2011-04-25T09:51:19-05:00 2010-09-30 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2009-10-01 621611446 THE FOUNDATION FOR HEALTH CARE Continuums FOUN 6154697015 2517 Myers Park Ct Brentwood TN 37027 David Stewart 6154697015 2011-04-12 1 6123764500 2009 2016-02-24 21:20:13Z David Stewart 2517 Myers Park Ct Brentwood TN 37027 22909118 0 X www.continuums.org X 1995 TN PROVIDING HOUSING AND HEALTH CARE SERVICES THAT HONOR THE EVOLVING AGING POPULATION. 5 4 600 341 954435 -296617 48455 161201 19829093 19701600 27012 8365 1083598 1211618 20988158 21082784 0 0 12129829 12322551 0 0 8516663 8296712 20646492 20619263 341666 463521 27470203 40023544 23420520 35478258 4049683 4545286 THE MISSION OF THE FOUNDATION FOR HEALTH CARE CONTINUUMS IS TO STRENGTHEN EACH COMMUNITY WE SERVE BY PROVIDING A WIDE SPECTRUM OF HOUSING AND HEALTH CARE SERVICES THAT HONOR THE EVOLVING AGING POPULATION. 0 0 11746832 13021560 Country Manor Health and Rehab Center: This is a 165-bed Skilled Nursing Facility designed to help meet the needs of the aging and infirm. There were 57,632 resident days for the fiscal year. The center also provides outpatient Therapy services to the general public. 2383748 2801130 Country Manor Extended Services: This program has two Home Health agencies designed to provide nursing services and therapy services to clients in their home. 259 clients were served during the year. 2036842 1914908 Country Manor Senior Apartments: This is a 152-unit congregate housing facility for the elderly. There were an average of 149 units rented during the year. 2489827 2456867 The Country Villa: This is a 45-unit congregate housing facility for the elderly. There were an average of 45 units rented during the year.Expenses $1,057,341. Including Grants Of $0. Revenue $1,127,981 Country Care-A-Van: This is a Transportation agency designed to provide non-emergency transportation services to the wheelchair-bound. Approximately 3,967 trips were provided during the year.Expenses $136,751. Including Grants Of $0. Revenue $113,982 Country Store & Pharmacy: This program serves the prescription needs of the residents of Country Manor, and is also open to fulfill the prescription needs of the general public.Expenses $677,535. Including Grants Of $0. Revenue $492,865 Kid's Country Child Care: This is a licensed Day-Care center that served 170 children during the year.Expenses $628,976. Including Grants Of $0. Revenue $722,039 2489827 2456867 18657249 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 35 0 1 600 1 1 1 0 0 0 0 0 0 0 0 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X X KEVIN HARGUTH 3202588983 520 FIRST STREET NE SARTELL MN 563771150 Michael Rosen 0.50 X X 12250 0 0 Fred Brown 0.50 X X 9750 0 0 Felix Fraraccio 0.50 X 9750 0 0 Sherry Wheaton 0.50 X 9750 0 0 Paul Sanders 0.50 X 9750 0 0 David Stewart 40.00 X 152489 0 19147 Kevin Harguth 40.00 X 106103 0 3320 Brian Kelm 40.00 X 0 126275 21089 Becky Frericks 40.00 X 116470 0 21359 James Gotta 40.00 X 112513 0 10249 Loni Stromme 40.00 X 110779 0 9562 649604 126275 84726 6 0 1 0 US Bank PO Box 70870 St Paul MN 55170 Debt Service 1957024 Benedictine Health Services 503 EAST THIRD ST SUITE 400 DULUTH MN 55805 Management Services 739253 Apperts Food 900 South Highway 10 St Cloud MN 56304 Food Supplies 582257 Xcel Energy PO Box 9477 Minneapolis MN 55484 Utilities 376341 SFM PO Box 583178 Minneapolis MN 55484 Work Comp Insurance 274918 13 161201 161201 RESIDENT FEES 623000 14374886 14374886 HOME CARE 621610 2486632 2486632 THERAPY SERVICES 624310 1582699 1582699 Daycare 624410 722039 722039 MEALS 623000 421362 421362 113982 113982 19701600 8365 8365 2551595 1826334 725261 492865 232396 OTHER INCOME 900099 486357 486357 486357 21082784 19051064 954435 916084 342613 110165 232448 10435445 10435445 44633 44253 380 523269 523269 976591 961037 15554 705040 705040 62031 62031 1138085 847735 290350 54547 54547 1150199 979660 170539 70963 70963 642701 635313 7388 22057 22057 1747 1747 1472488 1458542 13946 1170705 1159478 11227 192019 190931 1088 Food 702178 702178 License Surcharge 464475 464475 Miscellaneous 249605 249605 Repairs & Maintenance 113890 112562 1328 Dues and Subscriptions 32205 32205 51777 32206 19571 20619263 18657249 1962014 0 1731867 2580923 1309 115707 1957867 1522412 265977 330021 179748 211341 32964260 10245461 19140984 22718799 1210123 1294123 735030 1152672 2247298 10097546 27470203 40023544 1781612 2198334 29680 23463 21465926 33090673 127152 146157 16150 19631 23420520 35478258 X 3914406 4248808 114196 296478 21081 0 4049683 4545286 27470203 40023544 X 0 1 1 X 0 X 12857 60905 48455 161201 283418 18893946 16524300 19197666 20552175 21531156 96699243 18893946 16537157 19258571 20600630 21692357 96982661 0 0 0 96982661 55829 70429 40251 27012 8365 201886 55829 70429 40251 27012 8365 201886 400040 424631 460450 441489 486357 2212967 19349815 17032217 19759272 21069131 22187079 99397514 0.97570 0.97640 0.00200 0.00250 X Schedule A, Part II, Line 12, Explanation of Other Income: Other Income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1408000 1408000 22660057 8837240 13822817 404286 157668 246618 3206613 1250553 1956060 5285304 5285304 22718799 Assets Limited as to Use Under Bond Indenture Agreements 10056226 RESIDENT TRUST FUNDS 32120 INTEREST RECEIVABLE 9200 10097546 ASSET RETIREMENT OBLIGATIONS 19631 19631 Part IV, Line 2b: Resident Trust Funds Payable and Tenant Security Deposits Payable. Part X: Description of Uncertain Tax Positions Under FIN 48: Tax Exempt Status Footnote: The Foundation's IRS Form 990s are subject to review and examination by federal, state, and local authorities. The Foundation is not aware of any activities that would jeopardize its tax-exempt status. The tax returns for the fiscal years 2007 to 2010 are open to examination by federal, local, and state authorities. X X 0 0 0 0 0 0 0 0 0 David Stewart 152489 0 0 0 0 0 824 0 18323 0 171636 0 0 0 Form 990, Part VI, Section A, line 3 Organization has a management contract with Benedictine Health Systems (BHS). BHS provides the following services to the organization: operations personnel oversight, care-related consultation, legal and regulatory compliance oversight, and operations policies and oversight. Form 990, Part VI, Section B, line 11 A draft of the IRS Form 990 will be provided to all officers and Board members for review/approval prior to filing. Form 990, Part VI, Section B, line 12c The organization has adopted a conflict of interest policy that includes a disclosure statement to be answered by directors and officers or any other employee that can influence the actions of the organization. The policy states that the board, officers and management employees have the responsibility of administering the affairs of the organization honestly and prudently, and of exercising their best care, skill, and judgment for the sole benefit of the organization. The policy also provides, by example, certain transactions that may give rise to a conflict. It is the policy of the Board that the existence of any potential conflicts of interest described in the policy shall be disclosed before any transaction or decision is consummated. Form 990, Part VI, Section B, line 15a The Board of Directors review the CEO's compensation and follow rebuttable presumption guidelines which include the use of comparability data and contemporaneous substantiation of changes to the CEO's compensation. Form 990, Part VI, Section C, line 19 The Foundation's financial statements are available for public inspection through the Office of the Minnesota Attorney General. The Foundation's governing documents are open for public inspection through the Office of the Minnesota Secretary of State. The Foundation's conflict of interest policy is not open to the public. Country Manor Campus LLC 520 1st st ne Sartell MN 56377 261712197 Health Care MN 12677047 40708879 N/A River Terrace Estates Inc 400 Caylor Blvd Bluffton IN 46714 237204803 Senior Living IN 501(c)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0