2012-03-27T13:27:03-05:00 2011-06-30 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-07-01 410876706 LUTHERAN CARE CENTER LUTH 3206329211 1200 1ST AVENUE NORTHEAST LITTLE FALLS MN 56345 MERLIN KOESTER 6513790303 2012-03-27 1 6123764500 2010 2016-02-24 21:20:13Z MARK PEDERSON 4400 BAKER RD 100 MINNEAPOLIS MN 55343 4838742 0 X WWW.LUTHERANCARECENTER.COM X 1964 MN PROVISION OF LONG TERM CARE SERVICES TO THE ELDERLY. 11 11 149 39 0 0 1451 53 4881867 4838445 261 244 0 0 4883579 4838742 0 0 0 0 2013314 2149115 0 0 0 2613761 2716992 4627075 4866107 256504 -27365 4625883 4269169 6214757 5885408 -1588874 -1616239 TO PROVIDE QUALITY CARE AND SERVICES TO OUR RESIDENTS EMPHASIZING THE WHOLE PERSON: MEDICALLY, SPIRITUALLY AND SOCIALLY. 0 0 4241818 4838445 LUTHERAN CARE CENTER, INC. OPERATES A 65-BED NURSING FACILITY AND A 42-BED CONGREGATE HOUSING AND ASSISTED LIVING FACILITY FOR THE ELDERLY OF THE LITTLE FALLS, MINNESOTA AREA. THE ORGANIZATION ALSO PROVIDES SERVICES DESIGNATED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS. 4241818 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 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 1 0 0 0 0 0 1 23 0 1 149 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X HEALTH DIMENSION GROUP 7635375700 4400 BAKER ROAD SUITE 100 MINNEAPOLIS MN 55343 X MERLIN KOESTER 1.00 X X 0 0 0 HERMAN JOHANNES 0.80 X X 0 0 0 CAROLYN ILGEN 0.50 X X 0 0 0 HARRY MILLER 0.30 X 0 0 0 ELAINE ASMUS 0.30 X 0 0 0 GENE BLIESE 0.30 X 0 0 0 NADINE DREVLOW 0.30 X 0 0 0 TERRI HOLMGREN 0.30 X 0 0 0 ROBERT HOLZ 0.30 X 0 0 0 SUSAN KROLL 0.30 X 0 0 0 KEITH SCHUMANN 0.30 X 0 0 0 PATRICIA ANDERSON 0.30 X 0 0 0 SCOT ALLEN 40.00 X X 0 0 0 0 0 0 0 0 0 0 HEALTH DIMENSIONS GROUP 4400 BAKER RD SUITE 100 MINNEAPOLIS MN 55343 MANAGEMENT SERVICES 418477 STEELWORKERS HEALTH AND WELFARE FUND 60 BLVD OF THE ALLIES 5TH FLOOR PITTSBURG PA 15222 EMPLOYEES HEALTH, DENTAL, ST DISABILITY 296597 SYSCO PO BOX 49730 BLAINE MN 55449 FOOD SUPPLIER 225151 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 113875 REHABCARE GROUP 7733 FORSYTH BLVD SUITE 2300 ST LOUIS MO 63105 THERAPY SERVICES 109221 5 53 53 PATIENT REVENUES 623000 4834944 4834944 OTHER INCOME 623000 3501 3501 4838445 244 244 4838742 4838445 0 244 1608300 1603090 5210 54962 54773 189 353004 351833 1171 132849 132418 431 418477 100955 317522 183103 183103 286829 260900 25929 1918 1918 692380 666179 26201 96797 87974 8823 5640 5640 444509 425670 18839 186583 178675 7908 39287 37622 1665 LICENSES & SURCHARGES 237202 236963 239 FOOD 88274 88274 PRE-ADMISSION SCREENING 16492 16492 PROVISION FOR BAD DEBTS 12000 12000 MISCELLANEOUS EXPENSES 4860 4860 2641 2641 4866107 4241818 624289 0 161044 130220 435200 300760 36610 25447 6398319 3007984 3543442 3390335 144344 138906 305243 283501 4625883 4269169 1132620 832662 3040115 3041531 24401 27521 2007675 1973251 9946 10443 6214757 5885408 X -1588874 -1616239 -1588874 -1616239 4625883 4269169 -27365 0 X 0 1 1 X 0 X 505 45421 250 1451 53 47680 4463648 4037227 4653275 4881867 4838445 22874462 4464153 4082648 4653525 4883318 4838498 22922142 0 220373 196038 32758 449169 220373 196038 32758 449169 22472973 9620 11204 1237 261 244 22566 9620 11204 1237 261 244 22566 4473773 4093852 4654762 4883579 4838742 22944708 0.97940 0.99710 0.00100 0.00110 X 0 1 125863 125863 5302207 2198944 3103263 80587 68113 12474 889662 740927 148735 3390335 RESIDENT TRUST FUNDS 27521 REPAIR & REPLACEMENT FUND 41875 BOND FUND 81205 RESERVE FUND 132900 283501 ASSET RETIREMENT OBLIGATION 10443 10443 PART IV, LINE 2B: THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE CARE CENTER'S RESIDENTS AND HOLDS SECURITY DEPOSITS OF BRIDGEWAY TENANTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES OR MAY JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE FISCAL YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR AND THE SECRETARY. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE EVALUATION OF THE PERFORMANCE OF THE BOARD OF DIRECTOR AND MANAGEMENT. IT FUNCTIONS AS THE BOARD BETWEEN MEETING OF THE BOARD FOR MATTERS NOT PREVIOUSLY RESERVED TO THE FULL BOARD OR DELEGATED TO ANOTHER COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 HEALTH DIMENSIONS GROUP PROVIDED MANAGEMENT, ADMINISTRATION, ACCOUNTING, MDS CLINICAL, AND NURSE MANAGEMENT SERVICES TO LUTHERAN CARE CENTER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD CHAIR, THE MANAGEMENT COMPANY, AND THE ON-SITE ADMINISTRATOR; A COPY OF THE 990 WAS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN CARE CENTER'S CONFLICT OF INTEREST POLICY COVERS THE COMPANY BOARD OF DIRECTORS, COMMITTEE MEMBERS AND FAMILY MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY DIRECTOR MUST IMMEDIATELY DISCLOSE IN WRITING TO THE CHAIRPERSON OF THE COMPANY BOARD OF DIRECTORS AND TO THE MEMBERS OF THE COMMITTEE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. AFTER DISCLOSURE OF ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE DIRECTOR, THE REMAINING DIRECTORS DISCUSS, AND DETERMINE BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, LINE 15: THE ORGANIZATION HAS NO COMPENSATED BOARD MEMBERS, OFFICERS OR KEY EMPLOYEES. MANAGEMENT SERVICES ARE PROVIDED BY HEALTH DIMENSIONS GROUP. FORM 990, PART VI, SECTION C, LINE 19 LUTHERAN CARE CENTER'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IT'S CONFLICT OF INTEREST POLICY IS NOT OPEN TO THE PUBLIC. BRIDGEWAY ESTATES LLC 1200 1ST AVENUE NE LITTLE FALLS MN 56345 275375167 ASSISTED LIVING & CONGREGATE HOUSING MN 872526 2585050 N/A