HAVEN HOMES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HAVEN HOMES INC (EIN 41-6045816)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-05-15
- IRS object ID
- 201301359349302850
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T10:10:00-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 416045816 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAVEN HOMES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAVE | NameControl |
| Phone | 7634791993 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 WYMAN AVE | AddressLine1 |
| City | MAPLE PLAIN | City |
| State | MN | State |
| ZIP Code | 55329 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DON STICKNEY | Name |
| Title | PRESIDENT & CHAIR | Title |
| Phone | 7634791993 | Phone |
| Date Signed | 2013-05-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CORY RUTLEDGE | Name |
| PTIN | P01329381 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DON STICKNEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 WYMAN AVE | AddressLine1 |
| City | MAPLE PLAIN | City |
| State | MN | State |
| ZIP Code | 55329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4457813 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HAVENHOMESINC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1965 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HOUSING AND OTHER MEDICAL SERVICES TO AGING ADULTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 126 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4947844 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4185913 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13288 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10016 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 25184 | OtherRevenuePriorYear |
| Other Revenue Current Year | 92931 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4986316 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4288860 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3143640 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3021886 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1874499 | OtherExpensePriorYear |
| Other Expenses Current Year | 1924058 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5019639 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4945944 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -33323 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -657084 | RevenuesLessExpensesCY |
| Total Assets BOY | 4523476 | TotalAssetsBOY |
| Total Assets EOY | 3757873 | TotalAssetsEOY |
| Total Liabilities BOY | 4114939 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4009207 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 408537 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -251334 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE COMFORTABLE, SAFE, & HEALTHY ACCOMMODATIONS, AND RELATED MEDICAL SERVICES TO MEET THE VARYING HEALTH NEEDS OF AGING ADULTS, PHYSICALLY, MENTALLY, EMOTIONALLY AND SPIRITUALLY, IN AN ATMOSPHERE OF CHRISTIAN DIGNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4079967 | Expense |
| Grants | 0 | Grants |
| Revenue | 3711505 | Revenue |
| Description | NURSING CARE FOR RESIDENTS:HAVEN HOMES PROVIDES SERVICES TO MEET THE VARYING HEALTH NEEDS OF AGING ADULTS, PHYSICALLY, MENTALLY, EMOTIONALLY AND SPIRITUALLY, IN AN ATMOSPHERE OF CHRISTIAN DIGNITY.THERE WERE 67 BEDS DURING THE YEAR ENDED 9/30/2012. OCCUPANCY FOR THE YEAR ENDED 9/30/2012 WAS 69.7%. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 483191 | Expense |
| Grants | 0 | Grants |
| Revenue | 474408 | Revenue |
| Description | PROFESSIONAL CARE FOR RESIDENTS:BRYANT HOUSE PROVIDES AN ASSISTED LIVING ENVIRONMENT THAT IS INNOVATIVE AND APPROPRIATELY MEETS THE NEEDS OF THE RESIDENTS:INDEPENDENCE, DIGNITY, COMMUNITY ATMOSPHERE, SENSE OF BELONGING. THE PROVISIONS OF THESE SERVICES ARE CARRIED OUT BY PERSONNEL WHO POSSESS A POSITIVE ATTITUDE AND ARE COMMITTED TO EXCELLENCE.THERE WERE 21 UNITS DURING THE YEAR ENDED 9/30/2012.OCCUPANCY FOR THE YEAR ENDED 9/30/2012 WAS 67%. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4563158 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 0 | ComplianceWithBackupWitholding |
| Number Of Employees | 126 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BECKY JOBE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7634791993 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 WYMAN AVE | AddressLine1 |
| City | MAPLE PLAIN | City |
| State | MN | State |
| ZIP Code | 55359 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DON R STICKNEY | ||||||
| PRESIDENT AND CHAIR | 1.00 | X | X | 1350 | 0 | 0 |
| CURTIS OLSON | ||||||
| SECRETARY/TREASURER | 1.00 | X | X | 750 | 0 | 0 |
| DAVID K MEIER | ||||||
| DIRECTOR | 1.00 | X | 1350 | 0 | 0 | |
| JOEL D MOORE | ||||||
| DIRECTOR | 1.00 | X | 1050 | 0 | 0 | |
| ROBERT MUELLER | ||||||
| ADMINISTRATOR | 40.00 | X | 123235 | 0 | 20168 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 127735 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 20168 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AEGIS THERAPIES | |||||
| 1000 FIANNA WAY | FORT SMITH | AZ | 72919 | THERAPY SERVICES | 341134 |
| A'VIANDS LLC | |||||
| 1751 COUNTY ROAD B WEST | ROSEVILLE | MN | 55113 | DIETARY SERVICES | 268319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERVICES | 623000 | 3711505 | 3711505 |
| APARTMENT SERVICES | 623990 | 474408 | 474408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4185913 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7426 | TotalRevenueColumn |
| Exclusion | $7,426 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15600 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15600 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15600 | TotalRevenueColumn |
| Exclusion | $15,600 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 171543 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 168953 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2590 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2590 | TotalRevenueColumn |
| Exclusion | $2,590 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEAL REVENUE | 900099 | 59932 | $59,932 |
| MISCELLANEOUS | 900099 | 17399 | $17,399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 77331 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4288860 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4185913 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $102,947 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135932 | Total |
| Program Services | 65716 | ProgramServices |
| Management And General | 70216 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2432263 | Total |
| Program Services | 2419047 | ProgramServices |
| Management And General | 13216 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238957 | Total |
| Program Services | 230768 | ProgramServices |
| Management And General | 8189 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214734 | Total |
| Program Services | 207754 | ProgramServices |
| Management And General | 6980 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 622 | Total |
| Management And General | 622 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130 | Total |
| Management And General | 130 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27533 | Total |
| Management And General | 27533 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44746 | Total |
| Program Services | 42249 | ProgramServices |
| Management And General | 2497 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15506 | Total |
| Management And General | 15506 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126842 | Total |
| Program Services | 87664 | ProgramServices |
| Management And General | 39178 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32735 | Total |
| Management And General | 32735 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120909 | Total |
| Program Services | 111652 | ProgramServices |
| Management And General | 9257 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26964 | Total |
| Management And General | 26964 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2415 | Total |
| Management And General | 2415 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217931 | Total |
| Program Services | 196232 | ProgramServices |
| Management And General | 21699 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170760 | Total |
| Program Services | 153758 | ProgramServices |
| Management And General | 17002 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32323 | Total |
| Program Services | 29105 | ProgramServices |
| Management And General | 3218 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| THERAPY SERVICES | 422870 | 422870 |
| FOOD EXPENSE | 306215 | 306215 |
| LICENSES & PERMITS | 188605 | 188605 |
| MEDICAL SUPPLIES | 101523 | 101523 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85429 | Total |
| Management And General | 85429 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4945944 | Total |
| Program Services | 4563158 | ProgramServices |
| Management And General | 382786 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 940215 | BOY |
| EOY | 569981 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387947 | BOY |
| EOY | 218327 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 613812 | BOY |
| EOY | 555479 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23918 | BOY |
| EOY | 26179 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5946752 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4138833 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1949313 | BOY |
| EOY | 1807919 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608271 | BOY |
| EOY | 579988 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4523476 | BOY |
| EOY | 3757873 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331492 | BOY |
| EOY | 363339 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3715000 | BOY |
| EOY | 3580000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13228 | BOY |
| EOY | 13297 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55219 | BOY |
| EOY | 52571 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4114939 | BOY |
| EOY | 4009207 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 408537 | BOY |
| EOY | -251334 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 408537 | BOY |
| EOY | -251334 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4523476 | BOY |
| EOY | 3757873 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -657084 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2787 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4756991 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5152638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5074220 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4947844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4185913 | CurrentTaxYear |
| Total | 24117606 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4756991 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5152638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5074220 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4947844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4185913 | CurrentTaxYear |
| Total | 24117606 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1076274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1145472 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1116604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1100901 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1581190 | CurrentTaxYear |
| Total | 6020441 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1076274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1145472 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1116604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1100901 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1581190 | CurrentTaxYear |
| Total | 6020441 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 18097165 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 59223 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31585 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45926 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28888 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23026 | CurrentTaxYear |
| Total | 188648 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 59223 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31585 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45926 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28888 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23026 | CurrentTaxYear |
| Total | 188648 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5265 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7752 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9622 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9584 | CurrentTaxYearMinus1Year |
| Current Tax Year | 77331 | CurrentTaxYear |
| Total | 109554 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4821479 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5191975 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5129768 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4986316 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4286270 | CurrentTaxYear |
| Total | 24415808 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.74120 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.77940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00770 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00860 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME MEAL REVENUE | GeneralExplanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 147245 | OtherCostOrOtherBasis |
| Book Value | 147245 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3699081 | OtherCostOrOtherBasis |
| Depreciation | 2290575 | Depreciation |
| Book Value | 1408506 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163110 | OtherCostOrOtherBasis |
| Depreciation | 147815 | Depreciation |
| Book Value | 15295 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1937316 | OtherCostOrOtherBasis |
| Depreciation | 1700443 | Depreciation |
| Book Value | 236873 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1807919 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND FUND | 88091 |
| RESERVE FUND | 363601 |
| UNAMORTIZED FINANCING COSTS | 119700 |
| RESIDENT TRUST | 8319 |
| SPECIAL BOND FUND | 277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 579988 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED INTEREST | Description |
| Amount | $52,571 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 52571 | TotalOfAmounts |
| Total Revenue | 4288860 | TotalRevenue |
| Total Expenses | 4945944 | TotalExpenses |
| Excess Or Deficit For Year | -657084 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2787 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -2787 | TotalAdjustments |
| Excess Or Deficit Per FS | -659871 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4226141 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2787 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -2787 | RevenueNotRptdF990 |
| Revenue Subtotal | 4228928 | RevenueSubtotal |
| Other Revenues Not Included | 59932 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 59932 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4288860 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4886012 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4886012 | ExpensesSubtotal |
| Other Expenses Not Included | 59932 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 59932 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4945944 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN A SEPERATE BANK ACCOUNT. THEREFORE, THE ORGANIZATION HOLDS THE LIABILITY ON THEIR BOOKS. | |
| PART X: | TAX FOOTNOTE: THE CORPORATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE 501(C)(3) AND APPLICABLE STATE STATUTES. THE CORPORATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CORPORATION IS ALSO NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE INFORMATION TAX RETURNS FOR THE FISCAL YEARS ENDED 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. THE CORPORATION FOLLOWS THE INCOME TAX STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE CORPORATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| MEAL REVENUE 59,932. | PART XII, LINE 4B - OTHER ADJUSTMENTS: | |
| MEAL REVENUE 59,932. | PART XIII, LINE 4B - OTHER ADJUSTMENTS: |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION MAY HAVE UP TO 25 MEMBERS. THE CURRENT MEMBERS ARE THE BOARD OF DIRECTORS | |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS MAY ELECT THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MEETS REGULARLY TO REVIEW RESULTS OF OPERATIONS AND PROVIDE STRATEGIC AND MISSION ORIENTED DIRECTION. THE CHAIRMAN OF THE BOARD OF DIRECTORS IS INVOLVED IN THE SUPERVISION OF MANAGEMENT, OPERATING RESULTS, AND PROVIDES INPUT AND DIRECTION ON MATTERS DURING THE INTERVALS BETWEEN BOARD OF DIRECTORS' MEETINGS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT AND THE BOARD CHAIRMAN REVIEW AND APPROVE THE FORM 990. A COPY OF THE FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH BOARD MEMBER SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE BOARD MEMBER IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THIS POLICY SHALL BE REVIEWED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. IF A CONFLICT EXISTS THE BOARD MEMBER WITH THE CONFLICT CANNOT BE PRESENT DURING THE BOARD'S DISCUSSION ON THE MATTER AND CANNOT VOTE ON THE MATTER. THE BOARD MEMBER WITH THE CONFLICT WILL ALSO NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUOROM FOR PURPOSES OF THE VOTE. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS REVIEWED THE COMPENSATION OF THE ADMINISTRATOR AND ENTERED INTO AN AGREEMENT RELATED TO COMPENSATION AND JOB FUNCTION. THE BOARD REVIEWED COMPARATIVE INFORMATION AND SITUATIONS AS PART OF THIS REVIEW. THE BOARD OF DIRECTORS AS PART OF THE CORPORATION'S ANNUAL BUDGET PROCESS REVIEWS DEPARTMENTAL DIRECTOR'S COMPENSATION AND THE WAGE SCALES FOR THE OTHER EMPLOYEES. THE BOARD APPROVES THE COMPENSATION LEVELS AS PART OF THE BUDGET PROCESS. THE MOST RECENT REVIEW OF DIRECTOR'S COMPENSATION TOOK PLACE IN 2008, AS THEY HAVE HAD A WAGE FREEZE SINCE THEN FOR THE POSITION. FOR ALL OTHER EMPLOYEE'S, THE LAST REVIEW TOOK PLACE AS PART OF THE BUDGET APPROVAL IN SEPTEMBER OF 2011. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,787. | CHANGES IN NET ASSETS OR FUND BALANCES: |