LUTHER HAVEN: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LUTHER HAVEN (EIN 41-0977369)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-27
- IRS object ID
- 202233009349300403
- Schema version
- 2021v4.2
- 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 | 2022-10-27T06:33:32-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410977369 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUTHER HAVEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LUTH | BusinessNameControlTxt |
| Phone | 3202696517 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1109 EAST HIGHWAY 7 | AddressLine1Txt |
| City | MONTEVIDEO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56265 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUSTIN HUGHES | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3202696517 | PhoneNum |
| Signature | 2022-10-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JUSTIN | PersonFirstNm |
| Person Last | HUGHES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2022-10-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JUSTIN HUGHES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1109 EAST HIGHWAY 7 | AddressLine1Txt |
| City | MONTEVIDEO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56265 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,589,667 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LUTHERHAVEN-MN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE SERVICES TO THE ELDERLY AND DISABLED IN THE MONTEVIDEO AND THE SOUTHWEST AREA OF MINNESOTA WE CARE FOR THE TOTAL PERSON AND PROVIDE LONG TERM CARE AND SHORT REHAB SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 199 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $595,429 | PYContributionsGrantsAmt |
| CY Contributions Grants | $212,130 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,261,050 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,361,513 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,845 | CYInvestmentIncomeAmt |
| PY Other Revenue | $395 | PYOtherRevenueAmt |
| CY Other Revenue | $48 | CYOtherRevenueAmt |
| PY Total Revenue | $9,867,816 | PYTotalRevenueAmt |
| CY Total Revenue | $7,589,536 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $23,528 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,103 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,945,915 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,770,448 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,005,272 | PYOtherExpensesAmt |
| CY Other Expenses | $2,822,674 | CYOtherExpensesAmt |
| PY Total Expenses | $8,974,715 | PYTotalExpensesAmt |
| CY Total Expenses | $8,620,225 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $893,101 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,030,689 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,741,041 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,663,230 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $809,860 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $660,801 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,931,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,002,429 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LUTHER HAVEN WAS ESTABLISHED AND ORGANIZED TO CARE FOR THE ELDERLY AND DISABLED IN MONTEVIDEO AND IN THE SOUTHWEST MINNESOTA DISTRICT OF THE ELCA. ITS PURPOSE IS TO SERVE THE ELDERLY AND DISABLED AND TO PROMOTE THEIR PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A CHRISTIAN ATMOSPHERE. NO PERSON BECAUSE OF RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO MEDICAL ASSISTANCE, DISABILITY, SEXUAL ORIENTATION, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION OR VETERAN STATUS SHALL BE BARRED ADMISSION FROM LUTHER HAVEN. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,093,147 | ExpenseAmt |
| Grant | $27,103 | GrantAmt |
| Revenue | $6,527,203 | RevenueAmt |
| Desc | CARE CENTER:NURSING DEPARTMENT WITH A BUDGET OF 3 MILLION IS OUR LARGEST DEPARTMENT. IT EMPLOYS APPROXIMATELY 80 EMPLOYEES. WE PROVIDE LONG AND SHORT STAY CARE AND A FULL LINE OF REHAB SERVICES TO PROMOTE MAXIMUM RESIDENT HEALTH AND RETURN TO COMMUNITY. WE ARE LICENSED FOR 90 BEDS. ALSO, ON THE CAMPUS IS COPPER GLEN, ASSISTED LIVING AND THE MONTEVIDEO-CHIPPEWA COUNTY HOSPITAL AND MEDICAL CENTER. ALL BUILDINGS ARE CONNECTED, AND CERTAIN SERVICES ARE SHARED FOR COST SHARING AND COST SAVINGS. WE ARE CERTIFIED WITH MEDICARE AND MEDICAID AND LICENSED WITH THE MINNESOTA DEPARTMENT OF HEALTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $716,859 | ExpenseAmt |
| Revenue | $834,310 | RevenueAmt |
| Desc | COPPER GLEN:COPPER GLEN IS A LICENSED CLASS F ASSISTED LIVING FACILITY. COPPER GLEN IS DESIGNED AS AN APARTMENT STYLE COMPLEX WITH SERVICES AVAILABLE TO ASSIST THE TENANTS TO AGE IN A HOME ENVIRONMENT. PROGRAM SERVICES ARE INTENDED TO BRIDGE THE GAP BETWEEN INDEPENDENT LIVING AND THE CARE CENTER. SERVICES PROVIDED INCLUDE MEALS, BATHING, HOUSEKEEPING, MAINTENANCE, LAUNDRY, AND REGISTERED NURSE SUPERVISION STAFFING. ALSO PROVIDED IS ALA CARTE SERVICES, CENTRAL STORAGE OF MEDICATIONS, MEDICATION ADMINISTRATION AND MANAGEMENT. VOLUNTEERS AND A LOCAL PASTORAL ORGANIZATION PROVIDE WORSHIP SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,810,006 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 199 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANN NORDSTROM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3202696517 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1109 EAST HIGHWAY 7 | AddressLine1Txt |
| City | MONTEVIDEO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56265 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JEROME FRAGODT | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL LUND | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KALIN EVENSON | ||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMANDA WOLLSCHLAGER | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SHELLY BEDNAR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KIMBERLY KVAM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BROCK MADSEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRETT OPDAHL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANE OSTLIE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY TEBEEST | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHUCK VIEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DON SNELL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUSTIN HUGHES | ||||||
| PRESIDENT/TREASURER/ADMINI | 40.00 | Yes (X) | $92,019 | $0 | $10,799 | |
| ANN NORDSTROM | ||||||
| FINANCE DIRECTOR | 40.00 | Yes (X) | $72,192 | $0 | $17,447 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $164,211 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $28,246 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BIG STONE THERAPIES INC | |||||
| 500 CROSS STREET | BIG STONE CITY | SD | 57216 | PT/OT/ST THERAPY SERVICES | $302,152 |
| ALL TEMPRARIES MIDWEST | |||||
| 4200 CENTRAL AVE NE | COLUMBIA HEIGHTS | MN | 55421 | STAFFING AGENCY | $216,412 |
| HGA | |||||
| SDS 12-1861 | MINNEAPOLIS | MN | 554861861 | ARCHITECTURAL SERVICES | $213,312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $201,376 | GovernmentGrantsAmt |
| All Other Contributions | $10,754 | AllOtherContributionsAmt |
| Total Contributions | $212,130 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT ROOM AND BOAR | 623000 | $6,118,271 | $6,118,271 |
| THERAPY | 623000 | $687,750 | $687,750 |
| SHARED SERVICES | 623000 | $263,895 | $263,895 |
| OTHER SERVICES | 623000 | $253,286 | $253,286 |
| PHARMACY SERVICES | 446110 | $38,311 | $38,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,361,513 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,976 | TotalRevenueColumnAmt |
| Exclusion | $15,976 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $131 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$131 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$131 | TotalRevenueColumnAmt |
| Exclusion | -$131 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GUEST MEALS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $48 | TotalRevenueColumnAmt |
| Exclusion | $48 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,589,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,361,513 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,893 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,103 | TotalAmt |
| Program Services | $27,103 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,457 | TotalAmt |
| Management And General | $192,457 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,587,896 | TotalAmt |
| Program Services | $4,397,142 | ProgramServicesAmt |
| Management And General | $190,754 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,555 | TotalAmt |
| Program Services | $49,555 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,764 | TotalAmt |
| Program Services | $589,727 | ProgramServicesAmt |
| Management And General | $23,037 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,776 | TotalAmt |
| Program Services | $303,434 | ProgramServicesAmt |
| Management And General | $24,342 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,539 | TotalAmt |
| Management And General | $4,539 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,382 | TotalAmt |
| Management And General | $28,382 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,229 | TotalAmt |
| Program Services | $933,298 | ProgramServicesAmt |
| Management And General | $38,931 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965 | TotalAmt |
| Management And General | $965 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,812 | TotalAmt |
| Program Services | $25,645 | ProgramServicesAmt |
| Management And General | $60,167 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,697 | TotalAmt |
| Management And General | $22,697 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,826 | TotalAmt |
| Program Services | $216,826 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,417 | TotalAmt |
| Program Services | $3,538 | ProgramServicesAmt |
| Management And General | $879 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292 | TotalAmt |
| Program Services | $292 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,219 | TotalAmt |
| Program Services | $217,063 | ProgramServicesAmt |
| Management And General | $40,156 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,442 | TotalAmt |
| Management And General | $78,442 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $648,040 | $648,040 | |
| SURCHARGE | $253,350 | $253,350 | |
| REPAIRS AND MAINTENANCE | $186,107 | $131,093 | $55,014 |
| BAD DEBT EXPENSE | $13,900 | $13,900 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,457 | TotalAmt |
| Management And General | $49,457 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,620,225 | TotalAmt |
| Program Services | $7,810,006 | ProgramServicesAmt |
| Management And General | $810,219 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,338,897 | BOYAmt |
| EOY | $622,883 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,117 | BOYAmt |
| EOY | $224,038 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $842,366 | BOYAmt |
| EOY | $526,510 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,581 | BOYAmt |
| EOY | $43,581 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,063 | BOYAmt |
| EOY | $55,706 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,523,066 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,462,301 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,124,206 | BOYAmt |
| EOY | $3,060,765 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,551 | BOYAmt |
| EOY | $1,117,487 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,260 | BOYAmt |
| EOY | $12,260 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,741,041 | BOYAmt |
| EOY | $5,663,230 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $771,135 | BOYAmt |
| EOY | $633,253 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,725 | BOYAmt |
| EOY | $27,548 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $809,860 | BOYAmt |
| EOY | $660,801 | 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 | $5,910,525 | BOYAmt |
| EOY | $4,986,762 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,656 | BOYAmt |
| EOY | $15,667 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,931,181 | BOYAmt |
| EOY | $5,002,429 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,741,041 | BOYAmt |
| EOY | $5,663,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,030,689 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $101,937 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $2,248 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,283 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,349 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $595,429 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $212,130 | CurrentTaxYearAmt |
| Total | $818,439 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,603,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,690,788 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,418,311 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,261,050 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,361,513 | CurrentTaxYearAmt |
| Total | $42,334,919 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,356 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48 | CurrentTaxYearAmt |
| Total | $11,650 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,609,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,700,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,425,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,856,874 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,573,691 | CurrentTaxYearAmt |
| Total | $43,165,008 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $43,165,008 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,291 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,294 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,976 | CurrentTaxYearAmt |
| Total | $61,059 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,291 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,294 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,976 | CurrentTaxYearAmt |
| Total | $61,059 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,619,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,709,677 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,436,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,870,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,589,667 | CurrentTaxYearAmt |
| Total | $43,226,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99870 | PublicSupportPY509Pct |
| Investment Income CY | 0.00140 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00130 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,917 | OtherCostOrOtherBasisAmt |
| Book Value | $43,917 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,603,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,077,440 | DepreciationAmt |
| Book Value | $1,526,152 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,593,263 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,384,861 | DepreciationAmt |
| Book Value | $208,402 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,282,294 | OtherCostOrOtherBasisAmt |
| Book Value | $1,282,294 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,060,765 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,691,473 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $101,937 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $101,937 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,589,536 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,589,536 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,620,225 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,620,225 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,620,225 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS THE TRUSTEE OF RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS OF THE SKILLED NURSING FACILITY. SECURITY DEPOSITS ADVANCED BY TENANTS OF COPPER GLEN ARE ALSO HELD IN TRUST BY THE ORGANIZATION. THE ORGANIZATION RECORDS THE AMOUNT ADVANCED BY THE RESIDENTS AND TENANTS AS LIABILITIES IN THE ACCOMPANYING BALANCE SHEETS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $21,703 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | LUTHER HAVEN HAS A NURSING FACILITY SCHOLARSHIP FUND. EMPLOYEES MUST MEET CERTAIN ELIGIBILITY REQUIREMENTS. SCHOLARSHIP PARTICIPANTS MUST PERSONALLY TURN IN ALL ALLOWABLE EXPENSES. DIRECT BILLINGS FROM THE COLLEGE ARE NOT ACCEPTED. SCHOLARSHIP APPLICATIONS AND REIMBURSEMENTS ARE PROCESSED BY ACCOUNTING AFTER BEING APPROVED BY THE DEPARTMENT MANAGER, ADMINISTRATOR OR HUMAN RESOURCES. ACCOUNTING VERIFIES AND TRACKS YEARLY PAYMENTS FOR REPORT PURPOSES. PAYMENTS ARE MADE DIRECTLY TO THE EMPLOYEE. THE APPLICANT MUST COMPLETE THE SCHOLARSHIP REIMBURSEMENT FORM BY ATTACHING AN ITEMIZED DETAILED BILLING OF THE ALLOWABLE EXPENSES WITH RECEIPTS SHOWING THEIR PAYMENT IN FULL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD DIRECTOR CHUCK VIEN IS THE BROTHER IN-LAW OF MICHAEL LUND BOARD DIRECTOR/OFFICER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERSHIP OF LUTHER HAVEN CONSISTS OF CONGREGATIONS OF CHRISTIAN CHURCHES WHICH HAVE APPLIED FOR SUCH MEMBERSHIP AND HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND FINANCE DIRECTOR BEFORE PROVIDING A COPY TO OUR BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE RESPONSIBILITY OF EVERY BOARD MEMBER TO STATE IF THEY FEEL THEY HAVE A CONFLICT OF INTEREST ON A VOTING MATTER. UNDER ANY TRANSACTION BETWEEN THE CORPORATION AND BOARD MEMBER, FULL DISCLOSURE MUST BE MADE TO THE BOARD OF DIRECTORS OR COMMITTEE BEFORE APPROVAL. THAT BOARD MEMBER OR COMMITTEE MEMBER SHALL NOT VOTE, AND THE MEETING MINUTES SHOULD REFLECT THE BOARD MEMBER OR COMMITTEE MEMBER ABSTAINED FROM VOTING. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES TWO SALARY SURVEYS, ONE FROM AGING SERVICES OF MINNESOTA AND ANOTHER FROM MEDISOTA, A NON-PROFIT GROUP. THE COMPENSATION AND BENEFIT SURVEY IS FOR HEALTH CARE FACILITIES IN THE SOUTHWEST REGION OF MINNESOTA. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 11G | NURSING: PROGRAM SERVICE EXPENSES 490,472. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,472. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 42,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,535. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 112,098. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,098. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 150,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,782. CHAPLAIN: PROGRAM SERVICE EXPENSES 36,152. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,152. DIETARY: PROGRAM SERVICE EXPENSES 33,308. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,308. OTHER SERVICES: PROGRAM SERVICE EXPENSES 67,951. MANAGEMENT AND GENERAL EXPENSES 38,931. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,882. |
Comments