EBEN EZER LUTHERAN CARE CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: EBEN EZER LUTHERAN CARE CENTER (EIN 84-0194430)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-05-14
IRS object ID: 201441349349307724
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-05-14T17:15:16-05:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	370 INTERLOCKEN BLVD SUITE 500	AddressLine1
City	BROOMFIELD	City
State	CO	State
ZIP Code	80021	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840194430	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EBEN EZER LUTHERAN CARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	EBEN	BusinessNameControlTxt
Phone	9708422861	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1
City	BRUSH	City
State	CO	State
ZIP Code	80723	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHELLY GRIFFITH	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9708422861	PhoneNum
Signature	2014-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFF PARKER	PreparerPersonNm
PTIN	P00970069	PTIN
Phone	3034668822	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SHELLY GRIFFITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1
City	BRUSH	City
State	CO	State
ZIP Code	80723	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$12,615,554	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.EBENEZER-CARES.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	THE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE AND HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	323	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$3,176	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,400	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$188,198	PYContributionsGrantsAmt
CY Contributions Grants	$502,209	CYContributionsGrantsAmt
PY Program Service Revenue	$11,598,079	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,623,911	CYProgramServiceRevenueAmt
PY Investment Income	$175,399	PYInvestmentIncomeAmt
CY Investment Income	$354,847	CYInvestmentIncomeAmt
PY Other Revenue	$109,827	PYOtherRevenueAmt
CY Other Revenue	$132,613	CYOtherRevenueAmt
PY Total Revenue	$12,071,503	PYTotalRevenueAmt
CY Total Revenue	$12,613,580	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,691	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,176	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,779,918	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,993,655	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$46,047	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,649,552	PYOtherExpensesAmt
CY Other Expenses	$3,564,571	CYOtherExpensesAmt
PY Total Expenses	$11,433,161	PYTotalExpensesAmt
CY Total Expenses	$11,560,402	CYTotalExpensesAmt
PY Revenues Less Expenses	$638,342	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,053,178	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,448,920	TotalAssetsBOYAmt
Total Assets EOY	$15,440,095	TotalAssetsEOYAmt
Total Liabilities BOY	$4,863,698	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,648,952	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,585,222	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$10,791,143	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE AND HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER PROVIDED SERVICE TO MORE THAN 400 PERSONS FOR PERSONAL AND HOMEMAKING CARE AND RESIDENTIAL SERVICES TO OVER 300 PERSONS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,623,912	ExpenseAmt
Grant	$2,176	GrantAmt
Revenue	$11,623,911	RevenueAmt
Desc	PROVIDING SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE, HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER PROVIDED SERVICE TO MORE THAN 400 PERSONS FOR PERSONAL AND HOMEMAKING CARE, AND RESIDENTIAL SERVICES TO OVER 300 PERSONS.	Desc
Total Program Service Expenses	$10,623,912	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	13	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	323	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LESLIE MASON	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	9708422861	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1
City	BRUSH	City
State	CO	State
ZIP Code	80723	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
ANDREW LARRICK
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
GEORGE DIKEOU
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DR ALAN DAHMS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MIKE BERRYHILL
CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
ROGER SCHAEFER
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DR KERRY HART
DIRECTOR	1.00		Yes (X)		$0	$0	$0
ROBERT CHAPIN
VICE-CHAIR/TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
NORMAN AARESTAD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
PAUL OLSEN
DIRECTOR	1.00		Yes (X)		$0	$0	$0
PR WENDY KALAN
DIRECTOR	1.00		Yes (X)		$0	$0	$0
SONYA BASS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
SHELLY GRIFFITH
CEO	40.00	1.00		Yes (X)	$108,767	$0	$8,920
LESLIE MASON
CFO	40.00	1.00		Yes (X)	$68,177	$0	$7,972

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$176,944	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$16,892	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$496,798	RelatedOrganizationsAmt
All Other Contributions	$5,411	AllOtherContributionsAmt
Total Contributions	$502,209	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE	Desc
Business	623000	BusinessCd
Total Revenue Column	$11,623,911	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,623,911	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,623,911	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,676	TotalRevenueColumnAmt
Exclusion	$101,676	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,150	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,974	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,176	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,176	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,176	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$253,171	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$253,171	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,171	TotalRevenueColumnAmt
Exclusion	$253,171	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
BEAUTY SHOP, MEALS, TRANSPORATION	623000	$136,366	$136,366
EARNINGS OF EQUITY INV	524298	-$6,929	-$6,929

Field	Value	IRS element (for citing)
Other Revenue Total	$129,437	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,613,580	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,623,911	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,176	UnrelatedBusinessRevenueAmt
Exclusion	$484,284	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,176	TotalAmt
Program Services	$2,176	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$176,944	TotalAmt
Management And General	$146,344	ManagementAndGeneralAmt
Fundraising	$30,600	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,167,112	TotalAmt
Program Services	$5,886,045	ProgramServicesAmt
Management And General	$281,067	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$66,064	TotalAmt
Program Services	$58,505	ProgramServicesAmt
Management And General	$6,947	ManagementAndGeneralAmt
Fundraising	$612	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,133,399	TotalAmt
Program Services	$1,064,557	ProgramServicesAmt
Management And General	$66,782	ManagementAndGeneralAmt
Fundraising	$2,060	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$450,136	TotalAmt
Program Services	$418,756	ProgramServicesAmt
Management And General	$28,822	ManagementAndGeneralAmt
Fundraising	$2,558	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,130	TotalAmt
Management And General	$6,130	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$39,306	TotalAmt
Management And General	$39,306	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$25,144	TotalAmt
Management And General	$25,144	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$208,528	TotalAmt
Program Services	$199,615	ProgramServicesAmt
Management And General	$8,913	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$34,881	TotalAmt
Program Services	$34,881	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,790	TotalAmt
Program Services	$69,836	ProgramServicesAmt
Management And General	$2,954	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$207,461	TotalAmt
Program Services	$96,869	ProgramServicesAmt
Management And General	$110,592	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$512,784	TotalAmt
Program Services	$505,764	ProgramServicesAmt
Management And General	$7,020	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$192,543	TotalAmt
Program Services	$132,517	ProgramServicesAmt
Management And General	$60,026	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
UNRELATED BUSINESS INCO	$933	$933
ANCILLARY	$694,567		$694,567
FOOD	$508,652		$508,652
SUPPLIES	$403,039	$26,445	$372,768	$3,826

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$657,813	TotalAmt
Program Services	$578,404	ProgramServicesAmt
Management And General	$73,018	ManagementAndGeneralAmt
Fundraising	$6,391	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,560,402	TotalAmt
Program Services	$10,623,912	ProgramServicesAmt
Management And General	$890,443	ManagementAndGeneralAmt
Fundraising	$46,047	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$596	BOYAmt
EOY	$600	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,842,745	BOYAmt
EOY	$4,559,927	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$960,317	BOYAmt
EOY	$813,750	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$55,511	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$57,320	BOYAmt
EOY	$63,855	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$151,576	BOYAmt
EOY	$90,899	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$16,284,399	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,005,957	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,154,692	BOYAmt
EOY	$6,278,442	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,817,363	BOYAmt
EOY	$2,384,929	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,464,311	BOYAmt
EOY	$1,192,182	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,448,920	BOYAmt
EOY	$15,440,095	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$818,445	BOYAmt
EOY	$824,853	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,677	BOYAmt
EOY	$1,742	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,899,062	BOYAmt
EOY	$3,685,418	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,514	BOYAmt
EOY	$136,939	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,863,698	BOYAmt
EOY	$4,648,952	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,585,222	BOYAmt
EOY	$10,791,143	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,585,222	BOYAmt
EOY	$10,791,143	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,448,920	BOYAmt
EOY	$15,440,095	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,053,178	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$152,743	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$151,590	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$543,964	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$372,771	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$188,198	CurrentTaxYearMinus1YearAmt
Current Tax Year	$502,209	CurrentTaxYearAmt
Total	$1,758,732	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,800,024	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,187,753	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,590,548	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,598,079	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,623,911	CurrentTaxYearAmt
Total	$57,800,315	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,951,614	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,731,717	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,963,319	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,786,277	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,126,120	CurrentTaxYearAmt
Total	$59,559,047	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$59,559,047	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$45,535	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$52,021	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$66,188	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$85,382	CurrentTaxYearMinus1YearAmt
Current Tax Year	$101,676	CurrentTaxYearAmt
Total	$350,802	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,048	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,393	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$10,011	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,176	CurrentTaxYearAmt
Total	$21,628	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$46,583	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$59,414	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$66,188	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$95,393	CurrentTaxYearMinus1YearAmt
Current Tax Year	$104,852	CurrentTaxYearAmt
Total	$372,430	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$412,425	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$125,880	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$91,561	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$100,012	CurrentTaxYearMinus1YearAmt
Current Tax Year	$129,437	CurrentTaxYearAmt
Total	$859,315	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,410,622	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,917,011	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,121,068	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,981,682	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,360,409	CurrentTaxYearAmt
Total	$60,790,792	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.97970	PublicSupportCY509Pct
Public Support PY509	0.98080	PublicSupportPY509Pct
Investment Income CY	0.00610	InvestmentIncomeCYPct
Investment Income PY	0.00600	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$298,250	BeginningYearBalanceAmt
Contributions	$150,000	ContributionsAmt
End Year Balance	$448,250	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$288,250	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
End Year Balance	$298,250	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$231,847	BeginningYearBalanceAmt
Contributions	$56,403	ContributionsAmt
End Year Balance	$288,250	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$231,847	BeginningYearBalanceAmt
End Year Balance	$231,847	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$224,347	BeginningYearBalanceAmt
Contributions	$7,500	ContributionsAmt
End Year Balance	$231,847	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,372	OtherCostOrOtherBasisAmt
Book Value	$66,372	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,896,635	OtherCostOrOtherBasisAmt
Depreciation	$5,782,662	DepreciationAmt
Book Value	$5,113,973	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,257,809	OtherCostOrOtherBasisAmt
Depreciation	$4,223,295	DepreciationAmt
Book Value	$1,034,514	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,583	OtherCostOrOtherBasisAmt
Book Value	$63,583	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,278,442	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM FOUNDATION	$245,122
BOND ISSUANCE COSTS-NET	$129,985
BOND PROCEEDS HELD IN TRUST	$479,498
BOND INTEREST FUND	$32,707
BOND PRINCIPAL FUND	$37,501
INV IN CAPTIVE INSURANCE	$267,369

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,192,182	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEPOSITS OF RESIDENTS	$38,883
ASSET RETIREMENT OBLIGATION	$68,221
DEFERRED COMPENSATION	$29,835

Field	Value	IRS element (for citing)
Total Liability	$136,939	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$12,768,298	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$152,743	NetUnrealizedGainsInvstAmt
Other Revenue	$1,975	OtherRevenueAmt
Revenue Not Reported	$154,718	RevenueNotReportedAmt
Revenue Subtotal	$12,613,580	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$12,613,580	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$11,562,377	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,975	OtherExpensesIncludedAmt
Expenses Not Reported	$1,975	ExpensesNotReportedAmt
Expenses Subtotal	$11,560,402	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$11,560,402	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENTS ARE HELD BY EBEN EZER LUTHERAN CARE CENTER FOUNDATION, A RELATED ORGANIZATION. THE ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION.
PART X, LINE 2:	THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AS OF DECEMBER 31, 2013 AND 2012, THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMTP STATUS. THE TAX RETURNS FOR THE YEARS 2010 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,975.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,975.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF BRUSH COLORADO
A	846000638	117416BV8	2004-09-01	$640,000	INDUSTRIAL DEVELOPMENT REVENUE	0	0	0
CITY OF BRUSH COLORADO
B	846000638	117416BW6	2004-09-01	$1,350,000	INDUSTRIAL DEVELOPMENT REVENUE	0	0	0
CITY OF BRUSH COLORADO
C	846000638	117416BX4	2004-09-01	$2,125,000	INDUSTRIAL DEVELOPMENT REVENUE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$415,000	$640,000	$34,522	$605,478	Yes (1)	Yes (1)	Yes (1)
B		$1,350,000	$69,045	$1,280,955	Yes (1)	Yes (1)	Yes (1)
C		$2,125,000	$110,472	$2,014,528	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PAGE 1, PART II, LINE 14	THE 2004 BONDS WERE ISSUED TO REFUND A PREVIOUS BOND ISSUE FROM 11/1/1994.
SCHEDULE K, PAGE 2, PART IV, LINE 3, COLUMN C	AS OF NOVEMBER 1, 2012 (THROUGH OCTOBER 31, 2024), THE INTEREST RATE WAS SET AT A FIXED RATE OF 5% FOR THE SERIES 2004B BONDS. THE BONDS HAD PREVIOUSLY BEEN LISTED AS A VARIABLE RATE ISSUE ON FORM 8038 AND ON PRIOR TAX RETURNS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN SHALL NOT BE IN CONFLICT WITH THE POLICIES, OR ANY PRIOR ACTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD. IT SHALL CONSIDER ALL MATTERS REFERRED TO IT BY THE BOARD AND SHALL ACT FOR THE BOARD IN EMERGENCIES. THE EXECUTIVE COMMITTEE SHALL NOT ACT WITHOUT BOARD APPROVAL IN THE FOLLOWING MATTERS: (I) ANY SALE OR PURCHASE OF LAND OR BUILDINGS, (II) ANY FUNDING FOR CAPITAL IMPROVEMENTS THROUGH EITHER MORTGAGE FUNDING OR A FUND CAMPAIGN, (III) ANY ESTABLISHMENT OF ADMINISTRATIVE POSITIONS, INCLUDING POSITION DESCRIPTIONS AND FILLING OF SAID POSITIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE AUDIT COMMITTEE REVIEWS THE FORM 990 IN DETAIL BEFORE IT IS FILED AND APPROVES THE FILING OF THE RETURN. THE BOARD OF DIRECTORS THEN IS PROVIDED WITH A COPY OF THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. AT EVERY BOARD MEETING, THE MEMBERS ARE ASKED IF THERE HAS BEEN A CHANGE IN THEIR INDEPENDENCE WITH THE ORGANIZATION. THIS INFORMATION IS DOCUMENTED WITHIN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD REVIEWS SURVEYS FROM OTHER SIMILAR ORGANIZATIONS ON COMPENSATION LEVELS. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO BASED ON COMPARABLE COMPENSATION. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF HOW THE COMPENSATION IS SET. THE CEO REVIEWS AND APPROVES COMPENSATION FOR THE CFO AND OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 12, PART XII, LINE 2C	THESE POLICIES / PROCEDURES DID NOT CHANGE IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
EBEN EZER LUTHERAN CARE CENTER FOUNDATION
122 HOSPITAL ROAD	BRUSH	CO	80723	742480396	SUPPORT	CO	501(C)(3)	LINE 11A, I	EBEN EZER LUTHERAN CARE CENTER	Yes (1)
EBEN EZER LUTHERAN HOUSING CENTER
1900 EDISON STREET	BRUSH	CO	80723	840884015	HOUSING	CO	501(C)(3)	LINE 7	EBEN EZER LUTHERAN CARE CENTER	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	EBEN EZER LUTHERAN CARE CENTER FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$502,209	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt