MINNEWASKA LUTHERAN HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MINNEWASKA LUTHERAN HOME (EIN 41-0845402)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201422259349301087
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)
Timestamp2014-08-13T13:05:20-05:00Timestamp
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 Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410845402EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MINNEWASKA LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMINNNameControl
Phone3202397121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1
CitySTARBUCKCity
StateMNState
ZIP Code56381ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAYO ASLAGSONName
TitleBOARD CHAIRTitle
Phone3202397121Phone
Date Signed2014-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCORY RUTLEDGEName
PTINP01329381PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMURRAY FINGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1
CitySTARBUCKCity
StateMNState
ZIP Code56381ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4419465GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCHS-HEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionNURSING HOME - A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees186TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18589ContributionsGrantsPriorYear
Contributions Grants Current Year37807ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4394214ProgramServiceRevenuePriorYear
Program Service Revenue CY4351067ProgramServiceRevenueCY
Investment Income Prior Year10687InvestmentIncomePriorYear
Investment Income Current Year10598InvestmentIncomeCurrentYear
Other Revenue Prior Year23195OtherRevenuePriorYear
Other Revenue Current Year19993OtherRevenueCurrentYear
Total Revenue Prior Year4446685TotalRevenuePriorYear
Total Revenue Current Year4419465TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3144GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21031GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2981833SalariesEtcPriorYear
Salaries Etc Current Year2961650SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1346480OtherExpensePriorYear
Other Expenses Current Year1404708OtherExpensesCurrentYear
Total Expenses Prior Year4331457TotalExpensesPriorYear
Total Expenses Current Year4387389TotalExpensesCurrentYear
Revenues Less Expenses Prior Year115228RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32076RevenuesLessExpensesCY
Total Assets BOY5225888TotalAssetsBOY
Total Assets EOY5113727TotalAssetsEOY
Total Liabilities BOY2953841TotalLiabilitiesBOY
Total Liabilities EOY2799551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2272047NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2314176NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionA COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change1SignificantChange
Expense3979709Expense
Grants21031Grants
Revenue4351067Revenue
DescriptionMINNEWASKA LUTHERAN HOME, A 65-BED SKILLED NURSING FACILITY, PROMOTES HEALTH TO THE COMMUNITY BY PROVIDING SKILLED NURSING CARE AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE:OUTPATIENT THERAPY SERVICES: MINNEWASKA LUTHERAN HOME PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY TO COMMUNITY MEMBERS IN NEED OF THESE SERVICES ALLOWING THEM TO RESUME THEIR NORMAL ACTIVITIES OF DAILY LIVING. MINNEWASKA LUTHERAN HOME IS GOVERNED BY A NINE PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND EIGHT 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 AND THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense351Expense
Grants0Grants
Revenue0Revenue
DescriptionCOMMUNITY OUTREACH EXERCISE PROGRAM: EXERCISE PROGRAM THAT STRESSES STRENGTH AND STABILITY. THIS PROGRAM IS OFFERED THREE TIMES PER WEEK TO COMMUNITY MEMBERS AT NO CHARGE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionROAD TO AGING GRACEFULLY: FREE MONTHLY EDUCATION TO ANY PERSON IN THE COMMUNITY. ALL PROGRAMS RELATE TO THE MANAGEMENT OF CHRONIC DISEASES AND OTHER AGING HEALTH RELATED ISSUES. ALL INSTRUCTORS ARE LOCAL AND REGIONAL EXPERTS IN THEIR RELATED FIELD OFFERING THEIR SERVICES AT A REDUCED OR FREE CHARGE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionNO PLACE LIKE HOME: GOAL IS TO MAINTAIN LEVEL OF INDIVIDUALS HEALTH AFTER DISCHARGE TO REMAIN IN THEIR HOME SETTING WITHOUT NEEDING TO BE RETURNED TO THE NURSING HOME OR HOSPITAL.Description
FieldValueIRS element (for citing)
Total Program Service Expense3980060TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
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 With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees186NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 Line1BRIAN ENGLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3202397121TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1
CitySTARBUCKCity
StateMNState
ZIP Code56381ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KAYO ASLAGSON
CHAIR0.501.50XX000
LAURIS JOHNSHOY
VICE CHAIR0.501.50XX000
LONNIE ANDERSON
SECRETARY0.501.50XX000
ARNE STOEN
TREASURER0.501.50XX000
RONALD FIEGUM
DIRECTOR0.501.50X000
WARREN HAGESTUEN
DIRECTOR0.501.50X000
ROBERT HENDRICKSON
DIRECTOR0.501.50X000
KEITH NAIG
DIRECTOR0.501.50X000
ALICE REESE
DIRECTOR0.501.50X000
JOHN SAMUELSON
DIRECTOR0.501.50X000
DEBBIE SCHNEIDER
ADMINISTRATOR25.904.10X4335102585
MURRAY FINGER
ADMINISTRATOR32.008.00X2321800
BRIAN ENGLER
DIRECTOR OF FINANCE21.4014.60X4432704333
FieldValueIRS element (for citing)
Total Reportable Comp From Org110896TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6918TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations23677RelatedOrganizations
All Other Contributions14130AllOtherContributions
Total Contributions37807TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column4351067TotalRevenueColumn
Related Or Exempt Function Income4351067RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4351067TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10598TotalRevenueColumn
Exclusion$10,598ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEALS REVENUE72221011576$11,576
CABLE TV REVENUE9000995266$5,266
MISCELLANEOUS INCOME9000993151$3,151
FieldValueIRS element (for citing)
Total Other Revenue19993TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4419465TotalRevenueColumn
Related Or Exempt Function Income4351067RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$30,591ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total21031Total
Program Services21031ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total136261Total
Management And General136261ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2411152Total
Program Services2285039ProgramServices
Management And General126113ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13095Total
Program Services11746ProgramServices
Management And General1349ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total217823Total
Program Services195388ProgramServices
Management And General22435ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total183319Total
Program Services164438ProgramServices
Management And General18881ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total884Total
Management And General884ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24737Total
Management And General24737ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total108998Total
Program Services100277ProgramServices
Management And General8721ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18278Total
Program Services18278ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total148335Total
Program Services132178ProgramServices
Management And General16157ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27637Total
Program Services27637ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total135992Total
Program Services135992ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total11554Total
Program Services6706ProgramServices
Management And General4848ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2906Total
Management And General2906ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total87399Total
Program Services87399ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total294657Total
Program Services294657ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total29410Total
Management And General29410ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSE SURCHARGE194603194603
MEDICAL SUPPLIES172883172883
FOOD124164124164
DUES AND SUBCRIPTIONS80208020

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14251Total
Program Services7644ProgramServices
Management And General6607ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4387389Total
Program Services3980060ProgramServices
Management And General407329ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25BOY
EOY25EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1345267BOY
EOY1068733EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY434583BOY
EOY519071EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21771BOY
EOY22451EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8144253LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4922508LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3156232BOY
EOY3221745EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY136365BOY
EOY152435EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2000BOY
EOY2000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY72498BOY
EOY66246EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57147BOY
EOY61021EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5225888BOY
EOY5113727EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY292868BOY
EOY316556EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY7870BOY
EOY6987EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2653103BOY
EOY2476008EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2953841BOY
EOY2799551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2270448BOY
EOY2312576EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1599BOY
EOY1600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2272047BOY
EOY2314176EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5225888BOY
EOY5113727EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses32076ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10053ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years70475CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26365CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18589CurrentTaxYearMinus1Year
Current Tax Year37807CurrentTaxYear
Total188972Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4605776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4217590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4393422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4394214CurrentTaxYearMinus1Year
Current Tax Year4351067CurrentTaxYear
Total21962069Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4676251CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4243955CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4429158CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4412803CurrentTaxYearMinus1Year
Current Tax Year4388874CurrentTaxYear
Total22151041Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year5000CurrentTaxYearMinus1Year
Total5000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1104105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1489768CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1546737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1637269CurrentTaxYearMinus1Year
Current Tax Year1610998CurrentTaxYear
Total7388877Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1104105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1489768CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1546737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1642269CurrentTaxYearMinus1Year
Current Tax Year1610998CurrentTaxYear
Total7393877Total
FieldValueIRS element (for citing)
Public Support Total50914757164PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10687CurrentTaxYearMinus1Year
Current Tax Year10598CurrentTaxYear
Total69392Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10687CurrentTaxYearMinus1Year
Current Tax Year10598CurrentTaxYear
Total69392Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years103719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23195CurrentTaxYearMinus1Year
Current Tax Year19993CurrentTaxYear
Total281507Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4796809CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4320433CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4518548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4446685CurrentTaxYearMinus1Year
Current Tax Year4419465CurrentTaxYear
Total22501940Total
FieldValueIRS element (for citing)
Public Support Percentage5090.65580PublicSupportPercentage509
Prior Year Support Percentage0.67520PriorYearSupportPercentage
Investment Income Percentage0.00310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME CABLE TV REVENUE MISCELLANEOUS INCOME MEALS REVENUEGeneralExplanation

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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis228026OtherCostOrOtherBasis
Book Value228026BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6357451OtherCostOrOtherBasis
Depreciation3618859Depreciation
Book Value2738592BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis124900OtherCostOrOtherBasis
Depreciation45720Depreciation
Book Value79180BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1433876OtherCostOrOtherBasis
Depreciation1257929Depreciation
Book Value175947BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3221745TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT DEPOSITS CONSIST OF RESIDENT TRUST FUNDS HELD BY THE ORGANIZATION FOR THE RESIDENTS OF THE HOME.
PART X, LINE 2:FROM 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. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD 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 INCOME TAX RETURNS OF THE ORGANIZATION IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 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. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients3NumberOfRecipients
Amount Of Cash Grant21031AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: AFTER THE EMPLOYEE HAS BEEN APPROVED FOR A SCHOLARSHIP HE/SHE MUST PAY FOR ALL EXPENSES FOR EACH SEMESTER OF SCHOOL. AFTER EACH SEMESTER THE EMPLOYEE TURNS IN ALL ELIGIBLE EXPENSES UNDER THE SCHOLARSHIP AGREEMENT. REPORTS ARE RUN TO VERIFY THE EMPLOYEE MET THE REQUIRED HOURS FOR THE SAME DATES OF THE SEMESTER. ONCE THIS IS DONE IF THE EMPLOYEE HAS MET THE REQUIREMENTS HE/SHE IS REIMBURSED FOR THE ELIGIBLE EXPENSES.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CORA STOEN
MOTHER OF BOARD MEMBER69629PAYMENTS TO MINNEWASKA LUTHERAN HOME FOR SERVICES RENDERED0
CASSANDRA FEIGUM
DAUGHTER IN LAW OF BOARD MEMBER12211COMPENSATION0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2NEW PIPP PROGRAM STARTED 10/1/12 THROUGH THE STATE OF MINNESOTA CALLED "THERE'S NO PLACE LIKE HOME"
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3ENDED PIPP PROGRAM 9/30/12 THROUGH THE STATE OF MINNESOTA CALLED "FALLS REDUCTION AND PREVENTION"
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF MINNEWASKA LUTHERAN HOME CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MINNESOTA. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINEWASKA 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 - STARBUCK, MINNESOTA TRINITY LUTHERAN CHURCH - CYRUS, 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 AND/OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE MANAGEMENT WILL TEAM DISCUSS THE COMPLETED FORM 990 AT THE NEXT BOARD MEETING AFTER IT IS FILED.
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 B, LINE 15ATHE ADMINISTRATOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. EVERY YEAR, THE ADMINISTRATOR PRESENTS A PROPOSAL FOR COMPENSATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN USES A CURRENT SALARY SURVEY (DONE BY AGING SERVICES OF MN) TO COMPARE TO THE PROPOSAL AND THEN COMES TO A CONCLUSION ON WHAT THE COMPENSATION WILL BE. THIS IS THEN INCORPORATED IN THE BOARD MINUTES AND ADMINISTRATOR'S ANNUAL REVIEW. THE PROCESS LAST OCCURRED 12/15/10.
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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MINNEWASKA HOME CARE
605 MAIN STREETSTARBUCKMN56381331124162HOME CAREMN501(C)(3)9N/A1
HOLLY RIDGE MANOR
500 HOLLY RIDGE DRIVESTARBUCKMN56381411649721ASSISTED LIVINGMN501(C)(3)11 - TYPE 2N/A1
MINNEWASKA HOME DEVELOPMENT
605 MAIN STREETSTARBUCKMN56381411504339FUNDRAISINGMN501(C)(3)11 - TYPE 2N/A1
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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