LAKEVIEW METHODIST HEALTH CARE CENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LAKEVIEW METHODIST HEALTH CARE CENTER (EIN 41-0874740)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201922279349301402
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T08:23:06-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 WEST BRIDGE STREET | AddressLine1Txt |
| City | OWATONNA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410874740 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW METHODIST HEALTH CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 5072356606 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 SUMMIT DRIVE | AddressLine1Txt |
| City | FAIRMONT | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH M BARNES | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5072356606 | PhoneNum |
| Signature | 2019-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRENT FAST | PreparerPersonNm |
| PTIN | P00692704 | PTIN |
| Phone | 5074467100 | PhoneNum |
| Preparation | 2019-08-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-13 | IPDt |
| IP Tm | 14:18:05 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0FD4EF385CD5022A6BCA3F6D48F1B56E012374BF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB06284E4704CF7B67F9A35832663F52291E9BBF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH M BARNES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 SUMMIT DRIVE | AddressLine1Txt |
| City | FAIRMONT | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,003,552 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAKEVIEWMETHODIST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE LIFE ENHANCING SUPPORTIVE SERVICES FOR OLDER ADULTS AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 185 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,338 | PYContributionsGrantsAmt |
| CY Contributions Grants | $184,872 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,241,359 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,737,039 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,908 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,884 | CYInvestmentIncomeAmt |
| PY Other Revenue | $55,011 | PYOtherRevenueAmt |
| CY Other Revenue | $65,650 | CYOtherRevenueAmt |
| PY Total Revenue | $7,315,616 | PYTotalRevenueAmt |
| CY Total Revenue | $9,003,445 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $64,296 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $90,404 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,300,234 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,926,651 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,477,010 | PYOtherExpensesAmt |
| CY Other Expenses | $2,536,720 | CYOtherExpensesAmt |
| PY Total Expenses | $6,841,540 | PYTotalExpensesAmt |
| CY Total Expenses | $7,553,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $474,076 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,449,670 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,560,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,758,049 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,155,823 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,917,757 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,404,834 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,840,292 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF LAKEVIEW IS TO DEMONSTRATE GOD'S LOVE FOR HIS PEOPLE THROUGH A CONTINUUM OF LIFE ENHANCING SUPPORTIVE SERVICES FOR OLDER ADULTS AND THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,787,474 | ExpenseAmt |
| Grant | $90,404 | GrantAmt |
| Revenue | $8,737,039 | RevenueAmt |
| Desc | LAKEVIEW METHODIST HEALTH CARE CENTER OFFERS SKILLED NURSING CARE FOR THE ELDERLY BY OPERATING A 82 BED LICENSED FACILITY IN FAIRMONT, MN. THE ORGANIZATION PROVIDES SHORT-TERM STAYS WITH EXTENSIVE REHABILITATION SERVICES, LONG-TERM PLACEMENT, AND HOUSES A CHILD DAY CARE CENTER. DURING THE FISCAL YEAR THE CARE CENTER PROVIDED 25,599 INPATIENT SERVICE DAYS. THE ORGANIZATION ALSO MANAGES AN ASSISTED LIVING AND A HOUSING UNIT FOR THE ELDERLY. | Desc |
| Total Program Service Expenses | $6,787,474 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 185 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH M BARNES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5072356606 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 SUMMIT DRIVE | AddressLine1Txt |
| City | FAIRMONT | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BRAD MUSSER | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| COURTNEY CUTLER | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| VICKI PASKEY | ||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LES ANDERSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JERRY EVELSIZER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DARIN HAUGEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM HAWKINS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR JOHN LUND | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY NORDSTROM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH BARNES | ||||||
| EXECUTIVE DIRECTOR | 32.00 | Yes (X) | $96,161 | $0 | $1,068 | |
| KRIS ISENBERG | ||||||
| FINANCIAL DIRECTOR | 36.00 | Yes (X) | $48,921 | $0 | $12,252 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $145,082 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $13,320 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AEGIS THERAPIES | |||||
| PO BOX 8103 | FORT SMITH | AR | 72902 | THERAPY | $350,101 |
| US FOODS | |||||
| PO BOX 1450 | MINNEAPOLIS | MN | 55485 | FOOD-DIETARY | $314,055 |
| STERLING LTC | |||||
| 1601 STATE AVE NW | OWATONNA | MN | 55060 | PHARMACY SERVICES | $101,617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $184,872 | RelatedOrganizationsAmt |
| Total Contributions | $184,872 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT CARE | 623000 | $8,465,842 | $8,465,842 |
| MANAGEMENT FEES | 624210 | $194,682 | $194,682 |
| DAY CARE CENTER | 624410 | $39,021 | $39,021 |
| MEALS ON WHEELS | 561000 | $37,494 | $37,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,737,039 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,991 | TotalRevenueColumnAmt |
| Exclusion | $15,991 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,400 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,400 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,400 | TotalRevenueColumnAmt |
| Exclusion | $26,400 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $107 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$107 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$107 | TotalRevenueColumnAmt |
| Exclusion | -$107 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $39,250 | TotalRevenueColumnAmt |
| Exclusion | $39,250 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $39,250 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,003,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,737,039 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,534 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,404 | TotalAmt |
| Program Services | $90,404 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,927 | TotalAmt |
| Management And General | $162,927 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,895,264 | TotalAmt |
| Program Services | $3,692,227 | ProgramServicesAmt |
| Management And General | $203,037 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,511 | TotalAmt |
| Program Services | $31,049 | ProgramServicesAmt |
| Management And General | $1,462 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,778 | TotalAmt |
| Program Services | $507,310 | ProgramServicesAmt |
| Management And General | $38,468 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,171 | TotalAmt |
| Program Services | $264,768 | ProgramServicesAmt |
| Management And General | $25,403 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Management And General | $15,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,703 | TotalAmt |
| Management And General | $3,703 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,792 | TotalAmt |
| Management And General | $21,792 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,367 | TotalAmt |
| Program Services | $452,367 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,937 | TotalAmt |
| Management And General | $25,937 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,373 | TotalAmt |
| Management And General | $23,373 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,066 | TotalAmt |
| Program Services | $220,657 | ProgramServicesAmt |
| Management And General | $31,409 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,817 | TotalAmt |
| Program Services | $3,567 | ProgramServicesAmt |
| Management And General | $25,250 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,845 | TotalAmt |
| Program Services | $52,845 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,864 | TotalAmt |
| Program Services | $345,864 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,149 | TotalAmt |
| Management And General | $85,149 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FOOD | $451,411 | $451,411 |
| SURCHARGE | $230,830 | $230,830 |
| SUPPLIES | $127,445 | $127,445 |
| LAUNDRY/HOUSEKEEPING EX | $65,312 | $65,312 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,809 | TotalAmt |
| Program Services | $251,418 | ProgramServicesAmt |
| Management And General | $103,391 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,553,775 | TotalAmt |
| Program Services | $6,787,474 | ProgramServicesAmt |
| Management And General | $766,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,629 | BOYAmt |
| EOY | $1,128,174 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,526 | BOYAmt |
| EOY | $25,277 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,753 | BOYAmt |
| EOY | $536,838 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,140 | BOYAmt |
| EOY | $73,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,745,909 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,653,660 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,853,458 | BOYAmt |
| EOY | $4,092,249 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,981 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,170 | BOYAmt |
| EOY | $1,902,314 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,560,657 | BOYAmt |
| EOY | $7,758,049 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,071 | BOYAmt |
| EOY | $681,115 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,867 | BOYAmt |
| EOY | $10,708 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,295,395 | BOYAmt |
| EOY | $911,444 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,490 | BOYAmt |
| EOY | $314,490 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,155,823 | BOYAmt |
| EOY | $1,917,757 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,873,329 | BOYAmt |
| EOY | $5,317,358 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,402 | BOYAmt |
| EOY | $253,831 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,103 | BOYAmt |
| EOY | $269,103 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,404,834 | BOYAmt |
| EOY | $5,840,292 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,560,657 | BOYAmt |
| EOY | $7,758,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,449,670 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $985,788 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $248,445 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,685 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $2,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,872 | CurrentTaxYearAmt |
| Total | $447,324 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,347,068 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,969,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,546,363 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,241,359 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,737,039 | CurrentTaxYearAmt |
| Total | $34,841,772 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,595,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,981,628 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,546,363 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,243,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,921,911 | CurrentTaxYearAmt |
| Total | $35,289,096 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $35,289,096 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,620 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $376 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,924 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,391 | CurrentTaxYearAmt |
| Total | $95,596 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,620 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $376 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,924 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,391 | CurrentTaxYearAmt |
| Total | $95,596 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,321 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,369 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,250 | CurrentTaxYearAmt |
| Total | $195,299 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,644,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,035,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,590,108 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,306,816 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,003,552 | CurrentTaxYearAmt |
| Total | $35,579,991 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99180 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99250 | PublicSupportPY509Pct |
| Investment Income CY | 0.00270 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,103 | BeginningYearBalanceAmt |
| End Year Balance | $269,103 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,103 | BeginningYearBalanceAmt |
| End Year Balance | $269,103 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,103 | BeginningYearBalanceAmt |
| End Year Balance | $269,103 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,103 | BeginningYearBalanceAmt |
| End Year Balance | $269,103 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,103 | BeginningYearBalanceAmt |
| End Year Balance | $269,103 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,645 | OtherCostOrOtherBasisAmt |
| Book Value | $25,645 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,990,862 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,480,912 | DepreciationAmt |
| Book Value | $3,509,950 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $665,008 | OtherCostOrOtherBasisAmt |
| Depreciation | $639,045 | DepreciationAmt |
| Book Value | $25,963 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,861,086 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,533,703 | DepreciationAmt |
| Book Value | $327,383 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,308 | OtherCostOrOtherBasisAmt |
| Book Value | $203,308 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,092,249 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED PARTY | $335,482 |
| SECURITY DEPOSIT | $21,064 |
| INTEREST IN NET ASSETS OF FOUNDATION | $1,545,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,902,314 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTY | $247,191 |
| OTHER LIABILITIES | $48,299 |
| SECURITY DEPOSITS | $19,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $314,490 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ESCROW ACCOUNT LIABILITY INCLUDES RESIDENT FUNDS AND RESIDENT COUNCIL AMOUNTS PAYABLE. THE ORGANIZATION IS THE TRUSTEE OF RESIDENTS' FUNDS AND HAS A FIDUCIARY RESPONSIBLITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS. |
| PART V, LINE 4: | THE ENDOWMENT IS HELD AT LAKEVIEW METHODIST HEALTHCARE FOUNDATION INC. TO SUPPORT THE CARE FOR THE ELDERLY AT LAKEVIEW METHODIST CARE CENTER AND MAPLEWOOD RESIDENCE. |
| PART X, LINE 2: | LAKEVIEW UNITED METHODIST CARE CENTER, INC., LAKEVIEW UNITED METHODIST HEALTH CARE FOUNDATION, INC. AND MAPLEWOOD RESIDENT, INC. ARE TAX EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CONSEQUENTLY RECORDS NO PROVISION FOR INCOME TAXES. LAKEVIEW UNITED METHODIST HEALTH SERVICES, INC. AND AFFILIATES FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. EACH ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | NURSING SCHOLARSHIP | GrantTypeTxt |
| Recipient | 36 | RecipientCnt |
| Cash Grant | $90,404 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART III, LINE 1 | FormAndLineReferenceDesc |
| Explanation | SCHOLARSHIP RECIPIENTS MUST BE AN EMPLOYEE WORK A MINIMUM OF 15 HOURS PER WEEK AND BE IN GOOD STANDING. RECIPIENTS SUBMIT A WRITTEN APPLICATION FORM AND ATTEND A PERSONAL INTERVIEW WITH THE SCHOLARSHIP COMMITTEE. TRANSCRIPT OF GRADES, PROGRESS REPORTS, AND ACCOUNTABILITY OF FUNDS MUST ALSO BE SUBMITTED TO THE SCHOLARSHIP COMMITTEE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION HAS NO COMMITTEE THAT HAS THE AUTHROITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR LEADS THE REVIEW BY THE BOARD OF DIRECTORS AT THE BOD MEETING AFTER THE 990 HAS BEEN COMPLETED AND PRIOR TO DUE DATE AND SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS BOARD MEMBERS ARE CHOSEN TO SERVE, THE NOMINATING COMMITTEE REVIEWS POLICYS WITH THEM AND POTENTIAL CONFLICTS OF BANKING, FINANCIAL OR COMPETITIVE NATURE ARE REVIEWED BEFORE OFFERS ARE GIVEN. IF A CONFLICT ARISES DURING A DISCUSSION, BOARD MEMBER WITH CONFLICT PLEDGES TO ABSTAIN. CURRENT BOARD MEMBERS ANNUALLY REVIEW AND MONITOR POLICYS AND POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CHAIR OF THE BOARD OF DIRECTORS INITIATES A REVIEW PROCESS OF THE EXECUTIVE DIRECTOR WITH THE OTHER BOARD MEMBERS. CHAIR OBTAINS COMPARATIVE SALARY INFORMATION FROM LEADING AGE OF MINNESOTA FOR THE CURRENT YEAR AND DECIDES WITH THE BOARD WHERE COMPENSATION SHOULD BE. CHAIR THEN MEETS WITH EXECUTIVE DIRECTOR TO DISCUSS AREAS OF THE REVIEW AND UPCOMING YEAR'S COMPENSATION. ALL DISCUSSIONS AND DECISIONS CONCERNING EXECUTIVE DIRECTOR COMPENSATIONS ARE INCLUDED IN THE MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE ADMINISTRATIVE OFFICE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSET OF FOUNDATION 985,787. ROUNDING 1. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKEVIEW UNITED METHODIST HEALTH SERVICES INC | |||||||||||
| 610 SUMMIT DRIVE | FAIRMONT | MN | 56031 | 363358840 | PARENT ORGANIZATION WITH NO ACTIVITY | MN | 501(C)3 | LINE 12A-I | N/A | 0 | |
| LAKEVIEW METHODIST HEALTH CARE FOUNDATION | |||||||||||
| 610 SUMMIT DRIVE | FAIRMONT | MN | 56031 | 411456428 | SUPPORTS LAKEVIEW METHODIST HEALTH CARE CENTER | MN | 501(C)3 | LINE 12B-II | Yes (1) | LAKEVIEW UNITED METHODIST HEALTH SERVICES INC | |
| MAPLEWOOD RESIDENCE INC | |||||||||||
| 620 SUMMIT DRIVE | FAIRMONT | MN | 56031 | 363361594 | HOUSING FOR THE ELDERLY | MN | 501(C)3 | LINE 10 | Yes (1) | LAKEVIEW UNITED METHODIST HEALTH SERVICES INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW METHODIST HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $195,721 | InvolvedAmt |
| Method Of Amount Determination | CASH GRANT | MethodOfAmountDeterminationTxt |