LUTHERAN HAVEN: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LUTHERAN HAVEN (EIN 59-0637873)
- Tax period
- 2022-09-01 to 2023-08-31
- Filed
- 2024-04-30
- IRS object ID
- 202431219349300103
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-04-30T06:44:23-04:00 | ReturnTs |
| Tax Period End | 2023-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Ray | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 89 S Atlantic Ave 1502 | AddressLine1Txt |
| City | Ormond Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32176 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590637873 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUTHERAN HAVEN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LUTH | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2041 WEST STATE ROAD 426 | AddressLine1Txt |
| City | OVIEDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32765 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL RAY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4073655676 | PhoneNum |
| Signature | 2024-01-15 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | RAY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael Ray | PreparerPersonNm |
| PTIN | P00346890 | PTIN |
| Phone | 3864731070 | PhoneNum |
| Preparation | 2024-04-30 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JERRY GRIFFING | PrincipalOfficerNm |
| Gross Receipts | $11,684,708 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LUTHERANHAVEN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF LUTHERAN HAVEN IS TO PROVIDE A QUALITY CHRIST-CENTERED HAVEN OF CARE TO OLDER ADULTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 200 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $216,106 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $365,359 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,007,306 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,806,792 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,210,569 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,264,992 | PYInvestmentIncomeAmt |
| CY Investment Income | $604,904 | CYInvestmentIncomeAmt |
| PY Other Revenue | $635,666 | PYOtherRevenueAmt |
| CY Other Revenue | $782,370 | CYOtherRevenueAmt |
| PY Total Revenue | $10,072,809 | PYTotalRevenueAmt |
| CY Total Revenue | $11,605,149 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,155,695 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,956,865 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $76,662 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,600,329 | PYOtherExpensesAmt |
| CY Other Expenses | $6,064,324 | CYOtherExpensesAmt |
| PY Total Expenses | $12,756,024 | PYTotalExpensesAmt |
| CY Total Expenses | $12,021,189 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,683,215 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$416,040 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,303,485 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,830,834 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,732,104 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,121,243 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,571,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,709,591 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF LUTHERAN HAVEN IS TO PROVIDE A QUALITY CHRIST-CENTERED HAVEN OF CARE TO OLDER ADULTS | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,432,402 | ExpenseAmt |
| Desc | PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF LUTHERAH HAVEN THROUGH A MEDICARE CERTIFIED HOME HEALTH AGENCY, 31 BED ASSISTED LIVING FACILITY, AND A 26 BED MEMORY CARE FACILITY | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,175,464 | ExpenseAmt |
| Desc | PROVIDE 219 RESIDENTAL LIVING UNITS FOR 294 RESIDENTS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,607,866 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 200 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL RAY | PersonNm |
| Phone | 4073655676 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2041 WEST STATE ROAD 426 | AddressLine1Txt |
| City | OVIEDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32765 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JERRY GRIFFING | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $152,473 | $0 | $13,881 | |
| MICHAEL RAY | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | Yes (X) | $146,660 | $0 | $12,998 | |
| JULIE ISEMAN | ||||||||
| HOME HEALTH ADM | 40.00 | 0.00 | $116,910 | $0 | $8,326 | Yes (X) | ||
| WALDEMAR VIN0VSKIS | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ARDYNE KIRM | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIGE CULBERTSON | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JON CARPENTER | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY CLARK | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN GUTZ | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WM ARP | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL BERTEAU | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM INGERSOLL | ||||||||
| VICE PRESIDENT | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE HANSELL | ||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN HANNAS | ||||||||
| PRESIDENT | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $416,043 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $35,205 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| FRIEDRICH WATKINS COMPANY | |
| CONSTRUCTION | $1,050,594 |
| BAILEY CONSTRUCTION CO INC | |
| CONSTRUCTION | $905,985 |
| METZ CULINARY MANAGEMENT | |
| CULINARY SVC&SUPPL | $785,705 |
| AC ERNST BUILDING CORPORATION | |
| CONSTRUCTION | $612,635 |
| TONMOR LLC | |
| CONSTRUCTION | $187,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $32,225 | RelatedOrganizationsAmt |
| All Other Contributions | $975,081 | AllOtherContributionsAmt |
| Total Contributions | $1,007,306 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RETIREMENT RESIDENT SVC | 623000 | $5,994,064 | $5,994,064 |
| HEALTH CARE SVCS | 623000 | $3,216,505 | $3,216,505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,210,569 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $342,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $223,064 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $119,899 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $341,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $79,559 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $261,941 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,941 | TotalRevenueColumnAmt |
| Exclusion | $261,941 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CULINARY | 623000 | $401,331 | $401,331 | |
| SCHOOL LUNCH & CATERING | 623000 | $216,106 | $216,106 | |
| MISC REVENUE | 623000 | $164,933 | $164,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $782,370 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,605,149 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,999,897 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $216,106 | UnrelatedBusinessRevenueAmt |
| Exclusion | $381,840 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,532 | TotalAmt |
| Program Services | $116,910 | ProgramServicesAmt |
| Management And General | $297,622 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,423,509 | TotalAmt |
| Program Services | $3,904,644 | ProgramServicesAmt |
| Management And General | $506,098 | ManagementAndGeneralAmt |
| Fundraising | $12,767 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,444 | TotalAmt |
| Program Services | $25,472 | ProgramServicesAmt |
| Management And General | $6,845 | ManagementAndGeneralAmt |
| Fundraising | $127 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,875 | TotalAmt |
| Program Services | $573,748 | ProgramServicesAmt |
| Management And General | $152,716 | ManagementAndGeneralAmt |
| Fundraising | $411 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,505 | TotalAmt |
| Program Services | $299,598 | ProgramServicesAmt |
| Management And General | $58,923 | ManagementAndGeneralAmt |
| Fundraising | $984 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,924 | TotalAmt |
| Program Services | $10,095 | ProgramServicesAmt |
| Management And General | $6,829 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,500 | TotalAmt |
| Management And General | $31,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,758 | TotalAmt |
| Management And General | $7,902 | ManagementAndGeneralAmt |
| Fundraising | $40,856 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,542 | TotalAmt |
| Program Services | $184,542 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,638 | TotalAmt |
| Program Services | $44,278 | ProgramServicesAmt |
| Management And General | $42,689 | ManagementAndGeneralAmt |
| Fundraising | $8,671 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,936 | TotalAmt |
| Program Services | $130,273 | ProgramServicesAmt |
| Management And General | $29,187 | ManagementAndGeneralAmt |
| Fundraising | $4,476 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,113 | TotalAmt |
| Program Services | $268,704 | ProgramServicesAmt |
| Management And General | $25,305 | ManagementAndGeneralAmt |
| Fundraising | $1,104 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,673 | TotalAmt |
| Program Services | $522,672 | ProgramServicesAmt |
| Management And General | $3,878 | ManagementAndGeneralAmt |
| Fundraising | $1,123 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,906 | TotalAmt |
| Program Services | $4,309 | ProgramServicesAmt |
| Management And General | $23,458 | ManagementAndGeneralAmt |
| Fundraising | $139 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,554 | TotalAmt |
| Program Services | $530,459 | ProgramServicesAmt |
| Management And General | $22,095 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,779,811 | TotalAmt |
| Program Services | $1,748,644 | ProgramServicesAmt |
| Management And General | $26,985 | ManagementAndGeneralAmt |
| Fundraising | $4,182 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,747 | TotalAmt |
| Program Services | $305,459 | ProgramServicesAmt |
| Management And General | $19,903 | ManagementAndGeneralAmt |
| Fundraising | $1,385 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| REPAIR & MAINTENANCE | $726,657 | $713,412 | $12,808 | $437 |
| DIETARY & HOUSEKEEPING | $779,527 | $717,609 | $61,918 | |
| ACTIVITIES | $135,262 | $135,262 | ||
| BAD DEBT & CHARITY CARE | $206,743 | $206,743 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,033 | TotalAmt |
| Program Services | $165,033 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,021,189 | TotalAmt |
| Program Services | $10,607,866 | ProgramServicesAmt |
| Management And General | $1,336,661 | ManagementAndGeneralAmt |
| Fundraising | $76,662 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,688,746 | BOYAmt |
| EOY | $1,062,099 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,533 | BOYAmt |
| EOY | $156,714 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,000 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,226 | BOYAmt |
| EOY | $241,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,668,473 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,538,499 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,267,296 | BOYAmt |
| EOY | $38,129,974 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,103,861 | BOYAmt |
| EOY | $5,739,821 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,036 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,468,787 | BOYAmt |
| EOY | $1,501,190 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,303,485 | BOYAmt |
| EOY | $46,830,834 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,692 | BOYAmt |
| EOY | $751,399 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,396,457 | BOYAmt |
| EOY | $17,523,420 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,838,884 | BOYAmt |
| EOY | $14,807,661 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,071 | BOYAmt |
| EOY | $1,038,763 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,732,104 | BOYAmt |
| EOY | $34,121,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,831,178 | BOYAmt |
| EOY | $6,406,111 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,740,203 | BOYAmt |
| EOY | $6,303,480 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,571,381 | BOYAmt |
| EOY | $12,709,591 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,303,485 | BOYAmt |
| EOY | $46,830,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$416,040 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $554,250 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $211,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,015,479 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,368,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $770,327 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,007,306 | CurrentTaxYearAmt |
| Total | $6,372,767 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,215,295 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,001,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,772,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,806,792 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,210,569 | CurrentTaxYearAmt |
| Total | $56,006,724 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,426,755 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,016,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,140,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,577,119 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,217,875 | CurrentTaxYearAmt |
| Total | $62,379,491 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $62,379,491 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $270,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $218,846 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $571,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $342,963 | CurrentTaxYearAmt |
| Total | $1,675,185 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $270,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $218,846 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $571,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $342,963 | CurrentTaxYearAmt |
| Total | $1,675,185 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $85,325 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,859 | CurrentTaxYearMinus1YearAmt |
| Total | $151,711 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $525,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $501,766 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $200,133 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $557,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $514,583 | CurrentTaxYearAmt |
| Total | $2,299,795 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,222,856 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,822,730 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,935,601 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,449,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,075,421 | CurrentTaxYearAmt |
| Total | $66,506,182 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94590 | PublicSupportPY509Pct |
| Investment Income CY | 0.03000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other income Part II line 10 or Part III line 12 | FormAndLineReferenceDesc |
| Explanation | PRIMARILY FOOD SERVICE | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Beginning Balance | $863 | BeginningBalanceAmt |
| Additions During Year | $5,552 | AdditionsDuringYearAmt |
| Distributions During Year | $1,282 | DistributionsDuringYearAmt |
| Ending Balance | $5,133 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,108,689 | BeginningYearBalanceAmt |
| Contributions | $55,867 | ContributionsAmt |
| Investment Earnings Or Losses | $114,098 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $113,348 | OtherExpendituresAmt |
| End Year Balance | $3,165,306 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,108,943 | BeginningYearBalanceAmt |
| Contributions | $3,150 | ContributionsAmt |
| Investment Earnings Or Losses | $79,500 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $82,904 | OtherExpendituresAmt |
| End Year Balance | $3,108,689 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,046,920 | BeginningYearBalanceAmt |
| Contributions | $60,664 | ContributionsAmt |
| Investment Earnings Or Losses | $70,155 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $68,795 | OtherExpendituresAmt |
| End Year Balance | $3,108,944 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,764,643 | BeginningYearBalanceAmt |
| Contributions | $688,997 | ContributionsAmt |
| Investment Earnings Or Losses | $95,249 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $501,969 | OtherExpendituresAmt |
| End Year Balance | $3,046,920 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,753,655 | BeginningYearBalanceAmt |
| Contributions | $9,049 | ContributionsAmt |
| Investment Earnings Or Losses | $102,596 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $100,657 | OtherExpendituresAmt |
| End Year Balance | $2,764,643 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,135,370 | OtherCostOrOtherBasisAmt |
| Book Value | $3,135,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,505,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,343,242 | DepreciationAmt |
| Book Value | $29,162,382 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,739,480 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,242,341 | DepreciationAmt |
| Book Value | $1,497,139 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,219,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,952,916 | DepreciationAmt |
| Book Value | $1,266,372 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,068,711 | OtherCostOrOtherBasisAmt |
| Book Value | $3,068,711 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,129,974 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTERESTS | $1,406,120 |
| CONTRACT ACQUISITION COSTS | $95,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,501,190 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCE FEE REFUNDS PAYABLE | $246,184 |
| UNEARNED REVENUE | $275,110 |
| REFUNDABLE DEPOSITS | $498,014 |
| OTHER DEPOSITS | $19,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,038,763 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,605,149 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $11,605,149 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,605,149 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,021,189 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $12,021,189 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,021,189 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Agent not reporting amounts on 990 (Part IV, line 1b) | RESIDENT TRUST ACCOUNT |
| Escrow account liability (Part IV, line 2b) | ESCROW ACCOUNT IS MAINTAINED FOR ASSITED LIVING RESIDENTS. THEACCOUNTS ARE RECONCILED MONTHLY AND STATEMENTS ARE PROVIDED TO THE RESIDENTSQUARTERLY. INTEREST IS PAID ON THE ACCOUNT BALANCES. |
| Endowment funds intended uses (Part V, line 4) | TO ASSIST THOSE WHO DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL CAN NOT AFFORD TO PAYFOR THEIR RESIDENCE OR CARE. |
| Footnote for uncertain tax position under FIN 48 (Part X) | THE ORGANIZATION HAS ADOPTED THE APPLICATION OF THE UNCERTAIN TAX POSITIONPROVISIONS OF FASB ASC 740, INCOME TAXES. IT PRESCRIBES AN EVALUATION PROCESS FORTHE CONSOLIDATED FINANCIAL STATEMENTS RECOGNITION AND MEASUREMENT OF A TAX POSITIONTAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT ALSO PROVIDES GUIDANCE ONDE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION.THE PROVISIONS RELATED TO UNCERTAINTY IN INCOME TAXES WERE APPLIED TO ALL TAXPOSITIONS UPON ADOPTION. THIS ADOPTION HAD NO IMPACT ON THE ORGANIZATIONSCONSOLIDATED FINANCIAL STATEMENTS. AS OF AUGUST 31, 202, THE ORGANIZATIONDETERMINED IT HAD NO UNCERTAIN TAX POSITIONS AND, THEREFORE, HAS NOT ACCRUEDINTEREST AND PENALTIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| JERRY GRIFFING | ||||
| CEO | $150,962 | $1,511 | $13,881 | $166,354 |
| MICHAEL RAY | ||||
| CFO | $145,050 | $1,610 | $12,998 | $159,658 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | THE ORGANIZATIONS CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THEFORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDEDTO EACH VOTING MEMBER OF THE BOARD OF TRUSTEES BEFORE IT IS FILED WITH THE IRS. |
| Conflict of interest policy compliance Part VI line 12c | THE ADMINSTRATION SUB-COMMITTEE OF THE BOARD OF TRUSSTEES MONITORS AND ENFORCESCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE SUB-COMMITTEE REVIEWSACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTERESTEXIST. |
| CEO executive director top management comp Part VI line 15a | THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEFEXECUTIVE OFFICER AND REVIEWS THE COMPENSATION OF OTHER TOP MANAGEMENT OFFICIALS.THE BOARD IS INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEINGCONSIDERED. THE BOARD UTILIZES COMPENSATON SURVEYS THAT ARE SPECIFIC TO ITSINDUSTRY. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ANDFINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| Audited by an independent accountant Part XII line 2b | THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OFAN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS.THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. |
| Cessation of or significant change to any program service Part III line 3 | LUTHERAN HAVEN DISCONTINUED THE OPERATION OF A 56 BED SKILLED NURSING FACILITY |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| LUTHERAN HAVEN ASSISTED LIVING FACI | |||||||
| 2041 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 262900995 | ASSISTED LIVING | FL | LUTHERAN HAVEN INC |
| LUTHERAN HAVEN RETIREMENT CENTER | |||||||
| 2041 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 262901124 | RETIREMENT COMMUNITY | FL | LUTHERAN HAVEN INC |
| LUTHERAN HAVEN HOME HEALTHCARE LLC | |||||||
| 2041 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 261825919 | HOME HEALTHCARE | FL | LUTHERAN HAVEN INC |
| LUTHERAN HAVEN FOUNDATION | |||||||
| 2041 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 590637873 | SOLICIT CHARITABLE CONTRIBUTIONS SUPPORTING LUTHERAN HAVEN | FL | LUTHERAN HAVEN INC |
| LUTHERAN HAVEN EXTENDED CONGREGATE | |||||||
| 2041 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 472360158 | MEMORY CARE | FL | LUTHERAN HAVEN INC |
| LUTHERAN HAVEN LANDINGS | |||||||
| 2035 WEST STATE ROAD 426 | Oviedo | FL | 32765 | 473753093 | RETIREMENT COMMUNITY | FL | LUTHERAN HAVEN INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELC DISTRICT OF THE LUTHERAN CHURC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3242 EDGINGTON STREET | AddressLine1Txt |
| City | Franklin Park | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CHURCH ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | NA | ExemptCodeSectionTxt |
| Public Charity Status | 1 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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