEO TO THE COMPENSATION OF OTHER CEO'S IN OUR INDUSTRY. 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 TO CEO OR DIRECTOR OF FINANCE. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 664,089. MANAGEMENT AND GENERAL EXPENSES 78,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 742,669. THERAPISTS AND OTHER NON PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,018,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,018,548. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -9,120. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. EPISCOPAL HOMES OF MINNESOTA 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 911983254 PROVISION OF SENIOR HOUSING AND CARE SERVICES MN 501(C)(3) LINE 1 N/A 0 CARTY HEIGHTS 412 DUNLAP STREET N ST PAUL MN 55104 204250735 SENIOR HOUSING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 CORNELIA HOUSE 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 061692748 SENIOR HOUSING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 EH SERVICES INC 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 455322401 FACILITIES MANAGMENT MN 501(C)(3) LINE 11A, I EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOME CARE AND SERVICES 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 270907277 HOME CARE MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOMES FOUNDATION OF MINNESOTA 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 411703612 FUNDRAISING MN 501(C)(3) LINE 7 EPISCOPAL HOMES OF MINNESOTA 1 IRIS PARK COMMONS 1850 UNIVERSITY AVENUE WEST ST PAUL MN 55104 411433860 ASSISTED LIVING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 KINGS CROSSING APARTMENTS 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 264270887 SENIOR HOUSING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 MIDWAY POINTE 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 454788152 LOW INCOME HOUSING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 SEABURY 1830 UNIVERSITY AVENUE WEST ST PAUL MN 55104 411997880 LOW INCOME HOUSING MN 501(C)(3) LINE 9 EPISCOPAL HOMES OF MINNESOTA 1 EPISCOPAL HOMES MANAGEMENT SERVICES OF MINNESOTA INC 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 411695916 MANAGEMENT MN N/A C 0 EPISCOPAL HOMES OWNERS ASSOCIATION 490 LYNNHURST AVENUE EAST ST PAUL MN 55104 413917931 MANAGEMENT MN N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 EH SERVICES B 134239 BOOK VALUE EPISCOPAL HOMES FOUNDATION OF MINNESOTA C 265631 BOOK VALUE EH SERVICES M 542976 BOOK VALUE IRIS PARK COMMONS P 232571 BOOK VALUE CORNELIA HOUSE Q 118672 BOOK VALUE CARTY HEIGHTS Q 108512 BOOK VALUE EH SERVICES Q 895470 BOOK VALUE EPISCOPAL HOME CARE AND SERVICES Q 471045 BOOK VALUE EPISCOPAL HOMES MANAGEMENT SERVICES OF MINNESOTA Q 126076 BOOK VALUE IRIS PARK COMMONS Q 294535 BOOK VALUE KINGS CROSSING APARTMENTS Q 69797 BOOK VALUE SEABURY Q 130386 BOOK VALUE