2014-11-14T13:39:30-06:00 2013-12-31 420714325 MCGLADREY LLP 227 W FIRST ST STE 700 DULUTH MN 558021919 990 2013-01-01 273111617 BOUNDARY WATERS CARE CENTER BOUN 7635375700 200 W CONAN ST ELY MN 55731 GARY LARSON PRESIDENT 7635375700 2014-11-10 1 JULIE BOYER P01278549 2187275025 2013 2015-11-30 17:44:51Z GARY LARSON 200 W CONAN ST ELY MN 55731 2939872 0 X WWW.BOUNDARYWATERSCC.COM X 2011 MN PROVISION OF LONG TERM CARE FOR THE ELDERLY. 5 5 91 28 398483 -609 750 200 3214816 2939270 180 402 7684 0 3223430 2939872 0 0 0 0 2105915 1823734 0 0 0 1643536 1439291 3749451 3263025 -526021 -323153 1297001 1182014 979079 1187245 317922 -5231 X BOUNDARY WATERS CARE CENTER IS COMMITTED TO THE CORE VALUES OF HOSPITALITY, STEWARDSHIP, INTEGRITY, RESPECT, AND HUMOR. THESE VALUES, IN ADDITION TO THE SIGNIFICANCE AND IMPACT OF THE SERVICES WE PROVIDE, DETERMINE OUR PRIORITIES, INFLUENCE OUR DECISIONS, AND REPRESENT STABILITY TO THOSE WE SERVE. 0 1 1811456 2516800 BOUNDARY WATERS CARE CENTER OPERATED A 59-BED NURSING FACILITY FOR THE ELDERLY OF THE ELY, MN AREA. THE ORGANIZATION ALSO PROVIDES SERVICES DESIGNATED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS. 441771 4715 BOUNDARY WATERS PROVIDES MEAL SERVICES TO RESIDENTS AND ALSO PROVIDES CATERING AND MEAL SERVICES TO THE AREA HOSPITAL AND OTHER ORGANIZATIONS. 394517 19272 BOUNDARY WATERS PROVIDES HOUSEKEEPING AND LAUNDRY SERVICE TO THE AREA HOSPITAL. 2647744 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 91 1 1 1 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X HEALTH DIMENSIONS GROUP 7635375700 4400 BAKER ROAD SUITE 100 MINNEAPOLIS MN 55343 X X GARY LARSON PRESIDENT 1.00 X X 0 0 0 JONEENE LOBE VICE PRESIDENT 1.00 X X 0 0 0 GREG HUTAR SECRETARY 1.00 X X 0 0 0 HERMAN BLASING DIRECTOR 1.00 X 0 0 0 BETTY ERICKSON DIRECTOR 1.00 X 0 0 0 LYNN HICKEY ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 HEALTH DIMENSIONS CONSULTING INC 4400 BAKER ROAD SUITE 100 MINNEAPOLIS MN 55343 MANAGEMENT FEES 182919 ARAMARK UNIFORM SERVICES 26605 NETWORK PLACE CHICAGO IL 60673 LAUNDRY SERVICES 157921 ELY BLOOMENSON COMMUNITY HOSPITAL 328 WEST CONAN ST ELY MN 55731 SHARED SERVICES 144694 GENESIS ELDERCARE REHABILITATION PO BOX 7247-6524 PHILADELPHIA PA 19170 THERAPY SERVICES 100540 4 200 200 NET PATIENT SERVICE RE 623000 2516800 2516800 HOUSEKEEPING AND LAUND 623000 284657 19272 265385 MEALS & VENDING INCOME 623000 137813 4715 133098 2939270 402 402 2939872 2540787 398483 402 1514180 1367712 146468 309554 279610 29944 147128 147128 16919 16919 23926 23926 25037 15913 9124 16110 16110 533294 500506 32788 29410 29410 116740 116740 1620 1620 702 569 133 8215 6654 1561 16272 13180 3092 PROGRAM SUPPLIES 285017 285017 TAXES AND LICENSES 174319 174319 PROVISION FOR DOUBTFUL 24000 24000 REPAIRS & MAINTENANCE 20113 20113 469 469 3263025 2647744 615281 0 270324 103651 275912 357898 23336 21415 87092 17865 71853 69227 655576 629823 1297001 1182014 323503 424792 0 7630 4086 4941 0 125000 651490 624882 979079 1187245 X 317922 -5231 317922 -5231 1297001 1182014 X -323153 0 X 0 1 X 1 0 X 993140 750 200 994090 681911 2805499 2540787 6028197 1675051 2806249 2540987 7022287 0 0 0 7022287 180 402 582 180 402 582 2834 2834 1864 7683 9547 1679749 2814112 2541389 7035250 X 0 1 X 87092 17865 69227 69227 CONTRIBUTED USE OF PROPERTY 624882 ASSETS LIMITED AS TO USE, RESIDENT TRUST ACCOUNTS 4941 629823 DEFERRED CONTRIBUTION 624882 624882 X 2980876 65004 65004 2915872 24000 24000 2939872 3304029 65004 65004 3239025 24000 24000 3263025 PART IV, LINE 2B: BOUNDARY WATERS CARE CENTER ACTS AS A CUSTODIAN FOR THE RESIDENT TRUST ACCOUNT. THE FUNDS ARE USED TO PAY FOR THE RESIDENTS' PERSONAL EXPENSES. PART X, LINE 2: THE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THE CENTER HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE GUIDANCE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL RECEIVABLES 24,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL RECEIVABLES 24,000. FORM 990, PART III, LINE 3 BOUNDARY WATERS CARE CENTER STOPPED PROVIDING MEALS TO ELY CAREFREE LIVING IN FEB 2013, INCREASED SHARED SERVICES FEES FOR MEALS AND OTHER SERVICES EFFECTIVE 1/1/13, AND STOPPED PROVIDING LAUNDRY SERVICE TO ELY BLOOMENSON COMMUNITY HOSPITAL IN OCT 2013. FORM 990, PART VI, SECTION A, LINE 3 BOUNDARY WATERS CARE CENTER (BWCC) HAS ENTERED INTO A CONTRACT WITH HEALTH DIMENSIONS CONSULTING, INC. (DBA HEALTH DIMENSIONS GROUP) FOR CERTAIN MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCIAL SERVICES MANAGER AND THE VICE PRESIDENT OF FINANCIAL SERVICES OF THE MANAGEMENT COMPANY PRIOR TO FILING. THE 990 IS ALSO PROVIDED TO BOUNDARY WATERS CARE CENTER'S BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BWCC PROVIDES ANNUAL TRAINING ON THE CODE OF CONDUCT WHICH INCLUDES THE CONFLICT OF INTEREST POLICY. BWCC ALSO HAS A COMPLIANCE HOTLINE IN WHICH ANY/ALL COMPLAINTS ARE INVESTIGATED. FORM 990, PART VI, SECTION B, LINE 15 HEALTH DIMENSIONS GROUP ENGAGES A THIRD PARTY ON A PERIODIC BASIS TO CONDUCT MARKET ANALYSIS AND TO PROVIDE RECOMMENDATIONS ON COMPENSATION RANGES FOR ADMINISTRATORS. THE HUMAN RESOURCES DEPARTMENT COORDINATES THIS ACTIVITY WITH THE THIRD PARTY VENDOR, AND PROVIDES FINAL RECOMMENDATIONS TO THE HDG CEO. ADMINISTRATORS ARE NOT INVOLVED WITH ANY ASPECT OF CONDUCTING MARKET ANALYSIS, ESTABLISHING COMPENSATION RANGES OR DETERMINING THEIR RESPECTIVE SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION A LYNN HICKEY IS CONSIDERED THE TOP MANAGEMENT OFFICIAL (AN OFFICER) FOR BOUNDARY WATERS CARE CENTER. SHE IS COMPENSATED FROM HEALTH DIMENSIONS GROUP (A THIRD PARTY MANAGEMENT COMPANY), NOT BOUNDARY WATERS CARE CENTER. LYNN'S WAGES WERE $35,921 AND NON-TAXABLE BENEFITS WERE $4,799.