LUTHER HAVEN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LUTHER HAVEN (EIN 41-0977369)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-30
IRS object ID
201923039349301537
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)
Return2019-10-30T14:48:55-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410977369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHER HAVENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone3202696517PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 EAST HIGHWAY 7AddressLine1Txt
CityMONTEVIDEOCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56265ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUSTIN HUGHESPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone3202696517PhoneNum
Signature2019-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2019-10-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.30.113.218IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-30IPDt
IP Tm09:59:49IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE433C82216CF4B1B7B2D83A781BC20530CAF3EA5AtSubmissionCreationDeviceId
At Submission Filing Device IdE433C82216CF4B1B7B2D83A781BC20530CAF3EA5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJUSTIN HUGHESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 EAST HIGHWAY 7AddressLine1Txt
CityMONTEVIDEOCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56265ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,852,377GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LUTHERHAVEN-MN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionPROVIDE SERVICES TO THE ELDERLY AND DISABLED IN THE MONTEVIDEO AND THE SOUTHWEST AREA OF MINNESOTA WE CARE FOR THE TOTAL PERSON AND PROVIDE LONG TERM CARE AND SHORT REHAB SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee228TotalEmployeeCnt
Total Volunteers81TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,248PYContributionsGrantsAmt
CY Contributions Grants$6,283CYContributionsGrantsAmt
PY Program Service Revenue$7,606,796PYProgramServiceRevenueAmt
CY Program Service Revenue$8,690,788CYProgramServiceRevenueAmt
PY Investment Income-$5,774PYInvestmentIncomeAmt
CY Investment Income$124,967CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$3,312CYOtherRevenueAmt
PY Total Revenue$7,603,270PYTotalRevenueAmt
CY Total Revenue$8,825,350CYTotalRevenueAmt
PY Grants And Similar Paid$25,359PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,974CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,274,681PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,823,036CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,711,795PYOtherExpensesAmt
CY Other Expenses$2,767,219CYOtherExpensesAmt
PY Total Expenses$8,011,835PYTotalExpensesAmt
CY Total Expenses$8,614,229CYTotalExpensesAmt
PY Revenues Less Expenses-$408,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$211,121CYRevenuesLessExpensesAmt
Total Assets BOY$4,933,856TotalAssetsBOYAmt
Total Assets EOY$4,925,611TotalAssetsEOYAmt
Total Liabilities BOY$1,017,213TotalLiabilitiesBOYAmt
Total Liabilities EOY$859,849TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,916,643NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,065,762NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLUTHER HAVEN WAS ESTABLISHED AND ORGANIZED TO CARE FOR THE ELDERLY AND DISABLED IN MONTEVIDEO AND IN THE SOUTHWEST MINNESOTA DISTRICT OF THE ELCA. ITS PURPOSE IS TO SERVE THE ELDERLY AND DISABLED AND TO PROMOTE THEIR PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A CHRISTIAN ATMOSPHERE. NO PERSON BECAUSE OF RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO MEDICAL ASSISTANCE, DISABILITY, SEXUAL ORIENTATION, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION OR VETERAN STATUS SHALL BE BARRED ADMISSION FROM LUTHER HAVEN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,180,389ExpenseAmt
Grant$23,974GrantAmt
Revenue$7,997,341RevenueAmt
DescCARE CENTER:NURSING DEPARTMENT WITH A BUDGET OF 3 MILLION IS OUR LARGEST DEPARTMENT. IT EMPLOYS APPROXIMATELY 100 EMPLOYEES. WE PROVIDE LONG AND SHORT STAY CARE AND A FULL LINE OF REHAB SERVICES TO PROMOTE MAXIMUM RESIDENT HEALTH AND RETURN TO COMMUNITY. WE ARE LICENSED FOR 90 BEDS. ALSO, ON THE CAMPUS IS COPPER GLEN, ASSISTED LIVING AND THE MONTEVIDEO-CHIPPEWA COUNTY HOSPITAL AND MEDICAL CENTER. ALL BUILDINGS ARE CONNECTED, AND CERTAIN SERVICES ARE SHARED FOR COST SHARING AND COST SAVINGS. WE ARE CERTIFIED WITH MEDICARE AND MEDICAID AND LICENSED WITH THE MINNESOTA DEPARTMENT OF HEALTH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$640,001ExpenseAmt
Grant$0GrantAmt
Revenue$693,447RevenueAmt
DescCOPPER GLEN:COPPER GLEN IS A LICENSED CLASS F ASSISTED LIVING FACILITY. COPPER GLEN IS DESIGNED AS AN APARTMENT STYLE COMPLEX WITH SERVICES AVAILABLE TO ASSIST THE TENANTS TO AGE IN A HOME ENVIRONMENT. PROGRAM SERVICES ARE INTENDED TO BRIDGE THE GAP BETWEEN INDEPENDENT LIVING AND THE CARE CENTER. SERVICES PROVIDED INCLUDE MEALS, BATHING, HOUSEKEEPING, MAINTENANCE, LAUNDRY, AND REGISTERED NURSE SUPERVISION STAFFING 16 HOURS PER DAY WITH STAFF AVAILABLE DURING THE NIGHT SHIFT FROM THE CARE CENTER. ALSO PROVIDED IS ALA CARTE SERVICES, CENTRAL STORAGE OF MEDICATIONS, MEDICATION ADMINISTRATION AND MANAGEMENT. VOLUNTEERS AND A LOCAL PASTORAL ORGANIZATION PROVIDE WORSHIP SERVICES. IN 2018, WE ADDED 24 HOUR STAFFING FOR HOME HEALTH AIDES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,820,390TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee228EmployeeCnt
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
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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 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 Line1ANN NORDSTROMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3202696517PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 EAST HIGHWAY 7AddressLine1Txt
CityMONTEVIDEOCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56265ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CAROL ARENDS
DIRECTOR (THRU APRIL)1.00Yes (X)$0$0$0
JEROME FRAGODT
DIRECTOR1.00Yes (X)$0$0$0
BONNIE HANSON
DIRECTOR (THRU APRIL)1.00Yes (X)$0$0$0
BROCK MADSEN
DIRECTOR1.00Yes (X)$0$0$0
GREG MULDER
DIRECTOR (THRU APRIL)1.00Yes (X)$0$0$0
BRETT OPDAHL
DIRECTOR1.00Yes (X)$0$0$0
JACQUE PETERS
DIRECTOR (THRU APRIL)1.00Yes (X)$0$0$0
TOM SAUE
DIRECTOR1.00Yes (X)$0$0$0
KARLA SCHWENDEMANN
DIRECTOR1.00Yes (X)$0$0$0
JUDY TEBEEST
DIRECTOR1.00Yes (X)$0$0$0
CHUCK VIEN
DIRECTOR1.00Yes (X)$0$0$0
DON SNELL
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
MICHAEL LUND
CHAIR1.00Yes (X)$0$0$0Yes (X)
KALIN EVENSON
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
AMANDA WOLLSCHLAGER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JUSTIN HUGHES
PRESIDENT/TREASURER/ADMINISTRATOR40.00$18,135$0$500Yes (X)
JAMES FLAHERTY THRU OCTOBER
PRESIDENT/TREASURER/ADMINISTRATOR40.00$63,985$0$0Yes (X)
TAMARA BORSTAD THRU MAY
PRESIDENT/TREASURER/ADMINISTRATOR40.00$30,887$0$2,000Yes (X)
ANN NORDSTROM
FINANCE DIRECTOR40.00$55,319$0$10,108Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$168,326TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$12,608TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BIG STONE THERAPY
500 CROSS STREETBIG STONE CITYSD57216PHYSICAL, OCCUPATIONAL AND SPEECH$487,264
US FOODS INC
9605 54TH AVE NPLYMOUTHMN55442FOOD SERVICE$255,777
GLACIER COMPANIES LLC
9427 195TH STREET EPRIOR LAKEMN55372CONTRACTOR$145,958
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,283AllOtherContributionsAmt
Total Contributions$6,283TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT ROOM AND BOAR623000$7,247,570$7,247,570
THERAPY623000$906,709$906,709
SHARED SERVICES623000$217,905$217,905
OTHER SERVICES623000$194,381$194,381
PHARMACY SERVICES446110$124,223$124,223
FieldValueIRS element (for citing)
Total Program Service Revenue$8,690,788TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,294TotalRevenueColumnAmt
Exclusion$9,294ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$142,700OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$27,027OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$115,673OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,673TotalRevenueColumnAmt
Exclusion$115,673ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGUEST MEALSDesc
Business900099BusinessCd
Total Revenue Column$3,312TotalRevenueColumnAmt
Exclusion$3,312ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,312OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,825,350TotalRevenueColumnAmt
Related Or Exempt Func Income$8,690,788RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$128,279ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,974TotalAmt
Program Services$23,974ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$180,934TotalAmt
Management And General$180,934ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,718,262TotalAmt
Program Services$4,534,788ProgramServicesAmt
Management And General$183,474ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,164TotalAmt
Program Services$12,164ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$550,345TotalAmt
Program Services$535,146ProgramServicesAmt
Management And General$15,199ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$361,331TotalAmt
Program Services$343,860ProgramServicesAmt
Management And General$17,471ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,213TotalAmt
Management And General$7,213ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,744TotalAmt
Management And General$48,744ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$732,767TotalAmt
Program Services$653,302ProgramServicesAmt
Management And General$79,465ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$766TotalAmt
Management And General$766ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$63,508TotalAmt
Program Services$20,161ProgramServicesAmt
Management And General$43,347ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,281TotalAmt
Management And General$45,281ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$241,363TotalAmt
Program Services$241,363ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,710TotalAmt
Program Services$11,889ProgramServicesAmt
Management And General$3,821ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,867TotalAmt
Program Services$7,867ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$278,445TotalAmt
Program Services$234,062ProgramServicesAmt
Management And General$44,383ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$58,371TotalAmt
Management And General$58,371ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$746,075$746,075$0
SURCHARGE$253,350$253,350
REPAIRS AND MAINTENANCE$218,251$187,313$30,938
BAD DEBT EXPENSE$15,076$15,076

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,432TotalAmt
Management And General$34,432ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,614,229TotalAmt
Program Services$7,820,390ProgramServicesAmt
Management And General$793,839ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$126,090BOYAmt
EOY$487,816EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,425,731BOYAmt
EOY$285,438EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$793,526BOYAmt
EOY$782,194EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,581BOYAmt
EOY$43,581EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$70,041BOYAmt
EOY$63,266EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,289,457LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,852,876LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,474,887BOYAmt
EOY$2,436,581EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$814,475EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$12,260EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,933,856BOYAmt
EOY$4,925,611EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$598,131BOYAmt
EOY$527,118EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$28,997BOYAmt
EOY$30,420EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$390,085BOYAmt
EOY$302,311EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,017,213BOYAmt
EOY$859,849EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,893,637BOYAmt
EOY$4,042,535EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,006BOYAmt
EOY$23,227EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,916,643BOYAmt
EOY$4,065,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,933,856BOYAmt
EOY$4,925,611EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$211,121ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$62,002NetUnrlzdGainsLossesInvstAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$5,315CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,646CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,248CurrentTaxYearMinus1YearAmt
Current Tax Year$6,283CurrentTaxYearAmt
Total$164,599TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$805,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,844CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,539CurrentTaxYearMinus1YearAmt
Current Tax Year$3,312CurrentTaxYearAmt
Total$821,119TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,692,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,348,405CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,735,342CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,603,257CurrentTaxYearMinus1YearAmt
Current Tax Year$8,690,788CurrentTaxYearAmt
Total$36,070,141TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,503,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,356,216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,886,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,609,044CurrentTaxYearMinus1YearAmt
Current Tax Year$8,700,383CurrentTaxYearAmt
Total$37,055,859TotalAmt

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$37,055,859PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,621CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,291CurrentTaxYearMinus1YearAmt
Current Tax Year$9,294CurrentTaxYearAmt
Total$57,720TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,621CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,291CurrentTaxYearMinus1YearAmt
Current Tax Year$9,294CurrentTaxYearAmt
Total$57,720TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,517,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,368,993CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,898,453CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,619,335CurrentTaxYearMinus1YearAmt
Current Tax Year$8,709,677CurrentTaxYearAmt
Total$37,113,579TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99840PublicSupportCY509Pct
Public Support PY5090.95200PublicSupportPY509Pct
Investment Income CY0.00160InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$43,917OtherCostOrOtherBasisAmt
Book Value$43,917BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,598,261OtherCostOrOtherBasisAmt
Depreciation$5,468,333DepreciationAmt
Book Value$2,129,928BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,637,076OtherCostOrOtherBasisAmt
Depreciation$1,384,543DepreciationAmt
Book Value$252,533BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,203OtherCostOrOtherBasisAmt
Book Value$10,203BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,436,581TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$8,819,778TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$8,819,778RevenueSubtotalAmt
Other Revenues Not Included$5,572OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,572RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,825,350TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,614,229TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,614,229ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,614,229TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION IS THE TRUSTEE OF RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS OF THE SKILLED NURSING FACILITY. SECURITY DEPOSITS ADVANCED BY TENANTS OF COPPER GLEN ARE ALSO HELD IN TRUST BY THE ORGANIZATION. THE ORGANIZATION RECORDS THE AMOUNT ADVANCED BY THE RESIDENTS AND TENANTS AS LIABILITIES IN THE ACCOMPANYING BALANCE SHEETS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS TO NET ASSETS WITH RESTRICTIONS 5,572.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient14RecipientCnt
Cash Grant$23,974CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2FormAndLineReferenceDesc
ExplanationLUTHER HAVEN HAS A NURSING FACILITY SCHOLARSHIP FUND. EMPLOYEES MUST MEET CERTAIN ELIGIBILITY REQUIREMENTS. SCHOLARSHIP PARTICIPANTS MUST PERSONALLY TURN IN ALL ALLOWABLE EXPENSES. DIRECT BILLINGS FROM THE COLLEGE ARE NOT ACCEPTED. SCHOLARSHIP APPLICATIONS AND REIMBURSEMENTS ARE PROCESSED BY ACCOUNTING AFTER BEING APPROVED BY THE DEPARTMENT MANAGER, ADMINISTRATOR OR HUMAN RESOURCES. ACCOUNTING VERIFIES AND TRACKS YEARLY PAYMENTS FOR REPORT PURPOSES. PAYMENTS ARE MADE DIRECTLY TO THE EMPLOYEE. THE APPLICANT MUST COMPLETE THE SCHOLARSHIP REIMBURSEMENT FORM BY ATTACHING AN ITEMIZED DETAILED BILLING OF THE ALLOWABLE EXPENSES WITH RECEIPTS SHOWING THEIR PAYMENT IN FULL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF LUTHER HAVEN CONSISTS OF CONGREGATIONS OF CHRISTIAN CHURCHES WHICH HAVE APPLIED FOR SUCH MEMBERSHIP AND HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE ADMINISTRATOR AND FINANCE DIRECTOR BEFORE PROVIDING A COPY TO OUR BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE RESPONSIBILITY OF EVERY BOARD MEMBER TO STATE IF THEY FEEL THEY HAVE A CONFLICT OF INTEREST ON A VOTING MATTER. UNDER ANY TRANSACTION BETWEEN THE CORPORATION AND BOARD MEMBER, FULL DISCLOSURE MUST BE MADE TO THE BOARD OF DIRECTORS OR COMMITTEE BEFORE APPROVAL. THAT BOARD MEMBER OR COMMITTEE MEMBER SHALL NOT VOTE, AND THE MEETING MINUTES SHOULD REFLECT THE BOARD MEMBER OR COMMITTEE MEMBER ABSTAINED FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION USES TWO SALARY SURVEYS, ONE FROM AGING SERVICES OF MINNESOTA AND ANOTHER FROM MEDISOTA, A NON-PROFIT GROUP. THE COMPENSATION AND BENEFIT SURVEY IS FOR HEALTH CARE FACILITIES IN THE SOUTHWEST REGION OF MINNESOTA.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).

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