ST JOHNS LUTHERAN HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS LUTHERAN HOME (EIN 41-0847708)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-14
IRS object ID
201410459349302471
Schema version
2012v2.1
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)
Timestamp2014-02-14T15:51:29-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 217AddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410847708EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5073738226Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLACEAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOT SPATESName
TitleCEOTitle
Phone5073738226Phone
Date Signed2014-02-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRENT FASTName
PTINP00692704PTIN
Phone5074347000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOT SPATESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLACEAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11698008GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STJOHNSOFALBERTLEA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionST. JOHN'S LUTHERAN HOME WAS ORGANIZED FOR THE PURPOSE OF BUILDING, ERECTING, ESTABLISHING, MAINTAINING, EQUIPPING, MANAGING, OPERATING, AND ENDOWING A CHRISTIAN HOME MINISTERING TO THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF AGING MEN AND WOMEN.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees334TotalNbrEmployees
Total Nbr Volunteers128TotalNbrVolunteers
Total Gross UBI20671TotalGrossUBI
Net Unrelated Business Txbl Income-4000NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year338960ContributionsGrantsPriorYear
Contributions Grants Current Year328404ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11435201ProgramServiceRevenuePriorYear
Program Service Revenue CY11285848ProgramServiceRevenueCY
Investment Income Prior Year46766InvestmentIncomePriorYear
Investment Income Current Year38888InvestmentIncomeCurrentYear
Other Revenue Prior Year46917OtherRevenuePriorYear
Other Revenue Current Year44868OtherRevenueCurrentYear
Total Revenue Prior Year11867844TotalRevenuePriorYear
Total Revenue Current Year11698008TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7653842SalariesEtcPriorYear
Salaries Etc Current Year7501326SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4200005OtherExpensePriorYear
Other Expenses Current Year4043280OtherExpensesCurrentYear
Total Expenses Prior Year11853847TotalExpensesPriorYear
Total Expenses Current Year11544606TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13997RevenuesLessExpensesPriorYear
Revenues Less Expenses CY153402RevenuesLessExpensesCY
Total Assets BOY11471659TotalAssetsBOY
Total Assets EOY11370576TotalAssetsEOY
Total Liabilities BOY5559385TotalLiabilitiesBOY
Total Liabilities EOY5304600TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5912274NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6065976NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PHYSICAL, EMOTIONAL, SOCIAL AND CHRISTIAN CARE FOR ALL PEOPLE, WITH DIGNITY AND RESPECT, IN AN ENVIRONMENT OF GOD'S GRACE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10545989Expense
Revenue11290452Revenue
DescriptionST. JOHN'S LUTHERAN HOME WAS ORGANIZED FOR THE PURPOSE OF BUILDING, ERECTING, ESTABLISHING, MAINTAINING, EQUIPPING, MANAGING, OPERATING AND ENDOWING A CHRISTIAN HOME MINISTERING TO THE PHYSICAL, SPIRITUAL, EMOTIONAL AND SOCIAL NEEDS OF AGING MEN AND WOMEN. PROVISION OF NURSING CARE AND HOUSING TO THE ELDERLY AND HANDICAPPED BY OPERATING A 170-BED LICENSED NURSING FACILITY AND A 48-UNIT APARTMENT COMPLEX.Description
Total Program Service Expense10545989TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees334NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DUANE MALLONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5074731015TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LANCE SKOV
CHAIRMAN1.00X000
THERESA JACKSON
DIRECTOR1.00X000
STEVEN ZENK
DIRECTOR1.00X000
DAVE OLSON
TREASURER1.00X000
DARRYL MEYER
DIRECTOR1.00X000
SONJA JOHNSON
DIRECTOR1.00X000
ORVILLE SIMONSEN
VICE CHAIRMAN1.00X000
REV WENDY ANDERSON
SECRETARY1.00X000
CHARLES REINDAL
DIRECTOR1.00X000
LOIS STOTTS
DIRECTOR1.00X000
SCOT SPATES
CEO40.00102610026101X
DUANE MALLON
CFO38.0070723021241X
FieldValueIRS element (for citing)
Total Reportable Comp From Org173333TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation47342TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORTY ELVING & ASSOCIATES
505 EAST GRANT STREETMINNEAPOLISMN55404ARCHITECTURE478623
REHAB CARE
PO BOX 503534ST LOUISMO631503534THERAPY SERVICES475326
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations312069RelatedOrganizations
All Other Contributions16335AllOtherContributions
Total Contributions328404TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
RESIDENT REVENUE62300097926269792626
MEDICARE/MEDICAID PAYMENTS62300014684991468499
MANAGEMENT INCOME5617002067120671
MISCELLANEOUS REVENUE62300035993599
PHONE RENTAL623000453453
FieldValueIRS element (for citing)
Total Program Service Revenue11285848TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38888TotalRevenueColumn
Exclusion$38,888ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY SHOP62300032523$32,523
MISCELLANEOUS INCOME9000998456$8,456
NON-RESIDENT MEALS6230003343$3,343

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column546TotalRevenueColumn
Exclusion$546ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue44868TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11698008TotalRevenueColumn
Related Or Exempt Function Income11265177RelatedOrExemptFunctionIncome
Unrelated Business Revenue20671UnrelatedBusinessRevenue
Exclusion$83,756ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total220675Total
Management And General220675ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5888540Total
Program Services5644073ProgramServices
Management And General244467ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total159484Total
Program Services146725ProgramServices
Management And General12759ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total787850Total
Program Services724822ProgramServices
Management And General63028ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total444777Total
Program Services409195ProgramServices
Management And General35582ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4843Total
Management And General4843ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66340Total
Management And General66340ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total177491Total
Program Services150956ProgramServices
Management And General26535ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total41118Total
Management And General41118ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total621414Total
Program Services551332ProgramServices
Management And General70082ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total354765Total
Program Services354765ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5777Total
Program Services3946ProgramServices
Management And General1831ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34840Total
Program Services26805ProgramServices
Management And General8035ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total174435Total
Program Services174435ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total697773Total
Program Services697773ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total31334Total
Program Services6927ProgramServices
Management And General24407ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
TAXES & LICENSES532755532755
FOOD COSTS493303493303
THERAPY EXPENSE405141405141
PHARMACY122263122263

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total279688Total
Program Services100773ProgramServices
Management And General178915ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11544606Total
Program Services10545989ProgramServices
Management And General998617ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY488326BOY
EOY684427EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3942893BOY
EOY3323105EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1264556BOY
EOY1468877EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74558BOY
EOY89528EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19235067LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13534020LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5595525BOY
EOY5701047EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY100533BOY
EOY100361EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5268BOY
EOY3231EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11471659BOY
EOY11370576EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY935365BOY
EOY1049202EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4115000BOY
EOY3745000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY509020BOY
EOY510398EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5559385BOY
EOY5304600EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5912274BOY
EOY6065976EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5912274BOY
EOY6065976EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11471659BOY
EOY11370576EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses153402ReconcilationRevenueExpenses
Reconciliation Unrealized Invest300ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years351259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years359580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years356782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year338960CurrentTaxYearMinus1Year
Current Tax Year324449CurrentTaxYear
Total1731030Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11807257CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11929680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11888860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11435201CurrentTaxYearMinus1Year
Current Tax Year11285848CurrentTaxYear
Total58346846Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12158516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12289260CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12245642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11774161CurrentTaxYearMinus1Year
Current Tax Year11610297CurrentTaxYear
Total60077876Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years335560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years346727CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year326285CurrentTaxYearMinus1Year
Current Tax Year312069CurrentTaxYear
Total1662711Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years335560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years346727CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year326285CurrentTaxYearMinus1Year
Current Tax Year312069CurrentTaxYear
Total1662711Total
FieldValueIRS element (for citing)
Public Support Total50958415165PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46766CurrentTaxYearMinus1Year
Current Tax Year38888CurrentTaxYear
Total407212Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46766CurrentTaxYearMinus1Year
Current Tax Year38888CurrentTaxYear
Total407212Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years46357CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46917CurrentTaxYearMinus1Year
Current Tax Year44868CurrentTaxYear
Total138142Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12297169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12383335CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12380829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11867844CurrentTaxYearMinus1Year
Current Tax Year11694053CurrentTaxYear
Total60623230Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96360PublicSupportPercentage509
Prior Year Support Percentage0.96120PriorYearSupportPercentage
Investment Income Percentage0.00670InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00910PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis424462OtherCostOrOtherBasis
Book Value424462BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11600302OtherCostOrOtherBasis
Depreciation8873115Depreciation
Book Value2727187BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5891364OtherCostOrOtherBasis
Depreciation4247052Depreciation
Book Value1644312BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1318939OtherCostOrOtherBasis
Depreciation413853Depreciation
Book Value905086BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5701047TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LEASE DEPOSITS$46,115
PATIENT TRUST FUNDS$12,855
ASSET RETIREMENT OBLIGATION$451,428
FieldValueIRS element (for citing)
Total Of Amounts510398TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11698308TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments300NetUnrealizedGainsInvestments
Revenue Not Rptd F990300RevenueNotRptdF990
Revenue Subtotal11698008RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011698008TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11544606TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11544606ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011544606TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2010, 2011, AND 2012 TAX YEARS OF THE ORGANIZATION ARE OPEN FOR EXAMINATION BY THE IRS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF ALBERT LEA MINNESOTA
A416004922012797BL92006-02-22645000IMPROVE THE FACILITIES000
CITY OF ALBERT LEA MINNESOTA
B416004922012797BK12006-02-225315000REFINANCING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount In Reserve FundAmountInReserveFundOther Spent ProceedsOtherSpentProceeds
A6450004500060000020070011
B5315000156189101122150002827554876056

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A110000
B110000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
Return ReferencePART VReturnReference
ExplanationTHE ORGANIZATION IS IN THE PROCESS OF ADOPTING THESE POLICIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO BEING FILED WITH THE IRS, THE BOARD CHAIRMAN AND CEO REVIEW IN DETAIL A COPY OF THE FORM 990, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES.
FORM 990, PART VI, SECTION B, LINE 12CA CORPORATE COMPLIANCE PROGRAM IS REVIEWED WITH ALL NEW HIRES AND WITH NEW BOARD MEMBERS. BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY COMPLETE A SURVEY RELATED TO BUSINESS RELATIONSHIPS AND FAMILY MEMBERS THAT COULD OR DO CREATE A CONFLICT OF INTEREST. THESE ARE SUMMARIZED AND FILED ALONG WITH BOARD MEETING MINUTES. CONFLICTS OF INTEREST ARE DETERMINED BY A REVIEW OF THE POTENTIAL CONFLICTS BY THE ADMINISTRATOR AND BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS USED TO SET THE ADMINISTRATOR'S ANNUAL SALARY IS BASED ON A COMPARISON TO COMPARABLE ORGANIZATIONS. THE BOARD OF DIRECTORS REVIEWS THE MINNESOTA SENIOR HOUSING TRADE ASSOCIATION'S ANNUAL WAGE SURVEY. THIS SURVEY INCLUDES INFORMATION RELATED TO THE SIZE OF THE ORGANIZATION AND THE NOT-FOR-PROFIT STATUS OF THE ORGANIZATION. IN ADDITION TO THIS, THE 990'S FROM COMPARABLE SENIOR HOUSING CAMPUSES ARE REVIEWED BY THE BOARD OF DIRECTORS AND USED TO ESTABLISH THE ADMINISTRATOR'S WAGE. THIS PROCESS WAS NOT REVIEWED IN 2011. THERE WAS NOT AN INCREASE IN THE ADMINISTRATOR'S WAGE IN 2011 DUE TO A CAMPUS WIDE WAGE FREEZE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ST JOHNS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O ST JOHNS HOME HWY 13AddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
EIN416054307EIN
Primary ActivitiesTO PROVIDE SUPPORT TO ST. JOHN'S LUTHERAN HOMEPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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