MOUNT OLIVET CAREVIEW HOME: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MOUNT OLIVET CAREVIEW HOME (EIN 41-0802697)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-07-31
IRS object ID
201902129349300305
Schema version
2018v3.1
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)
Return2019-07-31T08:13:59-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410802697EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNT OLIVET CAREVIEW HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone6128275677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15517 LYNDALE AVENUE SOUTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55419ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY HOKANSONPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone6128275677PhoneNum
Signature2019-07-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJED CHENEYPreparerPersonNm
PTINP01587750PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-16IPDt
IP Tm12:39:12IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3018D2C7A8EF8E88940F980D8F52F9F97466C021AtSubmissionCreationDeviceId
At Submission Filing Device IdA6AD3476A9076C5B724E5E12CCE393A62F1B66BAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY HOKANSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15517 LYNDALE AVENUE SOUTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55419ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,895,944GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MTOLIVETHOMES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY LONG TERM CARE FOR RESIDENTS IN A LOVING AND CARING ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee376TotalEmployeeCnt
Total Volunteers270TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,378NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$259,976PYContributionsGrantsAmt
CY Contributions Grants$250,117CYContributionsGrantsAmt
PY Program Service Revenue$14,574,824PYProgramServiceRevenueAmt
CY Program Service Revenue$17,206,425CYProgramServiceRevenueAmt
PY Investment Income$151,698PYInvestmentIncomeAmt
CY Investment Income$141,888CYInvestmentIncomeAmt
PY Other Revenue$93,897PYOtherRevenueAmt
CY Other Revenue$297,514CYOtherRevenueAmt
PY Total Revenue$15,080,395PYTotalRevenueAmt
CY Total Revenue$17,895,944CYTotalRevenueAmt
PY Grants And Similar Paid$103,752PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$142,058CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,255,341PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,996,829CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,052CYTotalFundraisingExpenseAmt
PY Other Expenses$6,401,278PYOtherExpensesAmt
CY Other Expenses$8,475,638CYOtherExpensesAmt
PY Total Expenses$16,760,371PYTotalExpensesAmt
CY Total Expenses$19,614,525CYTotalExpensesAmt
PY Revenues Less Expenses-$1,679,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,718,581CYRevenuesLessExpensesAmt
Total Assets BOY$46,115,950TotalAssetsBOYAmt
Total Assets EOY$43,546,550TotalAssetsEOYAmt
Total Liabilities BOY$32,894,533TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,320,929TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,221,417NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,225,621NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH QUALITY LONG TERM CARE FOR RESIDENTS IN A LOVING AND CARING ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,559,656ExpenseAmt
Grant$142,058GrantAmt
Revenue$17,206,425RevenueAmt
DescMOUNT OLIVET CAREVIEW HOME (MOCH) IS A 155-BED SKILLED CARE FACILITY FEATURING MOSTLY DOUBLE ROOMS AND SOME SINGLE ROOMS. WE ALSO OFFER A 16-BED TRANSITIONAL CARE UNIT FOR PATIENTS WHO REQUIRE SHORT TERM SKILLED NURSING CARE OR DAILY REHABILITATION FOLLOWING A HOSPITALIZATION. IN ADDITION, WE PROVIDE A SECURED MEMORY UNIT FOR RESIDENTS COPING WITH LATE STAGES OF MEMORY LOSS, ALZHEIMER'S AND OTHER DEMENTIA-RELATED ILLNESSES. RESIDENTS ARE DEPENDENT ON THE NURSING STAFF TO ACCOMPLISH DAILY LIVING ACTIVITIES, INCLUDING DRESSING, GROOMING, BATHING, TOILETING, EATING, WALKING, AND TRANSFERRING. DAILY SERVICES ALSO INCLUDE OXYGEN AND IV THERAPY, AS NEEDED. ONSITE VISION, HEARING, DENTAL AND PODIATRY SERVICES ARE ALSO AVAILABLE. THREE NUTRITIOUS MEALS AND OTHER REFRESHMENTS ARE SERVED DAILY IN DINING ROOMS ON EACH FLOOR. FAMILY MEMBERS CAN ENJOY MEALS WITH THEIR LOVED ONE.SPACIOUS LOUNGES, OUTDOOR PATIOS, AND PRIVATE FAMILY AREAS MAKE THE FACILITY FEEL LIKE HOME.Desc
Total Program Service Expenses$18,559,656TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 Organizations0GrantsToOrganizationsInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee376EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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
Form1098 C FiledYes (1)Form1098CFiledInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHARON FLACKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6128275677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15517 LYNDALE AVE SOUTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55419ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID LOSE
PRESIDENT2.004.00Yes (X)Yes (X)$0$0$0
KURT HALVA
VICE PRESIDENT0.300.60Yes (X)Yes (X)$0$0$0
RUTH JARCHO
SECRETARY0.300.60Yes (X)Yes (X)$0$0$0
GORDON VETSCH
TREASURER0.300.60Yes (X)Yes (X)$0$0$0
CLYDE ALLEN
DIRECTOR0.300.60Yes (X)$0$0$0
MARK BEESE
DIRECTOR0.300.60Yes (X)$0$0$0
CHRISTINE BENT
DIRECTOR0.300.60Yes (X)$0$0$0
ANDREA BROWN
DIRECTOR (THROUGH FEB 2018)0.300.60Yes (X)$0$0$0
DAVID CARLSON
DIRECTOR0.300.60Yes (X)$0$0$0
EILEEN CARTWRIGHT
DIRECTOR0.300.60Yes (X)$0$0$0
KAREN JOHNSON
DIRECTOR (THROUGH FEB 2018)0.300.60Yes (X)$0$0$0
JOHN KUEHN
DIRECTOR0.300.60Yes (X)$0$0$0
TRUDY OLSON
DIRECTOR0.300.60Yes (X)$0$0$0
GREG PAGE
DIRECTOR0.300.60Yes (X)$0$0$0
WILLIAM TELLEEN
DIRECTOR0.300.60Yes (X)$0$0$0
PETER YOUNGDAHL
DIRECTOR0.300.60Yes (X)$0$0$0
TIMOTHY HOKANSON
ADMINISTRATOR38.002.00Yes (X)$165,994$0$44,168
SHARON FLACK
CONTROLLER38.002.00Yes (X)$94,663$0$11,252
KRISTINA IJOMAH
DIRECTOR OF NURSING (THROUGH MARCH 2018)40.00$147,456$0$30,839Yes (X)
BENSON NYANGAU
NURSE SUPERVISOR40.00$122,930$0$9,090Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$531,043TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$95,349TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
CENTREX REHAB
8120 PENN AVE S SUITE 227BLOOMINGTONMN55431REHABILITATION SERVICES$1,759,352
MOUNT OLIVET HOME
5517 LYNDALE AVE SMINNEAPOLISMN55419DIETARY SERVICES$1,508,102
CINTAS
PO BOX 650838DALLASTX75265LAUNDRY SERVICES$212,619
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$250,117AllOtherContributionsAmt
Total Contributions$250,117TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$14,372,636$14,372,636
ANCILLARY SERVICES623000$2,833,789$2,833,789
FieldValueIRS element (for citing)
Total Program Service Revenue$17,206,425TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,888TotalRevenueColumnAmt
Exclusion$141,888ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22,525RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$22,525RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,525TotalRevenueColumnAmt
Exclusion$22,525ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS900099$135,471$135,471
LAUNDRY REVENUE623000$133,064$133,064
GUEST MEALS722210$7,225$7,225

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$771TotalRevenueColumnAmt
Exclusion-$771ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$274,989OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,895,944TotalRevenueColumnAmt
Related Or Exempt Func Income$17,206,425RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$439,402ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$142,058TotalAmt
Program Services$142,058ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$316,077TotalAmt
Management And General$316,077ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,919,885TotalAmt
Program Services$8,884,071ProgramServicesAmt
Management And General$32,607ManagementAndGeneralAmt
Fundraising$3,207FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$90,177TotalAmt
Program Services$87,265ProgramServicesAmt
Management And General$2,912ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$990,899TotalAmt
Program Services$953,938ProgramServicesAmt
Management And General$36,961ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$679,791TotalAmt
Program Services$657,838ProgramServicesAmt
Management And General$21,953ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$72,981TotalAmt
Management And General$72,981ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,090TotalAmt
Management And General$44,090ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,073,685TotalAmt
Program Services$3,022,179ProgramServicesAmt
Management And General$50,164ManagementAndGeneralAmt
Fundraising$1,342FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,948TotalAmt
Management And General$40,948ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$179,910TotalAmt
Program Services$124,310ProgramServicesAmt
Management And General$55,389ManagementAndGeneralAmt
Fundraising$211FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$429,398TotalAmt
Program Services$418,749ProgramServicesAmt
Management And General$9,315ManagementAndGeneralAmt
Fundraising$1,334FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,231TotalAmt
Management And General$25,231ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,271TotalAmt
Management And General$9,271ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$717,831TotalAmt
Program Services$694,282ProgramServicesAmt
Management And General$20,597ManagementAndGeneralAmt
Fundraising$2,952FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,336,062TotalAmt
Program Services$1,292,232ProgramServicesAmt
Management And General$38,336ManagementAndGeneralAmt
Fundraising$5,494FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$195,102TotalAmt
Program Services$188,702ProgramServicesAmt
Management And General$5,598ManagementAndGeneralAmt
Fundraising$802FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$851,233$846,242$4,365$626
FOOD$590,539$590,539
LICENSE SURCHARGE$433,070$433,070
MISCELLANEOUS EXPENSES$229,098$229,098

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$247,189TotalAmt
Program Services$224,181ProgramServicesAmt
Management And General$22,924ManagementAndGeneralAmt
Fundraising$84FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,614,525TotalAmt
Program Services$18,559,656ProgramServicesAmt
Management And General$1,038,817ManagementAndGeneralAmt
Fundraising$16,052FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,551BOYAmt
EOY$88,588EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,629,032BOYAmt
EOY$2,561,112EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$70,203BOYAmt
EOY$68,574EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$47,088,256LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,699,466LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,047,668BOYAmt
EOY$34,388,790EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,482,447BOYAmt
EOY$4,745,602EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$75,000BOYAmt
EOY$75,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$431,737BOYAmt
EOY$527,422EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,368,312BOYAmt
EOY$1,091,462EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,115,950BOYAmt
EOY$43,546,550EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,087,191BOYAmt
EOY$1,343,841EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,616,385BOYAmt
EOY$25,455,410EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$23,207BOYAmt
EOY$31,967EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$600,000BOYAmt
EOY$1,500,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,567,750BOYAmt
EOY$3,989,711EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,894,533BOYAmt
EOY$32,320,929EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,525,371BOYAmt
EOY$9,884,485EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$600,505BOYAmt
EOY$245,595EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,095,541BOYAmt
EOY$1,095,541EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,221,417BOYAmt
EOY$11,225,621EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,115,950BOYAmt
EOY$43,546,550EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,718,581ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$277,215NetUnrlzdGainsLossesInvstAmt
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$175,217CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,244CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$358,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$259,976CurrentTaxYearMinus1YearAmt
Current Tax Year$250,117CurrentTaxYearAmt
Total$1,326,716TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,212,217CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,533,161CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,970,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,574,824CurrentTaxYearMinus1YearAmt
Current Tax Year$17,198,670CurrentTaxYearAmt
Total$71,489,105TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$162,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,542CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,986CurrentTaxYearMinus1YearAmt
Current Tax Year$139,518CurrentTaxYearAmt
Total$597,926TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,411,039CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,978,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,471,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,963,786CurrentTaxYearMinus1YearAmt
Current Tax Year$17,588,305CurrentTaxYearAmt
Total$73,413,747TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,022CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,475CurrentTaxYearMinus1YearAmt
Current Tax Year$60,000CurrentTaxYearAmt
Total$213,022TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,022CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,475CurrentTaxYearMinus1YearAmt
Current Tax Year$60,000CurrentTaxYearAmt
Total$213,022TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$73,200,725PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$170,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,346CurrentTaxYearMinus1YearAmt
Current Tax Year$164,413CurrentTaxYearAmt
Total$871,734TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$170,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,346CurrentTaxYearMinus1YearAmt
Current Tax Year$164,413CurrentTaxYearAmt
Total$871,734TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,640CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$55,737CurrentTaxYearMinus1YearAmt
Current Tax Year$143,227CurrentTaxYearAmt
Total$341,273TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,670,795CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,294,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,685,024CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,080,395CurrentTaxYearMinus1YearAmt
Current Tax Year$17,895,945CurrentTaxYearAmt
Total$74,626,754TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98090PublicSupportCY509Pct
Public Support PY5090.98110PublicSupportPY509Pct
Investment Income CY0.01170InvestmentIncomeCYPct
Investment Income PY0.01320InvestmentIncomePYPct
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
ExplanationMISCELLANEOUS REVENUE LOSS ON REFINANCINGExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,095,541BeginningYearBalanceAmt
Investment Earnings Or Losses$28,142InvestmentEarningsOrLossesAmt
Other Expenditures$28,142OtherExpendituresAmt
End Year Balance$1,095,541EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,095,541BeginningYearBalanceAmt
Investment Earnings Or Losses$28,348InvestmentEarningsOrLossesAmt
Other Expenditures$28,348OtherExpendituresAmt
End Year Balance$1,095,541EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,095,541BeginningYearBalanceAmt
Investment Earnings Or Losses$24,501InvestmentEarningsOrLossesAmt
Other Expenditures$24,501OtherExpendituresAmt
End Year Balance$1,095,541EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,095,541BeginningYearBalanceAmt
Investment Earnings Or Losses$25,703InvestmentEarningsOrLossesAmt
Other Expenditures$25,703OtherExpendituresAmt
End Year Balance$1,095,541EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,079,491BeginningYearBalanceAmt
Contributions$16,050ContributionsAmt
Investment Earnings Or Losses$23,098InvestmentEarningsOrLossesAmt
Other Expenditures$23,098OtherExpendituresAmt
End Year Balance$1,095,541EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,183OtherCostOrOtherBasisAmt
Book Value$46,183BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,138,978OtherCostOrOtherBasisAmt
Depreciation$6,823,862DepreciationAmt
Book Value$31,315,116BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$743,020OtherCostOrOtherBasisAmt
Depreciation$368,554DepreciationAmt
Book Value$374,466BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,158,182OtherCostOrOtherBasisAmt
Depreciation$5,507,050DepreciationAmt
Book Value$2,651,132BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,893OtherCostOrOtherBasisAmt
Book Value$1,893BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,388,790TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$9,368
DUE TO AFFILIATE$3,815,705
CONSTRUCTION PAYABLE$164,638
FieldValueIRS element (for citing)
Total Liability$3,989,711TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN A SEPARATE BANK ACCOUNT.
PART V, LINE 4:TO PROVIDE A PERMANENT SOURCE OF INCOME FOR CAPITAL, EQUIPMENT, EDUCATION, AND OTHER OPERATING PURPOSES.
PART X, LINE 2:THE INTERNAL REVENUE SERVICE HAS CLASSIFIED THE ENTITIES AS TAX-EXEMPT ORGANIZATIONS UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER ITEMS.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE SCHOLARSHIPS8$7,500
EMPLOYEE LOAN FORGIVENESS8$36,338
TUITION REIMBURSEMENT26$98,220

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSCHOLARSHIPS, TUITION REIMBURSEMENT, AND STUDENT LOAN FORGIVENESS PROGRAMS ARE AWARDED ANNUALLY THROUGH A PROGRAM ESTABLISHED BY THE ORGANIZATION'S DEVELOPMENT AND HUMAN RESOURCE TEAM. SCHOLARSHIP, TUITION REIMBURSEMENT, AND STUDENT LOAN FORGIVENESS RECIPIENTS ARE REQUIRED TO PROVIDE RECEIPTS TO DOCUMENT APPROPRIATE USE OF FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (2 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
TIMOTHY HOKANSON
ADMINISTRATOR$149,648$0$0$0$16,346$0$0$0$44,168$0$210,162$0$0$0
KRISTINA IJOMAH
DIRECTOR OF NURSING (THROUGH MARCH 2$138,992$0$0$0$8,464$0$0$0$30,839$0$178,295$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 Line1CITY OF ST LOUIS PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005519BondIssuerEIN
CUSIP791748FP6CUSIPNum
Bond Issued2016-05-31BondIssuedDt
Issue Price$26,295,000IssuePriceAmt
PurposeSERIES 2016B AND C BONDS FOR MT. OLIVET CAREVIEW HOME CONSTRUCTION PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$445,000RetiredAmt
Total Proceeds$26,295,000TotalProceedsAmt
In Reserve Fund$800,000InReserveFundAmt
Issuance Costs From Proceeds$525,900IssuanceCostsFromProceedsAmt
Capital Expenditures$24,802,390CapitalExpendituresAmt
Unspent$166,710UnspentAmt
Substantial Completion2018SubstantialCompletionYr
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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE PRESIDENT, TREASURER AND SECRETARY OF THE BOARD OF DIRECTORS. OTHER PERSONS MAY BE ELECTED OR APPOINTED BY THE BOARD, BUT UNDER NO CIRCUMSTANCES MAY THE EXECUTIVE COMMITTEE EXCEED SEVEN MEMBERS. THE EXECUTIVE COMMITTEE, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD, EXERCISES THE POWERS OF THE BOARD IN ACCORDANCE WITH THE GENERAL POLICY OF THE ORGANIZATION AND THE BOARD. THE EXECUTIVE COMMITTEE IS SUBJECT AT ALL TIMES TO THE DIRECTION AND CONTROL OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE OPTION TO VIEW A DRAFT 990 IS PROVIDED TO SELECT REPRESENTATIVES OF THE BOARD OF DIRECTORS FOR DETAIL REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CCOVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT THAT INCLUDES A DUTY TO DISCLOSE. COVERED INDIVIDUALS MUST DISCLOSE THE EXISTENCE OF ANY POTENTIAL CONFLICT OF INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE ADMINISTRATOR. THE ADMINISTRATOR WILL REPORT MATERIAL FACTS TO THE BOARD OF DIRECTORS OR THE BOARD EXECUTIVE COMMITTEE FOR DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS. INDIVIDUALS WITH POTENTIAL CONFLICTS OF INTEREST MAY NOT BE PRESENT DURING THE DISCUSSION NOR VOTE ON THE TRANSACTION OR ARRANGEMENT WHERE A CONFLICT EXISTS. THE MINUTES OF THE BOARD OF DIRECTORS OR BOARD EXECUTIVE COMMITTEE WILL RECORD ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15TOP MANAGEMENT AND KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD. THE COMPENSATION OF THESE INDIVIDUALS WAS LAST COMPARED TO THE 2018 ELCA SALARY SURVEY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AND AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GNURSING CONSULTANTS: PROGRAM SERVICE EXPENSES 80,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,456. SOCIAL SERVICES PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,807. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,807. ANCILLARY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,556,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,556,738. DIETARY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 918,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 918,013. LAUNDRY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 140,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,552. MAINTENANCE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 315,613. MANAGEMENT AND GENERAL EXPENSES 9,363. FUNDRAISING EXPENSES 1,342. TOTAL EXPENSES 326,318. MEDICARE BILLING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,801.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNT OLIVET CAREVIEW HOME FOUNDATION LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15025 KNOX AVENUE SOUTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55419ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesFOUNDATIONPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$109,123TotalIncomeAmt
End Of Year Assets$4,745,602EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNT OLIVET CAREVIEW HOMEBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MOUNT OLIVET HOME
5517 LYNDALE AVE SMINNEAPOLISMN55419410838344BOARD AND CAREMN501(C)(3)LINE 10SEE SCHEDULE R PART VIIYes (1)
MOUNT OLIVET DAY SERVICES
5601 LYNDALE AVE SMINNEAPOLISMN55419411785649CHILD & ADULT DAYCAREMN501(C)(3)LINE 10SEE SCHEDULE R PART VIIYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
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
MOUNT OLIVET HOME
P$1,508,102ACTUAL AMOUNT
MOUNT OLIVET HOME
Q$261,051ACTUAL AMOUNT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIFormAndLineReferenceDesc
ExplanationMOUNT OLIVET CAREVIEW HOME, MOUNT OLIVET HOME, AND MOUNT OLIVET DAY SERVICES EACH HAVE IDENTICAL BOARDS OF DIRECTORS. ALTHOUGH NONE OF THE ORGANIZATIONS' BYLAWS GIVES ONE ORGANIZATION CONTROL OVER THE OTHERS, EACH ORGANIZATION MEETS THE IRS' DEFINITION OF CONTROL FOR BOTH OF THE OTHER ORGANIZATIONS.ExplanationTxt

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