FURP.ORG / PUBLIC DATA EXPLORER

LYNGBLOMSTEN CARE CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LYNGBLOMSTEN CARE CENTER INC (EIN 41-1310487)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-25
IRS object ID
202011779349300541
Schema version
2019v5.1
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)
Return2020-06-25T12:03:32-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-06-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCORY RUTLEDGEPreparerPersonNm
PTINP01329381PTIN
Phone6123764500PhoneNum
Preparation2020-06-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-23IPDt
IP Tm13:28:16IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdF7225F1D60C6CE8BB87848C96BBC564CF175B6D7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

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$26,700,627GrossReceiptsAmt
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 Employee550TotalEmployeeCnt
Total Volunteers796TotalVolunteersCnt
Total Gross UBI$370,116TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$114,088NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$40,255PYContributionsGrantsAmt
CY Contributions Grants$246,380CYContributionsGrantsAmt
PY Program Service Revenue$25,191,665PYProgramServiceRevenueAmt
CY Program Service Revenue$26,067,075CYProgramServiceRevenueAmt
PY Investment Income$176,099PYInvestmentIncomeAmt
CY Investment Income$91,363CYInvestmentIncomeAmt
PY Other Revenue$126,325PYOtherRevenueAmt
CY Other Revenue$120,577CYOtherRevenueAmt
PY Total Revenue$25,534,344PYTotalRevenueAmt
CY Total Revenue$26,525,395CYTotalRevenueAmt
PY Grants And Similar Paid$1,365,447PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,699,820CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,914,880PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,547,279CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,894,350PYOtherExpensesAmt
CY Other Expenses$5,849,416CYOtherExpensesAmt
PY Total Expenses$26,174,677PYTotalExpensesAmt
CY Total Expenses$27,096,515CYTotalExpensesAmt
PY Revenues Less Expenses-$640,333PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$571,120CYRevenuesLessExpensesAmt
Total Assets BOY$20,283,476TotalAssetsBOYAmt
Total Assets EOY$20,099,477TotalAssetsEOYAmt
Total Liabilities BOY$10,938,106TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,178,142TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,345,370NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,921,335NetAssetsOrFundBalancesEOYAmt
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 Change0SignificantChangeInd
Expense$24,079,011ExpenseAmt
Grant$1,699,820GrantAmt
Revenue$25,696,959RevenueAmt
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 2019, 593 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. PROGRAMMING (INCLUDING THE ARTS) AND SOCIAL EVENTS ARE HOSTED TO ENHANCE THE LIVES OF THESE OLDER ADULTS AND THEIR FAMILIES. 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$351,717ExpenseAmt
Revenue$370,116RevenueAmt
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 2019, EMENUCHOICE EXPANDED ITS CLIENT BASE FROM 79 TO 158 SITES LOCATED IN 28 STATES AND EXPANDED INTO CANADA WITH THREE COMMUNITIES IN ONTARIO.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$24,430,728TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee550EmployeeCnt
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TRUPTI STORLI
CHAIR1.005.00Yes (X)Yes (X)$0$0$0
REV MARTY ERICSON
VICE CHAIR1.005.00Yes (X)Yes (X)$0$0$0
KIM DONAT
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)$181,961$0$39,821
PAMELA DRAGSETH
VICE CHAIR (THROUGH MAY 2019)1.002.00Yes (X)$0$0$0
PETE KEELY
DIRECTOR1.002.00Yes (X)$0$0$0
REV JOY JOHNSON
DIRECTOR1.002.00Yes (X)$0$0$0
GRETCHEN MANN
DIRECTOR1.002.00Yes (X)$0$0$0
CHARLES NORTON
DIRECTOR1.002.00Yes (X)$0$0$0
JOHN PECK
DIRECTOR1.002.00Yes (X)$0$0$0
ELAINE PRICKEL
DIRECTOR1.002.00Yes (X)$0$0$0
MICHAEL SANTORO
DIRECTOR1.002.00Yes (X)$0$0$0
JIM STENDER THROUGH MAY 2019
DIRECTOR1.002.00Yes (X)$0$0$0
JANE DANIELSON THROUGH MAY 2019
DIRECTOR1.002.00Yes (X)$0$0$0
BRADLEY J JACOBSON
CFO35.005.00Yes (X)$142,056$0$39,497
BRENDA JOHNSON
ADMINISTRATOR40.000.00Yes (X)$141,712$0$40,358
MATTHEW STENERSON
CHIEF TECHNOLOGY OFFICER40.00Yes (X)$125,190$0$23,166
TODD FLIFLET
CONTROLLER40.00$108,858$0$32,359Yes (X)
NEWTON MOMANYI
RN50.00$111,629$0$27,443Yes (X)
MICHELE MARTISON
RN CLINICAL MANAGER42.00$116,452$0$13,907Yes (X)
EUNICE MURITHI
RN50.00$116,635$0$15,085Yes (X)
GREGORY WAINMAN
DON40.00$133,653$0$37,219Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,178,146TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$268,855TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRO REHAB
200 LEWIS AVENUE SOUTH SUITE 210WATERTOWNMN55388THERAPY$813,786
MERWIN LTC PHARMACY
PO BOX 856706MINNEAPOLISMN55485PHARMACY$355,542
CLIFTONLARSONALLEN
220 SOUTH SIXTH STREET SUITE 300MINNEAPOLISMN55402FINANCIAL/CONSULTING$226,255
ELDRE SOLUTIONS GROUP INCORPORATED
2273 WATERS DRIVEMENDOTA HEIGHTSMN55120INFORMATION TECHNOLOGY SERVICES$164,342
TOTAL NETWORX
417 WEST TRAVELERS TRAILBURNSVILLEMN55337INFORMATION TECHNOLOGY SERVICES$103,131
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$246,380RelatedOrganizationsAmt
Total Contributions$246,380TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
RESIDENT SERVICES623000$25,696,959$25,696,959
EMENUCHOICE541511$370,116$370,116
FieldValueIRS element (for citing)
Total Program Service Revenue$26,067,075TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,809TotalRevenueColumnAmt
Exclusion$82,809ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$182,799SecuritiesAmt
Other$987OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$175,232SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,567SecuritiesAmt
Other$987OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,554TotalRevenueColumnAmt
Exclusion$8,554ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
BEAUTY SHOP REVENUE900099$68,674$68,674
SATELLITE TV REVENUE900099$22,143$22,143
TELEPHONE900099$15,559$15,559

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,201TotalRevenueColumnAmt
Exclusion$14,201ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$120,577OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,525,395TotalRevenueColumnAmt
Related Or Exempt Func Income$25,696,959RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$370,116UnrelatedBusinessRevenueAmt
Exclusion$211,940ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,000,000TotalAmt
Program Services$1,000,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$699,820TotalAmt
Program Services$699,820ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$585,407TotalAmt
Management And General$585,407ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,489,120TotalAmt
Program Services$13,591,931ProgramServicesAmt
Management And General$897,189ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$397,360TotalAmt
Program Services$370,447ProgramServicesAmt
Management And General$26,913ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,949,995TotalAmt
Program Services$2,703,574ProgramServicesAmt
Management And General$246,421ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,125,397TotalAmt
Program Services$997,626ProgramServicesAmt
Management And General$127,771ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$32,630TotalAmt
Management And General$32,630ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,736TotalAmt
Management And General$28,736ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,506TotalAmt
Management And General$68,506ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,114,808TotalAmt
Program Services$1,080,297ProgramServicesAmt
Management And General$34,511ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$58,804TotalAmt
Management And General$58,804ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$607,454TotalAmt
Program Services$381,818ProgramServicesAmt
Management And General$225,636ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$134,402TotalAmt
Management And General$134,402ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$431,141TotalAmt
Program Services$386,802ProgramServicesAmt
Management And General$44,339ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$59,357TotalAmt
Program Services$21,143ProgramServicesAmt
Management And General$38,214ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,518TotalAmt
Program Services$3,156ProgramServicesAmt
Management And General$362ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$685,221TotalAmt
Program Services$614,552ProgramServicesAmt
Management And General$70,669ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,285TotalAmt
Program Services$29,862ProgramServicesAmt
Management And General$3,423ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,052,660$1,052,660
FOOD$819,528$819,528
LICENSE SURCHARGE$633,375$633,375
BAD DEBT EXPENSE$1,469$1,469

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$84,522TotalAmt
Program Services$44,137ProgramServicesAmt
Management And General$40,385ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,096,515TotalAmt
Program Services$24,430,728ProgramServicesAmt
Management And General$2,665,787ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,341,259BOYAmt
EOY$1,491,009EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,763BOYAmt
EOY$24,817EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,366,965BOYAmt
EOY$2,695,251EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$56,080BOYAmt
EOY$94,729EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,007,869LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,585,925LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,271,893BOYAmt
EOY$11,421,944EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,489,659BOYAmt
EOY$190,750EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,333,677BOYAmt
EOY$3,781,797EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,283,476BOYAmt
EOY$20,099,477EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,672,747BOYAmt
EOY$1,663,524EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,113BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,832,133BOYAmt
EOY$8,727,199EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$51,770BOYAmt
EOY$44,951EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$378,343BOYAmt
EOY$742,468EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,938,106BOYAmt
EOY$11,178,142EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,875,967BOYAmt
EOY$8,335,174EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$469,403BOYAmt
EOY$586,161EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,345,370BOYAmt
EOY$8,921,335EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,283,476BOYAmt
EOY$20,099,477EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$571,120ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$147,084NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$181,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,255CurrentTaxYearMinus1YearAmt
Current Tax Year$246,379CurrentTaxYearAmt
Total$581,700TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,949,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,261,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,484,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,045,501CurrentTaxYearMinus1YearAmt
Current Tax Year$25,696,959CurrentTaxYearAmt
Total$119,437,812TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,131,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,314,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,544,731CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,085,756CurrentTaxYearMinus1YearAmt
Current Tax Year$25,943,338CurrentTaxYearAmt
Total$120,019,512TotalAmt

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$120,019,512PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$228,068CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,039CurrentTaxYearMinus1YearAmt
Current Tax Year$82,809CurrentTaxYearAmt
Total$772,918TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$228,068CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,039CurrentTaxYearMinus1YearAmt
Current Tax Year$82,809CurrentTaxYearAmt
Total$772,918TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$249,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$203,295CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$126,325CurrentTaxYearMinus1YearAmt
Current Tax Year$120,577CurrentTaxYearAmt
Total$925,269TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,539,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,792,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,002,744CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,506,284CurrentTaxYearMinus1YearAmt
Current Tax Year$26,516,840CurrentTaxYearAmt
Total$122,357,858TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98090PublicSupportCY509Pct
Public Support PY5090.98440PublicSupportPY509Pct
Investment Income CY0.00630InvestmentIncomeCYPct
Investment Income PY0.00710InvestmentIncomePYPct
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$20,504,542OtherCostOrOtherBasisAmt
Depreciation$17,609,423DepreciationAmt
Book Value$2,895,119BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,032,637OtherCostOrOtherBasisAmt
Depreciation$2,920,393DepreciationAmt
Book Value$1,112,244BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,375,923OtherCostOrOtherBasisAmt
Depreciation$56,109DepreciationAmt
Book Value$7,319,814BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,421,944TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
RESIDENT TRUST FUNDS$44,951
DUE FROM RELATED PARTY$911,820
CONSTRUCTION FUND$2,728,598
BOND FUND$96,428
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,781,797TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATION$51,721
ASSET RETIREMENT OBLIGATION$90,606
CONSTRUCTION PAYABLE$600,141
FieldValueIRS element (for citing)
Total Liability$742,468TotalLiabilityAmt
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$1,000,000CashGrantAmt
Purpose Of GrantTO SUPPORT GENERAL OPERATIONS.PurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient77RecipientCnt
Cash Grant$699,820CashGrantAmt

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 (4 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$171,667$0$3,316$0$6,978$0$7,660$0$32,161$0$221,782$0$0$0
BRADLEY J JACOBSON
CFO$137,565$0$4,491$0$0$0$6,079$0$33,418$0$181,553$0$0$0
BRENDA JOHNSON
ADMINISTRATOR$131,842$0$3,830$0$6,040$0$6,099$0$34,259$0$182,070$0$0$0
GREGORY WAINMAN
DON$132,258$0$1,395$0$0$0$5,669$0$31,550$0$170,872$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$120,000RetiredAmt
Total Proceeds$9,381,816TotalProceedsAmt
Capitalized Interest$461,590CapitalizedInterestAmt
Issuance Costs From Proceeds$184,000IssuanceCostsFromProceedsAmt
Capital Expenditures$6,083,155CapitalExpendituresAmt
Unspent$2,653,071UnspentAmt
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$95,707TransactionAmt
TransactionCOMPENSATION & BENEFITSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2PROGRESS ON THE $9 MILLION RENOVATION OF THE LYNGBLOMSTEN CARE CENTER CONTINUED IN 2019. THE CARE CENTER'S FOURTH FLOOR, WHICH HOUSES ITS MEMORY CARE UNIT, WAS COMPLETELY RENOVATED. INCLUDED IN THOSE EFFORTS WAS THE INSTALLATION OF A DIGITAL LIGHTED CEILING THAT BROADCASTS IMAGERY OF THE SKY. THE ENTIRE SOUTH BUILDING HAS BEEN RENOVATED, INCLUDING CORRIDORS, KITCHENS, DINING ROOMS, LIVING ROOMS, AND NURSING STATIONS. EACH RESIDENT ROOM RECEIVED A NEW COAT OF PAINT AND NEW FLOORING. A NEW GENERATOR WAS INSTALLED TO REPLACE AN AGING MODEL, AS WELL AS ALL THE WIRING THAT FEEDS AND CONTROLS IT. NEW WINDOWS WERE INSTALLED IN RESIDENT ROOMS OF THE ENTIRE NORTH BUILDING. TO FINANCE THE PROJECT, LYNGBLOMSTEN ISSUED $9.2 MILLION IN BONDS AND IS CONDUCTING A CAPITAL CAMPAIGN. RENOVATIONS ARE EXPECTED TO BE COMPLETE IN FALL 2020.
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 15ATHE LYNGBLOMSTEN BOARD'S EXECTURIVE COMMITTE REVIEWS AND SETS THE CEO'S COMPENSATION ANNUALLY AND PERFORMS A COMPENSATION STUDY PERIODIALLY, LAST COMPLETED IN 2013.
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$370,116TotalIncomeAmt
End Of Year Assets$113,555EndOfYearAssetsAmt

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