FURP.ORG / PUBLIC DATA EXPLORER

LYNGBLOMSTEN CARE CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
LYNGBLOMSTEN CARE CENTER INC (EIN 41-1310487)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-10-30
IRS object ID
202543039349301724
Schema version
2024v5.2
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)
Return2025-10-30T11:18:20-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1121 WEST BRIDGE STREETAddressLine1Txt
CityOWATONNACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55060ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411310487EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNGBLOMSTEN CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLYNGBusinessNameControlTxt
Phone6516462941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD FLIFLETPersonNm
Person TitleCFOPersonTitleTxt
Phone6516462941PhoneNum
Signature2025-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN HARTERTPreparerPersonNm
PTINP02236744PTIN
Phone5074467100PhoneNum
Preparation2025-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF HEINECKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,599,772GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LYNGBLOMSTEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionINFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee681TotalEmployeeCnt
Total Volunteers573TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,643,804PYContributionsGrantsAmt
CY Contributions Grants$1,375,135CYContributionsGrantsAmt
PY Program Service Revenue$33,896,408PYProgramServiceRevenueAmt
CY Program Service Revenue$34,780,696CYProgramServiceRevenueAmt
PY Investment Income$705,600PYInvestmentIncomeAmt
CY Investment Income$89,463CYInvestmentIncomeAmt
PY Other Revenue$164,133PYOtherRevenueAmt
CY Other Revenue$214,390CYOtherRevenueAmt
PY Total Revenue$41,409,945PYTotalRevenueAmt
CY Total Revenue$36,459,684CYTotalRevenueAmt
PY Grants And Similar Paid$2,400,704PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,226,105CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,180,044PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,768,245CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,004,944PYOtherExpensesAmt
CY Other Expenses$8,054,884CYOtherExpensesAmt
PY Total Expenses$36,585,692PYTotalExpensesAmt
CY Total Expenses$35,049,234CYTotalExpensesAmt
PY Revenues Less Expenses$4,824,253PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,410,450CYRevenuesLessExpensesAmt
Total Assets BOY$27,082,282TotalAssetsBOYAmt
Total Assets EOY$26,908,914TotalAssetsEOYAmt
Total Liabilities BOY$12,369,023TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,805,413TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,713,259NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,103,501NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$31,622,614ExpenseAmt
Grant$1,226,105GrantAmt
Revenue$34,780,696RevenueAmt
DescTHE LYNGBLOMSTEN CARE CENTER, A 225-BED SKILLED NURSING FACILITY, PROVIDES BOTH TRANSITIONAL REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING SPECIALIZED CARE FOR ALZHEIMER'S DISEASE AND OTHER DEMENTIAS AND FOR PARKINSON'S DISEASE. IN 2024, 616 PERSONS RECEIVED CARE. CHAPLAINS, VOLUNTEERS, AND PROFESSIONAL STAFF ENSURE RESIDENTS RECEIVE QUALITY HEALTHCARE IN A DIGNIFIED MANNER. ALTHOUGH HEALTH ISSUES PREVENT THESE OLDER ADULTS FROM LIVING IN THEIR OWN HOMES, LYNGBLOMSTEN PROMOTES PERSON-CENTERED CARE, GIVING OLDER ADULTS AS MANY CHOICES AND COMFORTS OF HOME AS POSSIBLE. RESIDENTS ARE ABLE TO PARTICIPATE IN A VARIETY OF ACTIVITIES (INCLUDING THE ARTS) AND SOCIAL EVENTS TO ENHANCE THEIR QUALITY OF LIFE, WHICH ARE COORDINATED BY CARE CENTER STAFF AND LYNGBLOMSTEN'S LIFELONG LEARNING AND THE ARTS DEPARTMENT.LYNGBLOMSTEN CARE CENTER, INC., IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA.Desc
Total Program Service Expenses$31,622,614TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee681EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TODD FLIFLETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6516325311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEBRA GEORGE
CHAIR1.005.00Yes (X)Yes (X)$0$0$0
PETER POLGA
DIRECTOR1.003.00Yes (X)$0$0$0
JOHN PECK
DIRECTOR1.003.00Yes (X)$0$0$0
BRUCE OLSEN
DIRECTOR1.003.00Yes (X)$0$0$0
JOY MCDONALD COLTVET
DIRECTOR1.003.00Yes (X)$0$0$0
CHARLES HEIDBRINK
DIRECTOR1.003.00Yes (X)$0$0$0
MARY HAUCK
DIRECTOR1.003.00Yes (X)$0$0$0
JUSTIN BRYANT
DIRECTOR1.003.00Yes (X)$0$0$0
JOAN BRANDT
DIRECTOR1.003.00Yes (X)$0$0$0
JEFF HEINECKE
PRESIDENT25.0015.00Yes (X)Yes (X)$294,614$0$44,584
MARK KNUDSON
TREASURER1.005.00Yes (X)Yes (X)$0$0$0
DIANA ROCKSTAD
SECRETARY1.005.00Yes (X)Yes (X)$0$0$0
MICHAEL LOVETT
VICE CHAIR1.005.00Yes (X)Yes (X)$0$0$0
REV IVY HUSTON
VICE CHAIR1.005.00Yes (X)Yes (X)$0$0$0
KIM DONAT
DIRECTOR1.003.00Yes (X)$0$0$0
PAULETTE OLSEN
DIRECTOR1.003.00Yes (X)$0$0$0
AMY KORZENOWSKI
DIRECTOR1.003.00Yes (X)$0$0$0
TODD FLIFLET
CFO30.0010.00Yes (X)$189,081$0$44,992
BENARD MAKORI
RN57.000.00$153,006$0$24,467Yes (X)
GEORGE MANYINSA
LPN65.000.00$162,785$0$19,083Yes (X)
EUNICE MURITHI
RN58.000.00$173,578$0$19,309Yes (X)
TRISHA GERLEMAN
ADMINISTRATOR40.000.00$171,591$0$40,523Yes (X)
GREG WAINMAN
DIRECTOR OF NURSING40.000.00$158,715$0$42,615Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,303,370TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$235,573TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRO REHAB
200 LEWIS AVENUE SOUTH SUITE 210WATERTOWNMN55388PHYSICAL THERAPY SERVICES$870,103
MERWIN LTC PHARMACY
PO BOX 856706MINNEAPOLISMN554856706PHARMACY$374,558
CLIFTONLARSONALLEN
220 SOUTH SIXTH STREET SUITE 300MINNEAPOLISMN55402FINANCIAL/CONSULTING$240,759
A&E PHARMACY LLC
1509 10TH AVE SMINNEAPOLISMN55404PHARMACY SERVICES$147,059
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$42,812RelatedOrganizationsAmt
All Other Contributions$1,332,323AllOtherContributionsAmt
Total Contributions$1,375,135TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$34,780,696TotalRevenueColumnAmt
Related Or Exempt Func Income$34,780,696RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,780,696TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,352TotalRevenueColumnAmt
Exclusion$61,352ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$157,805SecuritiesAmt
Other$10,394OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$140,088SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,717SecuritiesAmt
Other$10,394OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,111TotalRevenueColumnAmt
Exclusion$28,111ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLAENOUS REVENUE900099$169,394$169,394
CONTRACTED SERVICES REVENUE900099$44,996$44,996
FieldValueIRS element (for citing)
Other Revenue Total$214,390OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,459,684TotalRevenueColumnAmt
Related Or Exempt Func Income$34,780,696RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$303,853ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$848,309TotalAmt
Program Services$848,309ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$377,796TotalAmt
Program Services$377,796ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$573,271TotalAmt
Management And General$573,271ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,133,529TotalAmt
Program Services$17,953,412ProgramServicesAmt
Management And General$1,180,117ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$495,388TotalAmt
Program Services$467,038ProgramServicesAmt
Management And General$28,350ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,056,682TotalAmt
Program Services$3,727,534ProgramServicesAmt
Management And General$329,148ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,509,375TotalAmt
Program Services$1,367,930ProgramServicesAmt
Management And General$141,445ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,267TotalAmt
Management And General$32,267ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,709TotalAmt
Management And General$77,709ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,909,042TotalAmt
Program Services$1,741,182ProgramServicesAmt
Management And General$167,860ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$94,360TotalAmt
Management And General$94,360ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,010,736TotalAmt
Program Services$927,999ProgramServicesAmt
Management And General$82,737ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$352,437TotalAmt
Management And General$352,437ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$746,100TotalAmt
Program Services$669,371ProgramServicesAmt
Management And General$76,729ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$53,667TotalAmt
Program Services$18,797ProgramServicesAmt
Management And General$34,870ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$348,045TotalAmt
Program Services$312,252ProgramServicesAmt
Management And General$35,793ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,491,566TotalAmt
Program Services$1,338,173ProgramServicesAmt
Management And General$153,393ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,521TotalAmt
Program Services$73,137ProgramServicesAmt
Management And General$8,384ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$784,217$784,217
DHS SURCHRAGE$633,375$633,375
MINOR EQUIPMENT$333,674$333,674
DUES AND SUBSCRIPTIONS$82,517$40,635$41,882

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,651TotalAmt
Program Services$7,783ProgramServicesAmt
Management And General$15,868ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,049,234TotalAmt
Program Services$31,622,614ProgramServicesAmt
Management And General$3,426,620ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,503,968BOYAmt
EOY$2,580,478EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$559,381BOYAmt
EOY$571,149EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,805,598BOYAmt
EOY$10,714,089EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,795BOYAmt
EOY$40,288EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,406,401LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,994,216LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,883,764BOYAmt
EOY$10,412,185EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,569,180BOYAmt
EOY$1,569,180EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$690,596BOYAmt
EOY$1,021,545EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,082,282BOYAmt
EOY$26,908,914EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,588,419BOYAmt
EOY$3,092,489EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$755,846BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,681,079BOYAmt
EOY$7,324,673EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$152,598BOYAmt
EOY$203,538EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,081BOYAmt
EOY$184,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,369,023BOYAmt
EOY$10,805,413EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,669,817BOYAmt
EOY$15,769,847EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,442BOYAmt
EOY$333,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,713,259BOYAmt
EOY$16,103,501EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,082,282BOYAmt
EOY$26,908,914EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,410,450ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$20,208NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,668,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,070,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,643,804CurrentTaxYearMinus1YearAmt
Current Tax Year$1,375,135CurrentTaxYearAmt
Total$15,833,502TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,098,789CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,425,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,664,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,923,072CurrentTaxYearMinus1YearAmt
Current Tax Year$34,780,696CurrentTaxYearAmt
Total$153,892,821TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,766,800CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,495,714CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,741,102CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,566,876CurrentTaxYearMinus1YearAmt
Current Tax Year$36,155,831CurrentTaxYearAmt
Total$169,726,323TotalAmt

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$169,726,323PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,363CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,257CurrentTaxYearMinus1YearAmt
Current Tax Year$61,352CurrentTaxYearAmt
Total$551,536TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,363CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,257CurrentTaxYearMinus1YearAmt
Current Tax Year$61,352CurrentTaxYearAmt
Total$551,536TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$156,107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$187,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,469CurrentTaxYearMinus1YearAmt
Current Tax Year$214,390CurrentTaxYearAmt
Total$820,723TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,973,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,812,336CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,067,360CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,813,602CurrentTaxYearMinus1YearAmt
Current Tax Year$36,431,573CurrentTaxYearAmt
Total$171,098,582TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99200PublicSupportCY509Pct
Public Support PY5090.98960PublicSupportPY509Pct
Investment Income CY0.00320InvestmentIncomeCYPct
Investment Income PY0.00360InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationBEAUTY SHOP REVENUE SATELLITE TV REVENUE TELEPHONE REVENUE GUEST MEAL REVENUE MISCELLANEOUS REVENUE CONTRACTED SERVICES REVENUEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,767OtherCostOrOtherBasisAmt
Book Value$94,767BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,994,647OtherCostOrOtherBasisAmt
Depreciation$21,466,681DepreciationAmt
Book Value$8,527,966BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,991,627OtherCostOrOtherBasisAmt
Depreciation$3,753,769DepreciationAmt
Book Value$1,237,858BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,325,360OtherCostOrOtherBasisAmt
Depreciation$773,766DepreciationAmt
Book Value$551,594BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,412,185TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN INSURANCE RECIPROCAL$399,180C
INVESTMENT IN UNRELATED PARTY$1,170,000C
FieldValueIRS element (for citing)
Total Book Value Securities$1,569,180TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$145,765
CAPITAL LEASE OBLIGATION$38,948
FieldValueIRS element (for citing)
Total Liability$184,713TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE CORPORATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS.
PART X, LINE 2:THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
LYNGBLOMSTEN FOUNDATION
1415 ALMOND AVENUEST PAULMN55108363371887501(C)(3)$148,309$0N/AN/ATO SUPPORT GENERAL OPERATIONS.
LYNGBLOMSTEN AT LINO LAKES
1415 ALMOND AVENUEST PAULMN55108842903370501(C)(3)$700,000$0N/AN/ATO SUPPORT GENERAL OPERATIONS.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient59RecipientCnt
Cash Grant$377,796CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationLYNGBLOMSTEN CARE CENTER MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. ALL RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE USE OF THESE FUNDS THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS. LYNGBLOMSTEN SCHOLARSHIPS WILL BE AWARDED TO EMPLOYEES ENTERING AND/OR FURTHERING THEIR EDUCATION IN LONG TERM HEALTH CARE. THE FOLLOWING PROCEDURES MUST BE FOLLOWED IN ORDER TO RECEIVE SUCH A SCHOLARSHIP. 1. A FULLY COMPLETED APPLICATION PACKET MUST BE SUBMITTED TO HUMAN RESOURCES ON OR BEFORE PAYMENT OR THIRD PARTY BILLING FORMS WILL BE COMPLETED. 2. ALL EMPLOYEES EXCEPT THE ADMINISTRATOR ARE ELIGIBLE. 3. APPLICANT MUST BE CURRENTLY EMPLOYED BY LYNGBLOMSTEN AND HAVE COMPLETED 1040 HOURS OF SERVICE PRIOR TO APPLYING. IF EMPLOYMENT IS TERMINATED WITHIN 90 DAYS OF RECEIVING SCHOLARSHIP FUNDS, THEY MUST BE RETURNED TO LYNGBLOMSTEN. ALL FUNDS GRANTED MUST BE USED FOR STATED PURPOSE OF APPLICATION, OTHERWISE THEY MUST BE RETURNED TO LYNGBLOMSTEN. 4. APPLICANT MUST BE WORKING AN AVERAGE OF 10 HOURS PER WEEK THE 6 MONTH PERIOD PRIOR TO THE SEMESTER OR QUARTER FUNDS ARE APPLIED FOR. 5. APPLICANT MAY BE FROM ANY DEPARTMENT/PROGRAM WITHIN LYNGBLOMSTEN. 6. APPLICANT MUST BE ENROLLED IN AND/OR ACCEPTED IN AN EDUCATIONAL PROGRAM THAT WILL PREPARE THEM FOR POSITIONS COMMON TO LONG TERM CARE. 7. SCHOLARSHIPS MAY BE AWARDED FOR AMOUNTS COVERING FULL TUITION AND BOOK FEES FOR ALL APPLICANTS. 8. SCHOLARSHIPS MAY BE AWARDED MORE THAN ONCE PER YEAR, BUT A NEW APPLICATION PACKET MUST BE COMPLETED WITH EACH REQUEST FOR FUNDS. 9. AWARDED SCHOLARSHIP MONEY WILL BE SENT DIRECTLY TO THE INSTITUTION, WHEN POSSIBLE. 10. ALL SCHOLARSHIPS AWARDED BY LYNGBLOMSTEN ARE INTENDED FOR SCHOOL TUITION AND BOOKS ONLY. OTHER GRANTS AND SCHOLARSHIPS MUST BE AWARDED, PRIOR TO THE LYNGBLOMSTEN SCHOLARSHIP. IF LYNGBLOMSTEN SCHOLARSHIP DOLLARS ARE IN EXCESS, THEY MUST BE RETURNED TO LYNGBLOMSTEN IMMEDIATELY. FAILURE TO DO SO WILL RESULT IN REPAYMENT AND/OR DISCIPLINE UP TO AND INCLUDING TERMINATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF HEINECKE
PRESIDENT$282,171$0$6,884$0$5,559$0$12,048$0$32,536$0$339,198$0$0$0
TODD FLIFLET
CFO$175,386$0$7,330$0$6,365$0$7,894$0$37,098$0$234,073$0$0$0
TRISHA GERLEMAN
ADMINISTRATOR$154,578$0$8,586$0$8,427$0$7,165$0$33,358$0$212,114$0$0$0
GREG WAINMAN
DIRECTOR OF NURSING$152,264$0$6,451$0$0$0$6,640$0$35,975$0$201,330$0$0$0
EUNICE MURITHI
RN$161,929$0$9,340$0$2,309$0$6,157$0$13,152$0$192,887$0$0$0
GEORGE MANYINSA
LPN$138,811$0$13,519$0$10,455$0$6,576$0$12,507$0$181,868$0$0$0
BENARD MAKORI
RN$140,073$0$8,099$0$4,834$0$6,194$0$18,273$0$177,473$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PORT AUTHORITY OF THE CITY OF SAINT PAULBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005524BondIssuerEIN
CUSIP79307PBE7CUSIPNum
Bond Issued2018-06-21BondIssuedDt
Issue Price$9,200,000IssuePriceAmt
PurposeTO FUND A RENOVATION PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,605,000RetiredAmt
Total Proceeds$9,381,816TotalProceedsAmt
Capitalized Interest$461,590CapitalizedInterestAmt
Issuance Costs From Proceeds$184,000IssuanceCostsFromProceedsAmt
Capital Expenditures$9,349,821CapitalExpendituresAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART II, LINE 3- TOTAL PROCEEDS OF ISSUEFormAndLineReferenceDesc
ExplanationTHE TOTAL PROCEEDS OF ISSUE REPORTED ON LINE 3 FOR THE PORT AUTORITY OF THE CITY OF SAINT PAUL BONDS INCLUDES $181,816 OF INVESTMENT EARNINGS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2THE LYNGBLOMESTEN CARE CENTER SECURED A GRANT FROM LUTHERAN SERVICES IN AMERICA TO PILOT ROBOTS THAT USE FACIAL RECOGNITION TO INTERACT WITH RESIDENTS THROUGH GREETINGS, MUSIC, AND GAMES. A SUPPORT GROUP WAS ESTABLISHED FOR FAMILY MEMBERS OF RESIDENTS WITH MEMORY LOSS, AS WELL AS A GRIEF SUPPORT SERIES FOR RESIDENTS, FAMILY MEMBERS, AND OTHERS.
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE IS MADE UP THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY OF THE BOARD ALONG WITH PRESIDENT/CEO OF THE CORPORATION. ALL ITEMS APPROVED BY THE EXECUTIVE COMMITTEE ARE REAFFIRMED BY THE FULL BOARD AT THEIR NEXT MEETING.
FORM 990, PART VI, SECTION A, LINE 6THE BOARD OF DIRECTORS OF LYNGBLOMSTEN ARE THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE CONGREGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO, AS MEMBERS OF LYNGBLOMSTEN, ELECT THE LYNGBLOMSTEN BOARD. THE BOARD OF DIRECTORS OF LYNGBLOMSTEN CARE CENTER CONSISTS SOLELY OF DULY ELECTED AND QUALIFIED MEMBERS OF THE BOARD OF DIRECTORS OF LYNGBLOMSTEN. ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CONSTITUTES ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CARE CENTER FOR THE SAME TERM.
FORM 990, PART VI, SECTION A, LINE 7BCHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BTHE CEO, CFO, AND CONTROLLER REVIEW THE DOCUMENT, WHICH IS EMAILED TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO THEIR MEETING FOR REVIEW AND COMMENT. THE BOARD RECEIVES THE DOCUMENT PRIOR TO THEIR BOARD MEETING BY EMAIL. PAPER COPIES ARE AVAILABLE AT THE BOARD MEETING FOR FURTHER DISCUSSION AND BOARD APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CAN UPDATED CONFLICT OF INTEREST POLICY IS SIGNED BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THIS POLICY IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER AND IF ANY CONFLICTS OF INTERESTS EXIST THAT INDIVIDUAL IS EXCLUDED FROM PARTICIPATION AND VOTING ON RELATED TRANSACTIONS. UPON COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS, THE RESULTS/CONFLICTS ARE REPORTED TO THE EXECUTIVE COMMITTEE OF THE BOARD AND RECORDED IN THEIR MINUTES.
FORM 990, PART VI, SECTION B, LINE 15ATHE LYNGBLOMSTEN BOARD'S EXECUTIVE COMMITTEE REVIEWS AND SETS THE CEO'S COMPENSATION ANNUALLY AND PERFORMS A COMPENSATION STUDY PERIODICALLY, LAST COMPLETED FALL 2024.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LYNGBLOMSTEN APARTMENTS INC
1455 ALMOND AVEST PAULMN55108411327121LOW INCOME SENIOR HOUSINGMN501(C)3LINE 10LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC0
HERITAGE APARTMENTS INC
1440 MIDWAY PARKWAYST PAULMN55108411913420MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIESMN501(C)3LINE 10LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC0
LYNGBLOMSTEN FOUNDATION
1415 ALMOND AVEST PAULMN55108363371887FUNDRAISING FOR LYNGBLOMSTENMN501(C)3LINE 7LYNGBLOMSTEN0
LYNGBLOMSTEN SERVICES INC
1415 ALMOND AVEST PAULMN55108411760448SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTHMN501(C)3LINE 10LYNGBLOMSTEN0
LYNGBLOMSTEN
1415 ALMOND AVEST PAULMN55108410693865MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONSMN501(C)3LINE 100N/A
LYNGBLOMSTEN SENIOR HOUSING INC
1415 ALMOND AVEST PAULMN55108411913422MANAGEMENT OVERSIGHT SERVICES TO LYNGBLOMSTEN APTS & HERITAGE APTSMN501(C)3LINE 10LYNGBLOMSTEN0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth 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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LYNGBLOMSTEN FOUNDATION
B$148,309CASH
LYNGBLOMSTEN FOUNDATION
C$42,812CASH