2014-11-04T12:02:25-07:00 2013-12-31 990 2013-01-01 411539761 ELIM HOMES INC ELIM 9522594500 7485 Office Ridge Circle Eden Prairie MN 553443690 Kathy Youngquist CFO 9522594500 2014-11-13 2013 2015-11-30 17:44:51Z Robert M Dahl 7485 Office Ridge Circle Eden Prairie MN 55344 43319298 0 X www.elimcare.org X 1985 MN Provide nursing home care and housing for the elderly. This includes programs and services specifically designed to meet the residents' primary needs for housing, healthcare (including in-house therapy) and nourishment. 5 5 1055 471 0 0 0 0 37667719 39280216 222386 375494 2025730 2161959 39915835 41817669 27815 26752 0 0 29151497 30980005 0 0 0 9282624 9415505 38461936 40422262 1453899 1395407 35274953 36026443 19824110 19003642 15450843 17022801 See Part I, Line 1 0 0 25204550 0 29653141 Elim Homes Inc. provides skilled long-term care services to the elderly, handicapped and other having specialized needs. The organization owns and operates four long-term care facilities in Princeton, MN (113 beds), Milaca, MN (98 beds), Watertown, MN (51 beds) and Fargo, ND (136 beds). Utilization by payor source was as follows: 54.5% Medicaid, 31.2% Private, 9.9% Medicare and 4.4% HMO. 7990859 0 8268141 Elim Homes, Inc. operates a therapy division (Progressive Rehabilitation Options) that provides physical, occupational and speech therapy to related organizations and other organizations located in Minnesota, North Dakota and Iowa. 755014 0 939504 Elim Homes, Inc. operates an assisted living facility (Caley House) located in Princeton, MN. The facility has 30 units and occupancy was 98.92% in 2012. 255837 0 419059 Other program services include Adult Day Care and Elderly Independent Living. 255837 0 419059 34206260 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 68 0 1 1055 1 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Kathy L Youngquist 9522594500 7485 Office Ridge Circle Eden Prairie MN 553443690 Pat Nuss Treasurer/Secretary and Director 0.02 0.25 X X 0 0 0 Terry Kern Board Member (January - August 2013) 0.01 0.05 X 0 0 0 Stann Leff Chairperson/Director (Jan-Apr, Vice Chair (May-Dec) 0.02 0.4 X X 0 0 0 Kevin Bergman Director 0.02 0.4 X 0 0 0 Dr Guy Tangedahl Director/Vice Chair (Jan-Apr), Chair (May-Dec) 0.02 0.63 X X 0 0 0 Ronald Sanford COO 16.55 24.99 X 196250 0 41029 Robert M Dahl President/CEO 15.93 24.07 X 287744 0 74263 Kathy L Youngquist CFO 16.03 24.2 X 193089 0 58163 Jeffrey Dagen V.P. Therapy Service 43.56 0 X 259940 0 61156 Angela Brown VP of Human Resources 3.62 33.96 X 110521 0 38632 Timothy Hager Administrator 39.81 0.19 X 160611 0 27367 Renee Muhonen Quality Assurance Director 3.85 36.15 X 120922 0 29652 Joan Bisek Accounting Director 3.92 40.77 X 101459 0 40690 Christine Eilertson Director of Finance 4.1 38.53 X 115555 0 41098 Roland Peterson Director (Nov-Dec) 0.01 0.51 X 0 0 0 1546091 0 412050 15 0 1 0 CliftonLarsonAllen LLP 220 South Sixth Street Suite 300 Minneapolis MN 554021436 Accounting Services 122481 0 0 Nursing Home Services 623000 29653141 29653141 0 0 Therapy Services 621300 8268512 8268512 0 0 Assisted Living Services 623000 939504 939504 0 0 Adult Daycare Services 624100 314330 314330 0 0 Apartment Rental 531110 104729 104729 0 0 0 0 0 0 39280216 166532 0 0 166532 0 0 0 0 0 0 0 0 5846 0 0 0 5846 0 5846 0 0 5846 1706515 4076 1497913 3716 208602 360 208962 0 0 208962 Management Fee 541610 2149633 0 0 2149633 Cable TV 900099 5855 0 0 5855 Miscellaneous 900099 625 0 0 625 0 0 0 0 2156113 41817669 39280216 0 2537453 26752 26752 0 0 0 0 0 0 945204 0 945204 0 0 0 0 0 24582727 21766151 2816576 0 593602 506129 87473 0 3002950 2560437 442513 0 1855522 1582093 273429 0 0 0 0 0 42475 0 42475 0 32314 0 32314 0 0 0 0 0 0 0 69253 0 69253 0 280740 236703 44037 0 153478 0 153478 0 593074 240784 352290 0 115478 0 115478 0 0 0 0 0 825482 784207 41275 0 287271 0 287271 0 0 0 0 0 134357 0 134357 0 639986 607987 31999 0 0 0 0 0 1710627 1625096 85531 0 98003 93102 4901 0 Supplies 2109481 2094452 15029 0 License Surcharge 737061 737061 0 0 Food 452493 452493 0 0 Maintenance Contracts/Purchased Services 326823 310482 16341 0 807109 582331 224778 0 40422262 34206260 6216002 0 3416535 4225946 1358629 1239657 0 3862274 4113299 0 0 0 0 156858 187446 41089390 23157009 18690299 17932381 4709416 5682505 3080942 2645209 35274953 36026443 4834931 4891974 14560714 13630283 428465 481385 19824110 19003642 X 15145572 16785641 305271 237160 0 0 15450843 17022801 35274953 36026443 X 1395407 443513 0 0 -2376 -264586 X 0 1 X 1 0 X 0 0 0 35382457 36216267 36267758 37667719 39280216 184814417 35382457 36216267 36267758 37667719 39280216 184814417 0 0 0 0 0 0 184814417 106193 147678 173293 158183 172378 757725 106193 147678 173293 158183 172378 757725 1700899 1879364 2052640 2019098 2156113 9808114 37189549 38243309 38493691 39845000 41608707 195380256 0.94592 0.94801 0.00388 0.00370 X Schedule A, Part III, Line 12 Management Fee (2009-$1,700,747, 2010-$1,903,112, 2011-$2,035,546, 2012-$2,013,633, 2013-$2,149,633;Sale of Miscellaneous Minor Equipment (2009-$152, 2010-$736, 2011-$11,732, 2012-$524, 2013-$625); Loss on Refinancing of Debt (2010-$(24,484)); Cable TV Income (2011-$5,362, 2012-$4,911, 2013-$5,855) 0 443425 443425 0 30013748 15358511 14655237 0 318369 123928 194441 0 9563879 7339560 2224319 0 749969 335010 414959 17932381 Interest Receivable 37700 Resident Trust Funds 51392 Deferred Development 29254 Unamortized Financing Costs 287328 Due from Affiliate 2239535 2645209 Due to Affiliate 20662 Resident Trust Reserve 51392 Asset Retirement Obligations 139240 Deferred Compensation Payable 270091 481385 X 41495908 0 0 0 53733 53733 41442175 0 375494 375494 41817669 40478371 0 0 0 56109 56109 40422262 0 0 0 40422262 Schedule D, Part X, Line 2 As stated in Footnote 2 of the audited financial Statements, "the implementation of FIN 48 had no impact on the Corporation's financial statements". Schedule D, Part XI, Line 2d Net Assets Released from Restriction $56,109; Prior Year Adjustments $(2,376) Schedule D, Part XI, Line 4b Interest Income $166,532; Gain on Sale of Investments $208,602; Gain on Sale of Fixed Asset $360 Schedule D, Part XII, Line 2d Expenses purchased using donated funds. 1 Lyngblomsten Foundation 1415 Almond Avenue St Paul MN 551082507 363371887 501(c)3 7000 0 N/A N/A To support the social ministry of providing quality care to seniors. Guardian Angels of Elk River Inc 400 Evans Avenue NW Elk River MN 55330 411459252 501(c)3 13002 0 N/A N/A To support the social ministry of providing quality care to seniors. 2 0 Schedule I, Part I, Line 2 Due to the relatively low amounts of grants, the organization does not generally monitor the use of the grant funds. X 1 1 X X X X 0 1 0 0 0 1 1 0 0 Robert M Dahl President/CEO 253577 0 30521 0 3646 0 59130 0 15133 0 362007 0 29956 0 Ronald Sanford COO 174214 0 20056 0 1980 0 25896 0 15133 0 237279 0 19554 0 Kathy L Youngquist CFO 168071 0 23715 0 1303 0 39173 0 18990 0 251252 0 18715 0 Jeffrey Dagen V.P. Therapy Service 230837 0 28413 0 690 0 48618 0 12538 0 321096 0 25175 0 Timothy Hager Administrator 142092 0 16412 0 2107 0 13364 0 14003 0 187978 0 15912 0 Christine Eilertson Director of Finance 103989 0 11116 0 450 0 23120 0 17978 0 156653 0 11116 0 Renee Muhonen Quality Assurance Director 92214 0 27893 0 815 0 14862 0 14790 0 150574 0 0 0 Schedule J, Part I, Line 1a A set percentage is paid to the employees of the organization to help cover the taxes on personal auto usage. This amount is treated as a taxable benefit. Schedule J, Part I, Line 4 Certain employees of the organization participate in a 457(f) Deferred Compensation Plan. For 2013 the amount of deferred compensation was as follows: Robert Dahl $20,615 Kathy Youngquist $12,797, Jeffrey Dagen $15,452, Christine Eilertson $7,536 Schedule J, Part I, Line 6 R Dahl, R Sanford, K Youngquist, C Eilertson & R Muhonen accrued incentive bonuses at 12/31/13 that were contingent on the combined net income of the organizations. J Dagen accrued an incentive bonus at 12/31/13 that was contingent on the net income of a separate division within the organization. A City of Princeton 416005471 000000000 2003-05-13 9000000 Moratorium Construction projects 0 0 0 B Cass County 456002205 000000000 2010-12-16 6300000 Facility Renovations and refinancing of old debt 0 0 0 C City of Milaca 416005370 000000000 2011-04-28 1116522 Refinancing of 1996 issue 0 0 0 A 0 0 9000000 0 0 0 180000 0 0 8820000 0 0 2004 0 0 1 1 B 666977 0 6300000 0 0 0 126000 0 0 5507023 0 0 2012 1 0 1 1 C 1116522 0 1116522 0 0 0 0 0 0 0 0 0 2011 1 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 1 0 1 1 0 0 0 1 B 0 1 0 1 1 0 0 0 1 C 0 1 0 1 1 0 0 0 1 A 1 B 1 Schedule K, Part IV, Line 2c-05/13/2003 9,000,000 City of Princeton There were no investment earnings on any bond proceeds. Schedule K, Part IV, Line 2c-12/16/2010 6,300,000 Cass County 5 year anniversary has not yet occurred. Schedule K, Part IV, Line 2c-04/28/2011 1,116,522 City of Milaca 5 year anniversary has not yet occurred. Form 990, Part VI, Section A, Line 6 Elim Care, Inc is the sole member of Elim Homes, Inc.. Form 990, Part VI, Section A, Line 7a Board members of Elim Homes, Inc. are approved by the Elim Care, Inc. (parent company) board. Form 990, Part VI, Section A, Line 7b Decisions of Elim Homes, Inc. are subject to approval by the Elim Care, Inc. board. Form 990, Part VI, Section B, Line 11b The Form 990 Tax Return and all related schedules were prepared by the Director of Finance. The Chief Financial Officer reviewed the return prior to signing. Board members were given a copy of the Form 990 prior to the filing via email. Form 990, Part VI, Section B, Line 12c The organization annually requests a conflict of interest disclosure from each board member and officer. Also, annual questionnaires are sent out to get updates on new situations that may have arisen during the years. Form 990, Part VI, Section B, Line 15 The board of directors routinely retains the services of a compensation consultant to review the current wage and benefit levels of similar positions in similar organizations. The compensation committee uses this information to make a recommendation to the board of directors. Form 990, Part VI, Section C, Line 19 Governing documents, conflict of interest policy and financial statements are generally not made available to the public. Some are made available upon request. Form 990, Part XI, Line 9 Other Changes in Net Assets were as follows: $142,528 Net Contributions transferred from Elim Care, Inc. (a related organization), ($56,109) Contribution Distributions, ($351,000) Transfers to Affiliates, ($5) Rounding Park Terrace Assisted Living Inc 7485 Office Ridge Circle Eden Prairie MN 55344 204063752 Senior Housing MN 501c3 9 N/A 0 New Harmony Care Center 7485 Office Ridge Circle Eden Prairie MN 55344 411821882 Nursing Home MN 501c3 9 N/A 0 Park View Care Center Inc 7485 Office Ridge Circle Eden Prairie MN 55344 410855707 Nursing Home MN 501c3 9 N/A 0 Redeemer Residence Inc 7485 Office Ridge Circle Eden Prairie MN 55344 410711597 Nursing Home MN 501c3 9 N/A 0 Cornerstone Assisted Living of Plymouth Inc 7485 Office Ridge Circle Eden Prairie MN 55344 412013927 Senior Housing MN 501c3 9 N/A 0 Park Lane Apartments Inc 7485 Office Ridge Circle Eden Prairie MN 55344 410972384 HUD Housing MN 501c3 9 N/A 0 Elim Children's Center Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411974507 Child Daycare MN 501c3 9 N/A 0 Elim Care Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411694818 Parent Company/Fundraising MN 501c3 7 N/A 0 Lake Ridge Care Center of Buffalo Inc 7485 Office Ridge Circle Eden Prairie MN 55344 200507069 Nursing Home/Senior Housing MN 501c3 9 N/A 0 Evangelical Retirement Homes Inc 7485 Office Ridge Circle Eden Prairie MN 55344 420868449 Nursing Home/Senior Housing IA 501c3 9 N/A 0 Elim Shores Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411625095 Senior Housing MN 501c3 9 N/A 0 Newton Village Inc 7485 Office Ridge Circle Eden Prairie MN 55344 200044030 Senior Housing MN 501c3 9 N/A 0 Country Meadows of Milaca Inc 7485 Office Ridge Circle Eden Prairie MN 55344 201723948 Senior Housing MN 501c3 9 N/A 0 Pioneer House Assisted Living Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411927112 Senior Housing MN 501c3 9 N/A 0 Village Assisted Living Inc 7485 Office Ridge Circle Eden Prairie MN 55344 262086933 Senior Housing MN 501c3 9 N/A 0 Elim Care Foundation 7485 Office Ridge Circle Eden Prairie MN 55344 411694817 Longterm Investing MN 501c3 11 N/A 0 Community Health Foundation of Wright County 7485 Office Ridge Circle Eden Prairie MN 55344 363546789 Fund Raising MN 501c3 7 N/A 0 Baptist Home Inc 7485 Office Ridge Circle Eden Prairie MN 55344 450232943 Nursing Home ND 501c3 9 N/A 0 The Baptist Apartments Inc 7485 Office Ridge Circle Eden Prairie MN 55344 450359794 Senior Housing ND 501c3 9 N/A 0 Elim Preferred Services Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411681856 Medical Equipment and Supplies Sales MN N/A C 0 Preferred Senior Services Inc 7485 Office Ridge Circle Eden Prairie MN 55344 411942480 Management Services MN N/A C 0 0 0 0 1 1 0 0 1 0 0 1 1 1 1 1 0 1 1 1 Evangelical Retirement Homes Inc d 1157472 Book Value Pioneer House Assisted Living Inc k 50004 Book Value Elim Care Foundation r 300000 Book Value Elim Preferred Services Inc h 878547 Book Value New Harmony Care Center l 489342 Book Value Lake Ridge Care Center of Buffalo Inc l 634607 Book Value Evangelical Retirement Homes Inc l 562495 Book Value Redeemer Residence Inc l 722439 Book Value Park View Care Center Inc l 912317 Book Value Elim Preferred Services Inc l 95000 Book Value Cornerstone Assisted Living of Plymouth Inc l 95302 Book Value Newton Village Inc l 67289 Book Value Park Terrace Assisted Living Inc l 52535 Book Value Village Assisted Living Inc l 54321 Book Value Baptist Home Inc l 938730 Book Value Elim Shores Inc l 95685 Book Value Country Meadows of Milaca Inc l 149334 Book Value Pioneer House Assisted Living Inc l 272221 Book Value Elim Care Inc s 196149 Book Value