FURP.ORG / PUBLIC DATA EXPLORER

LYNGBLOMSTEN CARE CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LYNGBLOMSTEN CARE CENTER INC (EIN 41-1310487)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-29
IRS object ID
202113029349301566
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-10-29T13:11:45-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411310487EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNGBLOMSTEN CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLYNGBusinessNameControlTxt
Phone6516462941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY J JACOBSONPersonNm
Person TitleCFOPersonTitleTxt
Phone6516462941PhoneNum
Signature2021-10-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRADLEYPersonFirstNm
Person LastJACOBSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTYLER SWENSONPreparerPersonNm
PTINP01663661PTIN
Phone6123764500PhoneNum
Preparation2021-10-28PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF HEINECKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,494,109GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LYNGBLOMSTEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionINFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee558TotalEmployeeCnt
Total Volunteers311TotalVolunteersCnt
Total Gross UBI$497,095TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$246,380PYContributionsGrantsAmt
CY Contributions Grants$1,668,011CYContributionsGrantsAmt
PY Program Service Revenue$26,067,075PYProgramServiceRevenueAmt
CY Program Service Revenue$25,595,884CYProgramServiceRevenueAmt
PY Investment Income$91,363PYInvestmentIncomeAmt
CY Investment Income-$17,471CYInvestmentIncomeAmt
PY Other Revenue$120,577PYOtherRevenueAmt
CY Other Revenue$156,107CYOtherRevenueAmt
PY Total Revenue$26,525,395PYTotalRevenueAmt
CY Total Revenue$27,402,531CYTotalRevenueAmt
PY Grants And Similar Paid$1,699,820PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$962,412CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,547,279PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,783,338CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,849,416PYOtherExpensesAmt
CY Other Expenses$6,025,070CYOtherExpensesAmt
PY Total Expenses$27,096,515PYTotalExpensesAmt
CY Total Expenses$27,770,820CYTotalExpensesAmt
PY Revenues Less Expenses-$571,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$368,289CYRevenuesLessExpensesAmt
Total Assets BOY$20,099,477TotalAssetsBOYAmt
Total Assets EOY$25,120,297TotalAssetsEOYAmt
Total Liabilities BOY$11,178,142TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,558,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,921,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,561,573NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$24,437,898ExpenseAmt
Grant$962,412GrantAmt
Revenue$25,098,789RevenueAmt
DescTHE LYNGBLOMSTEN CARE CENTER, A 225-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING SPECIALIZED CARE FOR ALZHEIMER'S DISEASE AND OTHER DEMENTIAS, PARKINSON'S DISEASE, AND PALLIATIVE CARE. IN 2020, 537 PERSONS RECEIVED CARE. CHAPLAINS, VOLUNTEERS, AND PROFESSIONAL STAFF ENSURE RESIDENTS RECEIVE QUALITY HEALTHCARE IN A DIGNIFIED MANNER. ALTHOUGH HEALTH ISSUES PREVENT THESE OLDER ADULTS FROM LIVING IN THEIR OWN HOMES, LYNGBLOMSTEN PROMOTES PERSON-CENTERED CARE, GIVING OLDER ADULTS AS MANY CHOICES AND COMFORTS OF HOME AS POSSIBLE. WHILE THE PANDEMIC HAS LIMITED THE TYPES OF ACTIVITIES AVAILABLE FOR RESIDENTS, STAFF HAVE FOUND CREATIVE WAYS TO HELP THEM REMAIN CONNECTED AND ENGAGED. RESIDENTS ARE ABLE TO ENGAGE IN A VARIETY OF ACTIVITIES (E.G., INDIVIDUAL ART PROJECTS, SPECIAL PROGRAMMING ON LYNGBLOMSTEN'S IN-HOUSE TV CHANNEL, IN-PERSON SMALL GROUP ACTIVITIES), AND THEY ARE ENCOURAGED TO PARTICIPATE IN VIRTUAL AND IN-PERSON VISITS WITH FAMILY AND FRIENDS WHILE FOLLOWING ALL APPLICABLE GUIDANCE FROM STATE AND FEDERAL HEALTH AGENCIES. LYNGBLOMSTEN CARE CENTER, INC., IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$543,137ExpenseAmt
Revenue$497,095RevenueAmt
DescEMENUCHOICE IS THE WEB-BASED SOFTWARE APPLICATION DEVELOPED ORIGINALLY BY LYNGBLOMSTEN FOR IMPROVING ITS RESIDENT DINING EXPERIENCE. THE TOOL REDUCES COMMUNICATION BARRIERS FOR RESIDENT MEAL ORDERING WHILE ENABLING PERSON-CENTERED CHOICES, MAXIMIZING ACCURACY, STREAMLINING KITCHEN MEAL PREP, AND REDUCING WASTE. IN RESPONSE TO SENIOR LIVING COMMUNITIES NEEDING TO LIMIT THE NUMBER OF PERSONS GATHERED TOGETHER DURING THE PANDEMIC, EMENUCHOICE DEVELOPED AND LAUNCHED A RESERVATIONS FEATURE THAT ALLOWS COMMUNITIES TO ASSIGN CAPACITY LIMITS TO DINING ROOMS AND TAKE MEAL RESERVATIONS. IN 2020, EMENUCHOICE EXPANDED ITS CLIENT BASE FROM 159 TO 206 FACILITIES LOCATED IN 31 STATES, WITH FOUR ADDITIONAL COMMUNITIES USING IT IN ONTARIO, CANADA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$24,981,035TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee558EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRADLEY J JACOBSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6516325310PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
REV MARTIN ERICSON
CHAIR1.005.00Yes (X)Yes (X)$0$0$0
KIM DONAT
VICE CHAIR1.004.00Yes (X)Yes (X)$0$0$0
REV JOY JOHNSON
SECRETARY1.004.00Yes (X)Yes (X)$0$0$0
DAVID CHRISTIANSON
TREASURER1.004.00Yes (X)Yes (X)$0$0$0
JEFF HEINECKE
PRESIDENT & CEO32.507.50Yes (X)Yes (X)$187,140$0$41,251
DEBRA GEORGE
DIRECTOR1.002.00Yes (X)$0$0$0
PETER KEELY
DIRECTOR1.002.00Yes (X)$0$0$0
GRETCHEN MANN
DIRECTOR1.002.00Yes (X)$0$0$0
TRUPTI STORLIE
DIRECTOR1.003.00Yes (X)$0$0$0
JOHN PECK
DIRECTOR1.002.00Yes (X)$0$0$0
PETER POLGA
DIRECTOR1.002.00Yes (X)Yes (X)$0$0$0
ELAINE PRICKEL
DIRECTOR1.002.00Yes (X)$0$0$0
MICHAEL SANTORO
DIRECTOR1.002.00Yes (X)$0$0$0
PAMELA DRAGSETH THROUGH MAY 20
DIRECTOR1.002.00Yes (X)$0$0$0
CHARLES NORTON THROUGH MAY 20
DIRECTOR1.002.00Yes (X)$0$0$0
BRADLEY J JACOBSON
CFO35.005.00Yes (X)$148,336$0$41,397
BRENDA JOHNSON THRU DEC 20
ADMINISTRATOR40.00$165,503$0$39,409Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$500,979TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$122,057TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRO REHAB
200 LEWIS AVENUE SOUTH SUITE 210WATERTOWNMN55388THERAPY$773,242
MERWIN LTC PHARMACY
PO BOX 856706MINNEAPOLISMN55485PHARMACY$352,693
CLIFTONLARSONALLEN
220 SOUTH SIXTH STREET SUITE 300MINNEAPOLISMN55402FINANCIAL/CONSULTING$152,314
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$1,668,011RelatedOrganizationsAmt
Total Contributions$1,668,011TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
RESIDENT SERVICES623312$25,098,789$25,098,789
EMENUCHOICE541511$497,095$497,095
FieldValueIRS element (for citing)
Total Program Service Revenue$25,595,884TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,554TotalRevenueColumnAmt
Exclusion$46,554ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$27,553SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,745SecuritiesAmt
Other$67,833OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,808SecuritiesAmt
Other-$67,833OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$64,025TotalRevenueColumnAmt
Exclusion-$64,025ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
BEAUTY SHOP REVENUE900099$30,805$30,805
SATELLITE TV REVENUE900099$19,090$19,090
TELEPHONE REVENUE900099$16,397$16,397

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$89,815TotalRevenueColumnAmt
Exclusion$89,815ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$156,107OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,402,531TotalRevenueColumnAmt
Related Or Exempt Func Income$25,098,789RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$497,095UnrelatedBusinessRevenueAmt
Exclusion$138,636ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,000TotalAmt
Program Services$100,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$862,412TotalAmt
Program Services$862,412ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$623,036TotalAmt
Management And General$623,036ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,381,136TotalAmt
Program Services$14,430,193ProgramServicesAmt
Management And General$950,943ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$390,252TotalAmt
Program Services$364,980ProgramServicesAmt
Management And General$25,272ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,989,634TotalAmt
Program Services$2,742,455ProgramServicesAmt
Management And General$247,179ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,399,280TotalAmt
Program Services$1,241,238ProgramServicesAmt
Management And General$158,042ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$44,340TotalAmt
Management And General$44,340ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,940TotalAmt
Management And General$22,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,812TotalAmt
Management And General$76,812ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,105,269TotalAmt
Program Services$1,066,772ProgramServicesAmt
Management And General$38,497ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$58,243TotalAmt
Management And General$58,243ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$582,624TotalAmt
Program Services$384,866ProgramServicesAmt
Management And General$197,758ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$155,100TotalAmt
Management And General$155,100ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$517,057TotalAmt
Program Services$463,883ProgramServicesAmt
Management And General$53,174ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,735TotalAmt
Program Services$5,771ProgramServicesAmt
Management And General$9,964ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,658TotalAmt
Program Services$2,385ProgramServicesAmt
Management And General$273ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$843,583TotalAmt
Program Services$755,508ProgramServicesAmt
Management And General$88,075ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,710TotalAmt
Program Services$34,729ProgramServicesAmt
Management And General$3,981ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,093,514$1,093,514
FOOD$738,247$738,247
LICENSE SURCHARGE$633,375$633,375
MISCELLANEOUS$2,539$2,539

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$94,324TotalAmt
Program Services$60,707ProgramServicesAmt
Management And General$33,617ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,770,820TotalAmt
Program Services$24,981,035ProgramServicesAmt
Management And General$2,789,785ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,491,009BOYAmt
EOY$6,306,545EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,817BOYAmt
EOY$24,845EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,695,251BOYAmt
EOY$2,294,811EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$94,729BOYAmt
EOY$60,992EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,023,262LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,346,526LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,421,944BOYAmt
EOY$13,676,736EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$190,750BOYAmt
EOY$1,209,319EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$399,180BOYAmt
EOY$399,180EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,781,797BOYAmt
EOY$1,147,869EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,099,477BOYAmt
EOY$25,120,297EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,663,524BOYAmt
EOY$2,244,282EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,449,663EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,727,199BOYAmt
EOY$8,502,265EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$44,951BOYAmt
EOY$53,181EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$742,468BOYAmt
EOY$4,309,333EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,178,142BOYAmt
EOY$16,558,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,335,174BOYAmt
EOY$8,504,537EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$586,161BOYAmt
EOY$57,036EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,921,335BOYAmt
EOY$8,561,573EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,099,477BOYAmt
EOY$25,120,297EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$368,289ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,527NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$246,379CurrentTaxYearMinus1YearAmt
Current Tax Year$1,668,011CurrentTaxYearAmt
Total$2,068,021TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,261,069CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,484,481CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,045,501CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,696,959CurrentTaxYearMinus1YearAmt
Current Tax Year$25,098,789CurrentTaxYearAmt
Total$124,586,799TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,314,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,544,731CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,085,756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,943,338CurrentTaxYearMinus1YearAmt
Current Tax Year$26,766,800CurrentTaxYearAmt
Total$126,654,820TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$126,654,820PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228,068CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$148,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$82,809CurrentTaxYearMinus1YearAmt
Current Tax Year$50,804CurrentTaxYearAmt
Total$641,851TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228,068CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$148,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$82,809CurrentTaxYearMinus1YearAmt
Current Tax Year$50,804CurrentTaxYearAmt
Total$641,851TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,292CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,164CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$370,116CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$640,159TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$249,221CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,295CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,577CurrentTaxYearMinus1YearAmt
Current Tax Year$156,107CurrentTaxYearAmt
Total$855,525TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,792,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,002,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,506,284CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,516,840CurrentTaxYearMinus1YearAmt
Current Tax Year$26,973,711CurrentTaxYearAmt
Total$128,792,355TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98340PublicSupportCY509Pct
Public Support PY5090.98090PublicSupportPY509Pct
Investment Income CY0.00500InvestmentIncomeCYPct
Investment Income PY0.00630InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationBEAUTY SHOP REVENUE SATELLITE TV REVENUE TELEPHONE REVENUE GUEST MEAL REVENUE MISCELLANEOUS REVENUEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,767OtherCostOrOtherBasisAmt
Book Value$94,767BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,713,808OtherCostOrOtherBasisAmt
Depreciation$17,445,094DepreciationAmt
Book Value$12,268,714BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,124,534OtherCostOrOtherBasisAmt
Depreciation$2,834,848DepreciationAmt
Book Value$1,289,686BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,153OtherCostOrOtherBasisAmt
Depreciation$66,584DepreciationAmt
Book Value$23,569BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,676,736TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$87,295
CAPITAL LEASE OBLIGATION$35,338
REFUNDABLE ADVANCE$4,186,700
FieldValueIRS element (for citing)
Total Liability$4,309,333TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE CORPORATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS.
PART X, LINE 2:THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNGBLOMSTEN FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd
FieldValueIRS element (for citing)
Recipient EIN363371887RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$100,000CashGrantAmt
Purpose Of GrantTO SUPPORT GENERAL OPERATIONS.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient79RecipientCnt
Cash Grant$862,412CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationLYNGBLOMSTEN CARE CENTER MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. ALL RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE USE OF THESE FUNDS THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS. LYNGBLOMSTEN SCHOLARSHIPS WILL BE AWARDED TO EMPLOYEES ENTERING AND/OR FURTHERING THEIR EDUCATION IN LONG TERM HEALTH CARE. THE FOLLOWING PROCEDURES MUST BE FOLLOWED IN ORDER TO RECEIVE SUCH A SCHOLARSHIP. 1. A FULLY COMPLETED APPLICATION PACKET MUST BE SUBMITTED TO HUMAN RESOURCES ON OR BEFORE PAYMENT OR THIRD PARTY BILLING FORMS WILL BE COMPLETED. 2. ALL EMPLOYEES EXCEPT THE ADMINISTRATOR ARE ELIGIBLE. 3. APPLICANT MUST BE CURRENTLY EMPLOYED BY LYNGBLOMSTEN AND HAVE COMPLETED 1040 HOURS OF SERVICE PRIOR TO APPLYING. IF EMPLOYMENT IS TERMINATED WITHIN 90 DAYS OF RECEIVING SCHOLARSHIP FUNDS, THEY MUST BE RETURNED TO LYNGBLOMSTEN. ALL FUNDS GRANTED MUST BE USED FOR STATED PURPOSE OF APPLICATION, OTHERWISE THEY MUST BE RETURNED TO LYNGBLOMSTEN. 4. APPLICANT MUST BE WORKING AN AVERAGE OF 10 HOURS PER WEEK THE 6 MONTH PERIOD PRIOR TO THE SEMESTER OR QUARTER FUNDS ARE APPLIED FOR. 5. APPLICANT MAY BE FROM ANY DEPARTMENT/PROGRAM WITHIN LYNGBLOMSTEN. 6. APPLICANT MUST BE ENROLLED IN AND/OR ACCEPTED IN AN EDUCATIONAL PROGRAM THAT WILL PREPARE THEM FOR POSITIONS COMMON TO LONG TERM CARE. 7. SCHOLARSHIPS MAY BE AWARDED FOR AMOUNTS COVERING FULL TUITION AND BOOK FEES FOR ALL APPLICANTS. 8. SCHOLARSHIPS MAY BE AWARDED MORE THAN ONCE PER YEAR, BUT A NEW APPLICATION PACKET MUST BE COMPLETED WITH EACH REQUEST FOR FUNDS. 9. AWARDED SCHOLARSHIP MONEY WILL BE SENT DIRECTLY TO THE INSTITUTION, WHEN POSSIBLE. 10. ALL SCHOLARSHIPS AWARDED BY LYNGBLOMSTEN ARE INTENDED FOR SCHOOL TUITION AND BOOKS ONLY. OTHER GRANTS AND SCHOLARSHIPS MUST BE AWARDED, PRIOR TO THE LYNGBLOMSTEN SCHOLARSHIP. IF LYNGBLOMSTEN SCHOLARSHIP DOLLARS ARE IN EXCESS, THEY MUST BE RETURNED TO LYNGBLOMSTEN IMMEDIATELY. FAILURE TO DO SO WILL RESULT IN REPAYMENT AND/OR DISCIPLINE UP TO AND INCLUDING TERMINATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF HEINECKE
PRESIDENT & CEO$175,470$0$4,553$0$7,117$0$7,861$0$33,390$0$228,391$0$0$0
BRENDA JOHNSON THRU DEC 20
ADMINISTRATOR$132,635$0$4,990$0$27,878$0$5,851$0$33,558$0$204,912$0$0$0
BRADLEY J JACOBSON
CFO$142,887$0$5,449$0$0$0$6,339$0$35,058$0$189,733$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PORT AUTHORITY OF THE CITY OF SAINT PAULBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005524BondIssuerEIN
CUSIP79307PBE7CUSIPNum
Bond Issued2018-06-21BondIssuedDt
Issue Price$9,200,000IssuePriceAmt
PurposeTO FUND A RENOVATION PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$360,000RetiredAmt
Total Proceeds$9,381,816TotalProceedsAmt
Capitalized Interest$461,590CapitalizedInterestAmt
Issuance Costs From Proceeds$184,000IssuanceCostsFromProceedsAmt
Capital Expenditures$9,349,821CapitalExpendituresAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART II, LINE 3- TOTAL PROCEEDS OF ISSUEFormAndLineReferenceDesc
ExplanationTHE TOTAL PROCEEDS OF ISSUE REPORTED ON LINE 3 FOR THE PORT AUTORITY OF THE CITY OF SAINT PAUL BONDS INCLUDES $181,816 OF INVESTMENT EARNINGS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDAN SHAUGHNESSYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBROTHER IN-LAW TO PRESIDENT/CEORelationshipDescriptionTxt
Transaction$102,066TransactionAmt
TransactionCOMPENSATION & BENEFITSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2THE LYNGBLOMSTEN CARE CENTER COMPLETED A THREE-YEAR, $10 MILLION RENOVATION THAT BROUGHT MAJOR MODIFICATIONS TO RESIDENT ROOMS, BATHROOMS, AND SHARED LIVING SPACES (BOTH INDOOR AND OUTDOOR). AFTER MUCH PREPARATION, LYNGBLOMSTEN BECAME A PARTICIPATING ORGANIZATION IN TWO INSTITUTIONAL SPECIAL NEEDS PLANS, OR I-SNPS, OFFERED BY MEDICA AND UCARE. EACH I-SNP PROVIDES HEALTH INSURANCE FOR COORDINATED MEDICAL CARE TO THOSE NEEDING NURSING SERVICES ON CAMPUS (BOTH CARE CENTER RESIDENTS AND SENIOR HOUSING TENANTS).
FORM 990, PART III, LINE 3RESPONDING TO THE COVID-19 PANDEMIC, THE CARE CENTER IMPLEMENTED LIMITED VISITATION GUIDELINES IN MID-MARCH 2020 IN ACCORD WITH GUIDANCE FROM FEDERAL AND STATE HEALTH AGENCIES. AS COVID-19 EVOLVED, CAMPUS POLICIES RELATED TO VISITATION, TESTING, COMMUNICATIONS, AND ACTIVITIES ADJUSTED MULTIPLE TIMES AS AGENCIES ISSUED NEW GUIDELINES.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS MADE UP THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY OF THE BOARD ALONG WITH PRESIDENT/CEO OF THE CORPORATION. ALL ITEMS APPROVED BY THE EXECUTIVE COMMITTEE ARE REAFFIRMED BY THE FULL BOARD AT THEIR NEXT MEETING.
FORM 990, PART VI, SECTION A, LINE 6THE BOARD OF DIRECTORS OF LYNGBLOMSTEN ARE THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE CONGREGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO, AS MEMBERS OF LYNGBLOMSTEN, ELECT THE LYNGBLOMSTEN BOARD. THE BOARD OF DIRECTORS OF LYNGBLOMSTEN CARE CENTER CONSISTS SOLELY OF DULY ELECTED AND QUALIFIED MEMBERS OF THE BOARD OF DIRECTORS OF LYNGBLOMSTEN. ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CONSTITUTES ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CARE CENTER FOR THE SAME TERM.
FORM 990, PART VI, SECTION A, LINE 7BCHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BTHE CEO, CFO, AND CONTROLLER REVIEW THE DOCUMENT, WHICH IS EMAILED TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO THEIR MEETING FOR REVIEW AND COMMENT. THE BOARD RECEIVES THE DOCUMENT PRIOR TO THEIR BOARD MEETING BY EMAIL. PAPER COPIES ARE AVAILABLE AT THE BOARD MEETING FOR FURTHER DISCUSSION AND BOARD APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CAN UPDATED CONFLICT OF INTEREST POLICY IS SIGNED BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THIS POLICY IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER AND IF ANY CONFLICTS OF INTERESTS EXIST THAT INDIVIDUAL IS EXCLUDED FROM PARTICIPATION AND VOTING ON RELATED TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15ATHE LYNGBLOMSTEN BOARD'S EXECUTIVE COMMITTEE REVIEWS AND SETS THE CEO'S COMPENSATION ANNUALLY AND PERFORMS A COMPENSATION STUDY PERIODICALLY, LAST COMPLETED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EMENUCHOICE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd
FieldValueIRS element (for citing)
EIN320473417EIN
Primary ActivitiesMAINTAINS, DEVELOPS, AND OFFERS WEB-BASED MEAL AND DIEATARY SOFTWARE PROGRAMPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$497,095TotalIncomeAmt
End Of Year Assets$64,937EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LYNGBLOMSTEN CARE CENTER INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LYNGBLOMSTEN APARTMENTS INC
1455 ALMOND AVEST PAULMN55108411327121LOW INCOME SENIOR HOUSINGMN501(C)3LINE 10LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC0
HERITAGE APARTMENTS INC
1440 MIDWAY PARKWAYST PAULMN55108411913420MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIESMN501(C)3LINE 10LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC0
LYNGBLOMSTEN FOUNDATION
1415 ALMOND AVEST PAULMN55108363371887FUNDRAISING FOR LYNGBLOMSTENMN501(C)3LINE 7LYNGBLOMSTEN0
LYNGBLOMSTEN SERVICES INC
1415 ALMOND AVEST PAULMN55108411760448SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTHMN501(C)3LINE 10LYNGBLOMSTEN0
LYNGBLOMSTEN
1415 ALMOND AVEST PAULMN55108410693865MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONSMN501(C)3LINE 100N/A
LYNGBLOMSTEN SENIOR HOUSING INC
1415 ALMOND AVEST PAULMN55108411913422MANAGEMENT OVERSIGHT SERVICES TO LYNGBLOMSTEN APTS & HERITAGE APTSMN501(C)3LINE 10LYNGBLOMSTEN0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LYNGBLOMSTEN FOUNDATION
C$1,668,011CASH
LYNGBLOMSTEN FOUNDATION
B$100,000CASH