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MINNEWASKA HOME CARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MINNEWASKA HOME CARE INC (EIN 33-1124162)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-13
IRS object ID
201822259349301702
Schema version
2016v3.0
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)
Return2018-08-13T14:33:34-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

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 Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN331124162EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MINNEWASKA HOME CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMINNBusinessNameControlTxt
Phone3202392217PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40AddressLine1Txt
CitySTARBUCKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56381ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAYO ASLAGSONPersonNm
Person TitleBOARD CHAIRPersonTitleTxt
Phone3202392217PhoneNum
Signature2018-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCORY RUTLEDGEPreparerPersonNm
PTINP01329381PTIN
Phone6123764500PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER KNOLLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40AddressLine1Txt
CitySTARBUCKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56381ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$345,115GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCHS-HEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionA COMMUNITY OF SERVICES GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$435,489PYProgramServiceRevenueAmt
CY Program Service Revenue$337,209CYProgramServiceRevenueAmt
PY Investment Income-$1,135PYInvestmentIncomeAmt
CY Investment Income-$841CYInvestmentIncomeAmt
PY Other Revenue$7,598PYOtherRevenueAmt
CY Other Revenue$7,854CYOtherRevenueAmt
PY Total Revenue$441,952PYTotalRevenueAmt
CY Total Revenue$344,222CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$327,236PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$309,265CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$154,031PYOtherExpensesAmt
CY Other Expenses$96,406CYOtherExpensesAmt
PY Total Expenses$481,267PYTotalExpensesAmt
CY Total Expenses$405,671CYTotalExpensesAmt
PY Revenues Less Expenses-$39,315PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$61,449CYRevenuesLessExpensesAmt
Total Assets BOY$212,824TotalAssetsBOYAmt
Total Assets EOY$126,322TotalAssetsEOYAmt
Total Liabilities BOY$51,410TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,357TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$161,414NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$99,965NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$352,707ExpenseAmt
Grant$0GrantAmt
Revenue$337,209RevenueAmt
DescMINNEWASKA HOME CARE, A MEDICARE CERTIFIED HOME CARE AGENCY, PROMOTES HEALTH OF THE COMMUNITY MEMBERS IT SERVES BY PROVIDING A VARIETY OF HEALTH CARE SERVICES IN THE PATIENT'S HOME SETTING. OUR SERVICES INCLUDE BUT ARE NOT LIMITED TO SKILLED NURSING, HOME HEALTH AID, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND HOMEMAKING SERVICES WITHIN A 30-MILE RADIUS OF STARBUCK, MN. MINNEWASKA HOME CARE PROVIDES THESE SERVICES ON A DAILY BASIS MONDAY THRU FRIDAY, 8:00AM TO 4:30PM, AND HAS A 24-HOUR ON CALL REGISTERED NURSE AVAILABLE FOR EMERGENCIES.MINNEWASKA HOME CARE IS GOVERNED BY A TEN PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND TEN AREA CHURCH MEMBERS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACTING WITH THE HIGHEST INTEGRITY AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE AT ITS MAXIMUM POTENTIAL FOR THE BENEFIT OF THE CLIENTS WE SERVE.Desc
Total Program Service Expenses$352,707TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Individuals0GrantsToIndividualsInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
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 Line1CAROLINE HENDRENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3202392217PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1Txt
CitySTARBUCKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56381ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KAYO ASLAGSON
CHAIR0.501.50Yes (X)Yes (X)$0$0$0
LAURIS JOHNSHOY
VICE CHAIR0.501.50Yes (X)Yes (X)$0$0$0
ARNE STOEN
TREASURER0.501.50Yes (X)Yes (X)$0$0$0
JOHN SAMUELSON
SECRETARY0.501.50Yes (X)Yes (X)$0$0$0
PETER BRANDT
DIRECTOR0.501.50Yes (X)$0$0$0
RONALD FEIGUM
DIRECTOR0.501.50Yes (X)$0$0$0
WARREN HAGESTUEN
DIRECTOR0.501.50Yes (X)$0$0$0
ROBERT HENDRICKSON
DIRECTOR0.501.50Yes (X)$0$0$0
ALICE REESE
DIRECTOR0.501.50Yes (X)$0$0$0
STAN STARK
DIRECTOR0.501.50Yes (X)$0$0$0
CHRISTOPHER KNOLL
ADMINISTRATOR1.0039.00Yes (X)$0$83,596$16,828
BRIAN ENGLER
DIRECTOR OF FINANCE8.0032.00Yes (X)$0$67,065$4,451
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$150,661TotReportableCompRltdOrgAmt
Total Other Compensation$21,279TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT REVENUESDesc
Business623000BusinessCd
Total Revenue Column$337,209TotalRevenueColumnAmt
Related Or Exempt Func Income$337,209RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$337,209TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$52TotalRevenueColumnAmt
Exclusion$52ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$893OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$893OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$893TotalRevenueColumnAmt
Exclusion-$893ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$7,854TotalRevenueColumnAmt
Exclusion$7,854ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,854OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$344,222TotalRevenueColumnAmt
Related Or Exempt Func Income$337,209RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,013ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$254,619TotalAmt
Program Services$237,196ProgramServicesAmt
Management And General$17,423ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$742TotalAmt
Program Services$691ProgramServicesAmt
Management And General$51ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,351TotalAmt
Program Services$32,000ProgramServicesAmt
Management And General$2,351ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,553TotalAmt
Program Services$18,215ProgramServicesAmt
Management And General$1,338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,487TotalAmt
Management And General$5,487ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,313TotalAmt
Program Services$24,313ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,393TotalAmt
Program Services$2,393ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,410TotalAmt
Program Services$5,265ProgramServicesAmt
Management And General$145ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,920TotalAmt
Program Services$15,920ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$677TotalAmt
Program Services$677ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,507TotalAmt
Program Services$4,096ProgramServicesAmt
Management And General$4,411ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,150TotalAmt
Program Services$2,150ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,594TotalAmt
Management And General$12,594ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$726TotalAmt
Program Services$726ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
OTHER$8,045$8,045
BAD DEBT$6,769$6,769
LICENSES$2,296$2,296
DUES$1,119$1,119

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$405,671TotalAmt
Program Services$352,707ProgramServicesAmt
Management And General$52,964ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$88,121BOYAmt
EOY$35,157EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,176BOYAmt
EOY$70,570EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$161,018LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$140,423LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,527BOYAmt
EOY$20,595EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$212,824BOYAmt
EOY$126,322EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY-$1,836BOYAmt
EOY-$5,715EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,246BOYAmt
EOY$32,072EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,410BOYAmt
EOY$26,357EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$161,414BOYAmt
EOY$99,965EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,414BOYAmt
EOY$99,965EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,824BOYAmt
EOY$126,322EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$61,449ReconcilationRevenueExpnssAmt
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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$301,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$369,919CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,489CurrentTaxYearMinus1YearAmt
Current Tax Year$337,209CurrentTaxYearAmt
Total$1,749,788TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$301,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$369,919CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,489CurrentTaxYearMinus1YearAmt
Current Tax Year$337,209CurrentTaxYearAmt
Total$1,749,788TotalAmt

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$1,749,788PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74CurrentTaxYearMinus1YearAmt
Current Tax Year$52CurrentTaxYearAmt
Total$336TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74CurrentTaxYearMinus1YearAmt
Current Tax Year$52CurrentTaxYearAmt
Total$336TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$4,029CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,843CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,598CurrentTaxYearMinus1YearAmt
Current Tax Year$7,854CurrentTaxYearAmt
Total$22,324TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$301,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$309,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$372,839CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$443,161CurrentTaxYearMinus1YearAmt
Current Tax Year$345,115CurrentTaxYearAmt
Total$1,772,448TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98720PublicSupportCY509Pct
Public Support PY5090.99130PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
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
ExplanationOTHER INCOMEExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$161,018OtherCostOrOtherBasisAmt
Depreciation$140,423DepreciationAmt
Book Value$20,595BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,595TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTYDesc
Amt$32,072Amt
FieldValueIRS element (for citing)
Total Liability$32,072TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFROM NOTE 1 TO THE ORGANIZATION'S FINANCIAL STATEMENTS: THE HOME, MHD, HOLLY RIDGE, AND HOME CARE HAVE ALL BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND APPLICABLE STATE STATUTES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF ANY OF ITS ENTITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS WERE AMENDED IN DECEMBER 2016 TO REMOVE THE MAXIMUM LIMIT OF CONSECUTIVE TERMS EACH DIRECTOR CAN SERVE.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF MINNEWASKA HOME CARE CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MN AND HOFFMAN, MN. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINNEWASKA LUTHERAN CHURCH - STARBUCK, MINNESOTA ST. JOHN'S LUTHERAN CHURCH - STARBUCK, MINNESOTA IMMANUEL LUTHERAN CHURCH - STARBUCK, MINNESOTA INDHERRED LUTHERAN CHURCH - STARBUCK, MINNESOTA EAST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA WEST ZION LUTHERAN CHURCH - HANCOCK, MINNESOTA TRINITY LUTHERAN CHURCH - CYRUS, MINNESOTA MESSIAH LUTHERAN CHURCH - HOFFMAN, MINNESOTA
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENTS TO THE ARTICLES OF INCORPORATION OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE MANAGEMENT TEAM WILL DISCUSS THE COMPLETED FORM 990 AT THE AUGUST 29, 2018 BOARD MEETING AFTER IT IS FILED. THE PROCESS WILL BE LEAD BY CAROLINE HENDREN, DIRECTOR OF FINANCE AND CHRISTOPHOER KNOLL, ADMINISTRATOR.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEE WITH BOARD-DELEGATED POWERS. ANY INDIVIDUAL WITH AN ACTUAL OR POTENTIAL CONFLICT IS REQUIRED TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE MATERIAL FACTS, THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE BY MAJORITY VOTE WHETHER A CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE BOARD OR COMMITTEE SEEKS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE, THE BOARD OR COMMITTEE DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL MAY NOT BE PRESENT FOR A DISCUSSION OF, OR VOTE ON, WHETHER TO ENTER THE TRANSACTION. THE RELEVANT FACTS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN STATEMENTS DISCLOSING EXISTING CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MINNEWASKA LUTHERAN HOME
PO BOX 40STARBUCKMN56381410845402SKILLED NURSING FACILITYMN501(C)(3)LINE 10N/AYes (1)
HOLLY RIDGE MANOR
PO BOX 40STARBUCKMN56381411649721ASSISTED LIVINGMN501(C)(3)LINE 12B, IIYes (1)MINNEWASKA LUTHERAN HOME
MINNEWASKA HOME DEVELOPMENT
PO BOX 40STARBUCKMN56381411504339FUNDRAISINGMN501(C)(3)LINE 12B, IIN/AYes (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 Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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