EBEN EZER LUTHERAN CARE CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EBEN EZER LUTHERAN CARE CENTER (EIN 84-0194430)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-29
- IRS object ID
- 201311499349300136
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-29T16:49:15-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840194430 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EBEN EZER LUTHERAN CARE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EBEN | NameControl |
| Phone | 9708422861 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHELLY GRIFFITH | Name |
| Title | CEO | Title |
| Phone | 9708422861 | Phone |
| Date Signed | 2013-05-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| PTIN | P00970069 | PTIN |
| Phone | 3034668822 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHELLY GRIFFITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 12073964 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WW.EBENEZER-CARES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1903 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 329 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 10011 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 6223 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 372771 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 188198 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11626051 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11598079 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 161576 | InvestmentIncomePriorYear |
| Investment Income Current Year | 175399 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 53925 | OtherRevenuePriorYear |
| Other Revenue Current Year | 109827 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12214323 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12071503 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3999 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3691 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7529952 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7779918 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 54331 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3658847 | OtherExpensePriorYear |
| Other Expenses Current Year | 3649552 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11192798 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11433161 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1021525 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 638342 | RevenuesLessExpensesCY |
| Total Assets BOY | 13862838 | TotalAssetsBOY |
| Total Assets EOY | 14448920 | TotalAssetsEOY |
| Total Liabilities BOY | 5020132 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4863698 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8842706 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9585222 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 10412271 | Expense |
| Grants | 3691 | Grants |
| Revenue | 11615255 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 10412271 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 329 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LESLIE MASON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9708422861 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| ANDREW LARRICK | |||||||
| SECRETARY | 1.00 | 1.00 | X | X | 0 | 0 | 0 |
| GEORGE DIKEOU | |||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| DR ALAN DAHMS | |||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| MIKE BERRYHILL | |||||||
| CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 |
| ROGER SCHAEFER | |||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| DR KERRY HART | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT CHAPIN | |||||||
| VICE-CHAIR/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| NORMAN AARESTAD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PAUL OLSEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR WENDY KALAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BARBARA BRADSHAW | |||||||
| CEO | 40.00 | 1.00 | X | 33192 | 0 | 2131 | |
| SHELLY GRIFFITH | |||||||
| CEO | 40.00 | 1.00 | X | 88633 | 0 | 8358 | |
| LESLIE MASON | |||||||
| CFO | 40.00 | 1.00 | X | 49702 | 0 | 6955 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 171527 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 17444 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 186902 | RelatedOrganizations |
| All Other Contributions | 1296 | AllOtherContributions |
| Total Contributions | 188198 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 623000 | 11409045 | 11409045 |
| AUXILIARY | 623000 | 189034 | 189034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11598079 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85578 | TotalRevenueColumn |
| Unrelated Business Revenue | 196 | UnrelatedBusinessRevenue |
| Exclusion | $85,382 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12276 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2461 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 9815 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9815 | TotalRevenueColumn |
| Unrelated Business Revenue | 9815 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 89821 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 89821 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89821 | TotalRevenueColumn |
| Exclusion | $89,821 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| EARNINGS OF EQUITY INV | 524298 | 82836 | $82,836 | |
| INSURANCE PROCEEDS | 624200 | 17176 | 17176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 100012 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12071503 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11615255 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10011 | UnrelatedBusinessRevenue |
| Exclusion | $258,039 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3691 | Total |
| Program Services | 3691 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6190151 | Total |
| Program Services | 5738937 | ProgramServices |
| Management And General | 410381 | ManagementAndGeneral |
| Fundraising | 40833 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59558 | Total |
| Program Services | 53271 | ProgramServices |
| Management And General | 5646 | ManagementAndGeneral |
| Fundraising | 641 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1066281 | Total |
| Program Services | 1001802 | ProgramServices |
| Management And General | 61845 | ManagementAndGeneral |
| Fundraising | 2634 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463928 | Total |
| Program Services | 411042 | ProgramServices |
| Management And General | 49278 | ManagementAndGeneral |
| Fundraising | 3608 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4380 | Total |
| Management And General | 4380 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51594 | Total |
| Management And General | 51594 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24103 | Total |
| Management And General | 24103 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197433 | Total |
| Program Services | 191946 | ProgramServices |
| Management And General | 5487 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28952 | Total |
| Program Services | 28952 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73161 | Total |
| Program Services | 67894 | ProgramServices |
| Management And General | 5111 | ManagementAndGeneral |
| Fundraising | 156 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261186 | Total |
| Program Services | 121871 | ProgramServices |
| Management And General | 139315 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 483998 | Total |
| Program Services | 477411 | ProgramServices |
| Management And General | 6587 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220053 | Total |
| Program Services | 127327 | ProgramServices |
| Management And General | 92726 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| ANCILLARY | 757904 | 757904 | ||
| FOOD | 498176 | 498176 | ||
| SUPPLIES | 416678 | 389788 | 26621 | 269 |
| UTILITIES | 247344 | 247344 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384590 | Total |
| Program Services | 294915 | ProgramServices |
| Management And General | 83485 | ManagementAndGeneral |
| Fundraising | 6190 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11433161 | Total |
| Program Services | 10412271 | ProgramServices |
| Management And General | 966559 | ManagementAndGeneral |
| Fundraising | 54331 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700 | BOY |
| EOY | 596 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3414669 | BOY |
| EOY | 3842745 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1111390 | BOY |
| EOY | 960317 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64904 | BOY |
| EOY | 57320 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38957 | BOY |
| EOY | 151576 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15663124 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9508432 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6361911 | BOY |
| EOY | 6154692 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1371031 | BOY |
| EOY | 1817363 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1499276 | BOY |
| EOY | 1464311 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13862838 | BOY |
| EOY | 14448920 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789754 | BOY |
| EOY | 818445 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1685 | BOY |
| EOY | 1677 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4097705 | BOY |
| EOY | 3899062 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130988 | BOY |
| EOY | 144514 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5020132 | BOY |
| EOY | 4863698 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8842706 | BOY |
| EOY | 9585222 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8842706 | BOY |
| EOY | 9585222 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13862838 | BOY |
| EOY | 14448920 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 638342 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 104174 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 691233 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 151590 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 543964 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 372771 | CurrentTaxYearMinus1Year |
| Current Tax Year | 188198 | CurrentTaxYear |
| Total | 1947756 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10332705 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11800024 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11187753 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11590548 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11598079 | CurrentTaxYear |
| Total | 56509109 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11023938 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11951614 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11731717 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11963319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11786277 | CurrentTaxYear |
| Total | 58456865 | 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) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 58456865 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80041 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 45535 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 52021 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 66188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 85382 | CurrentTaxYear |
| Total | 329167 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7925 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1048 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7393 | CurrentTaxYearMinus2Years |
| Current Tax Year | 10011 | CurrentTaxYear |
| Total | 26377 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 87966 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46583 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 59414 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 66188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 95393 | CurrentTaxYear |
| Total | 355544 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57716 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 412425 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 125880 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 91561 | CurrentTaxYearMinus1Year |
| Current Tax Year | 100012 | CurrentTaxYear |
| Total | 787594 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11169620 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12410622 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11917011 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12121068 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11981682 | CurrentTaxYear |
| Total | 59600003 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98080 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00600 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00600 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2008 AMOUNT: $ 57,716. 2009 AMOUNT: $ 412,425. 2010 AMOUNT: $ 125,880. 2011 AMOUNT: $ 91,561. 2012 AMOUNT: $ 100,012. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 288250 | BeginningOfYearBalance |
| Contributions | 10000 | Contributions |
| End Of Year Balance | 298250 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 231847 | BeginningOfYearBalance |
| Contributions | 56403 | Contributions |
| End Of Year Balance | 288250 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 231847 | BeginningOfYearBalance |
| End Of Year Balance | 231847 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 224347 | BeginningOfYearBalance |
| Contributions | 7500 | Contributions |
| End Of Year Balance | 231847 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 224347 | BeginningOfYearBalance |
| End Of Year Balance | 224347 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66372 | OtherCostOrOtherBasis |
| Book Value | 66372 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10518007 | OtherCostOrOtherBasis |
| Depreciation | 5492086 | Depreciation |
| Book Value | 5025921 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5048209 | OtherCostOrOtherBasis |
| Depreciation | 4016346 | Depreciation |
| Book Value | 1031863 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30536 | OtherCostOrOtherBasis |
| Book Value | 30536 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6154692 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM FOUNDATION | 321295 |
| BOND ISSUANCE COSTS-NET | 145245 |
| BOND PROCEEDS HELD IN TRUST | 479434 |
| BOND INTEREST FUND | 34678 |
| BOND PRINCIPAL FUND | 35834 |
| INV IN CAPTIVE INSURANCE | 417695 |
| OTHER RECEIVABLE | 19028 |
| INTEREST RECEIVABLE | 11102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1464311 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEPOSITS OF RESIDENTS | $38,876 |
| ASSET RETIREMENT OBLIGATION | $66,862 |
| DEFERRED COMPENSATION | $38,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 144514 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 12178138 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 104174 | NetUnrealizedGainsInvestments |
| Other Revenues | 2461 | OtherRevenues |
| Revenue Not Rptd F990 | 106635 | RevenueNotRptdF990 |
| Revenue Subtotal | 12071503 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12071503 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11435622 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2461 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2461 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11433161 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11433161 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE ORGANIZATION FOLLOWS A MORE-THAN-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AFTER EVALUATION THE TAX POSITIONS TAKEN, NONE ARE CONSIDRED TO BE UNCERTAIN, THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2011 OR 2010 IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS OTHER EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2011 AND 2012 TAX YEARS THAT REMAIN SUBJECT TO EXAMINATIONN INCLUDE 2008 THROUGH CURRENT FOR THE FEDERAL RETURN AND 2007 THROUGH CURRENT FOR THE COLORADO RETURN. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 2,461. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 2,461. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CITY OF BRUSH COLORADO | ||||||||
| A | 846000638 | 117416BV8 | 2004-09-01 | 640000 | INDUSTRIAL DEVELOPMENT REVENUE | 0 | 0 | 0 |
| CITY OF BRUSH COLORADO | ||||||||
| B | 846000638 | 117416BW6 | 2004-09-01 | 1350000 | INDUSTRIAL DEVELOPMENT REVENUE | 0 | 0 | 0 |
| CITY OF BRUSH COLORADO | ||||||||
| C | 846000638 | 117416BX4 | 2004-09-01 | 2125000 | INDUSTRIAL DEVELOPMENT REVENUE | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| A | 200000 | 640000 | 34522 | 605478 | 1 | 0 | 1 | 1 |
| B | 1350000 | 69045 | 1280955 | 1 | 0 | 1 | 1 | |
| C | 2125000 | 110472 | 2014528 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. |
| 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 15A | 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. |
| 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
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 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 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| 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 | TransactionType |
| Amount Involved | 186902 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
Comments