MINNEWASKA LUTHERAN HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MINNEWASKA LUTHERAN HOME (EIN 41-0845402)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-12
IRS object ID
201332249349300938
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

FieldValueIRS element (for citing)
Timestamp2013-08-12T11:25:58-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410845402EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MINNEWASKA LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMINNNameControl
Phone3202392217Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMURRAY FINGERName
TitleADMINISTRATORTitle
Phone3202397121Phone
Date Signed2013-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCORY RUTLEDGEName
PTINP01329381PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1
CitySTARBUCKCity
StateMNState
ZIP Code56381ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4446685GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCHS-HEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionNURSING HOME - A COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees188TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year35736ContributionsGrantsPriorYear
Contributions Grants Current Year18589ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4393422ProgramServiceRevenuePriorYear
Program Service Revenue CY4394214ProgramServiceRevenueCY
Investment Income Prior Year13298InvestmentIncomePriorYear
Investment Income Current Year10687InvestmentIncomeCurrentYear
Other Revenue Prior Year76092OtherRevenuePriorYear
Other Revenue Current Year23195OtherRevenueCurrentYear
Total Revenue Prior Year4518548TotalRevenuePriorYear
Total Revenue Current Year4446685TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8176GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3144GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3052953SalariesEtcPriorYear
Salaries Etc Current Year2981833SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1463810OtherExpensePriorYear
Other Expenses Current Year1346480OtherExpensesCurrentYear
Total Expenses Prior Year4524939TotalExpensesPriorYear
Total Expenses Current Year4331457TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6391RevenuesLessExpensesPriorYear
Revenues Less Expenses CY115228RevenuesLessExpensesCY
Total Assets BOY5257193TotalAssetsBOY
Total Assets EOY5225888TotalAssetsEOY
Total Liabilities BOY3115514TotalLiabilitiesBOY
Total Liabilities EOY2953841TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2141679NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2272047NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionA COMMUNITY OF SERVICES, GROUNDED IN FAITH, PROVIDING PERSON CENTERED CARE THAT ENCOURAGES ALL PEOPLE TO REACH THEIR HIGHEST POTENTIAL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3902507Expense
Grants3144Grants
Revenue4394214Revenue
DescriptionMINNEWASKA LUTHERAN HOME, A 65-BED SKILLED NURSING FACILITY, PROMOTES HEALTH TO THE COMMUNITY BY PROVIDING SKILLED NURSING CARE AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE:OUTPATIENT THERAPY SERVICES: MINNEWASKA LUTHERAN HOME PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY TO COMMUNITY MEMBERS IN NEED OF THESE SERVICES ALLOWING THEM TO RESUME THEIR NORMAL ACTIVITIES OF DAILY LIVING. MINNEWASKA LUTHERAN HOME IS GOVERNED BY A NINE PERSON INDEPENDENT BOARD MADE UP OF ONE AT-LARGE COMMUNITY LEADER AND EIGHT AREA CHURCH MEMBERS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACTING WITH THE HIGHEST INTEGRITY AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE AT ITS MAXIMUM POTENTIAL FOR THE BENEFIT OF THE CLIENTS WE SERVE AND THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1084Expense
Grants0Grants
Revenue0Revenue
DescriptionCOMMUNITY OUTREACH EXERCISE PROGRAM: EXERCISE PROGRAM THAT STRESSES STRENGTH AND STABILITY. THIS PROGRAM IS OFFERED THREE TIMES PER WEEK TO COMMUNITY MEMBERS AT NO CHARGE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionROAD TO AGING GRACEFULLY: FREE MONTHLY EDUCATION TO ANY PERSON IN THE COMMUNITY. ALL PROGRAMS RELATE TO THE MANAGEMENT OF CHRONIC DISEASES AND OTHER AGING HEALTH RELATED ISSUES. ALL INSTRUCTORS ARE LOCAL AND REGIONAL EXPERTS IN THEIR RELATED FIELD OFFERING THEIR SERVICES AT A REDUCED OR FREE CHARGE.Description
FieldValueIRS element (for citing)
Total Program Service Expense3903591TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees188NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN ENGLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3202397121TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KAYO ASLAGSON
CHAIR0.50XX000
LAURIS JOHNSHOY
VICE CHAIR0.50XX000
LONNIE ANDERSON
SECRETARY0.50XX000
ARNE STOEN
TREASURER0.50XX000
KEITH NAIG
DIRECTOR0.50X000
PATRICIA DINSMORE
DIRECTOR0.50X000
WARREN HAGESTUEN
DIRECTOR0.50X000
MARK SHUMANN
DIRECTOR0.50X000
JOHN SAMUELSON
DIRECTOR0.50X000
RONALD FEIGUM
DIRECTOR0.50X000
ROBERT HENDRICKSON
DIRECTOR0.50X000
DEBBIE SCHNEIDER
ADMINISTRATOR25.90X5459005698
BRIAN ENGLER
DIRECTOR OF FINANCE17.40X4081105436
MURRAY FINGER
ADMINISTRATOR32.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org95401TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation11134TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations4016RelatedOrganizations
All Other Contributions14573AllOtherContributions
Total Contributions18589TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column4394214TotalRevenueColumn
Related Or Exempt Function Income4394214RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4394214TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10687TotalRevenueColumn
Exclusion$10,687ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEALS REVENUE7222109334$9,334
MISCELLANEOUS INCOME9000997194$7,194
CABLE TV REVENUE9000996667$6,667
FieldValueIRS element (for citing)
Total Other Revenue23195TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4446685TotalRevenueColumn
Related Or Exempt Function Income4394214RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,882ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3144Total
Program Services3144ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total114393Total
Management And General114393ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2431902Total
Program Services2282765ProgramServices
Management And General149137ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12975Total
Program Services11632ProgramServices
Management And General1343ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total235114Total
Program Services210781ProgramServices
Management And General24333ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total187449Total
Program Services168049ProgramServices
Management And General19400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2463Total
Management And General2463ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24436Total
Management And General24436ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50729Total
Program Services42387ProgramServices
Management And General8342ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8409Total
Program Services8409ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total153450Total
Program Services138709ProgramServices
Management And General14741ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29174Total
Program Services29174ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total115897Total
Program Services115897ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9861Total
Program Services7000ProgramServices
Management And General2861ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5520Total
Management And General5520ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total93599Total
Program Services93599ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total304800Total
Program Services304800ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total28173Total
Management And General28173ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSE SURCHARGE189601189601
MEDICAL SUPPLIES160435160435
FOOD120297120297
BEST AGE EXPENSES1255812558

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total37078Total
Program Services16912ProgramServices
Management And General20166ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4331457Total
Program Services3903591ProgramServices
Management And General427866ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25BOY
EOY25EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1145667BOY
EOY1345267EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY476762BOY
EOY434583EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21924BOY
EOY21771EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7790334LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4634102LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3360217BOY
EOY3156232EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY116431BOY
EOY136365EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2000BOY
EOY2000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY78750BOY
EOY72498EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55417BOY
EOY57147EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5257193BOY
EOY5225888EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY286160BOY
EOY292868EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY5355BOY
EOY7870EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2823999BOY
EOY2653103EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3115514BOY
EOY2953841EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2135800BOY
EOY2270448EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5879BOY
EOY1599EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2141679BOY
EOY2272047EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5257193BOY
EOY5225888EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses115228ReconcilationRevenueExpenses
Reconcilation Other Changes15140ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26365CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35736CurrentTaxYearMinus1Year
Current Tax Year18589CurrentTaxYear
Total172290Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4634617CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4605776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4217590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4393422CurrentTaxYearMinus1Year
Current Tax Year4394214CurrentTaxYear
Total22245619Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4655742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4676251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4243955CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4429158CurrentTaxYearMinus1Year
Current Tax Year4412803CurrentTaxYear
Total22417909Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year5000CurrentTaxYear
Total5000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1265531CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1104105CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1489768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1546737CurrentTaxYearMinus1Year
Current Tax Year1637269CurrentTaxYear
Total7043410Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1265531CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1104105CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1489768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1546737CurrentTaxYearMinus1Year
Current Tax Year1642269CurrentTaxYear
Total7048410Total
FieldValueIRS element (for citing)
Public Support Total50915369499PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16839CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17970CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13298CurrentTaxYearMinus1Year
Current Tax Year10687CurrentTaxYear
Total82338Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16839CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17970CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13298CurrentTaxYearMinus1Year
Current Tax Year10687CurrentTaxYear
Total82338Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years103719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76092CurrentTaxYearMinus1Year
Current Tax Year23195CurrentTaxYear
Total261514Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4679286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4796809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4320433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4518548CurrentTaxYearMinus1Year
Current Tax Year4446685CurrentTaxYear
Total22761761Total
FieldValueIRS element (for citing)
Public Support Percentage5090.67520PublicSupportPercentage509
Prior Year Support Percentage0.69620PriorYearSupportPercentage
Investment Income Percentage0.00360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00320PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME SPECIAL FUNDRAISING EVENTSGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6042200OtherCostOrOtherBasis
Depreciation3393689Depreciation
Book Value2648511BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis124900OtherCostOrOtherBasis
Depreciation38515Depreciation
Book Value86385BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1395208OtherCostOrOtherBasis
Depreciation1201898Depreciation
Book Value193310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3156232TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT DEPOSITS CONSIST OF RESIDENT TRUST FUNDS HELD BY THE ORGANIZATION FOR THE RESIDENTS OF THE HOME.
PART X:FROM NOTE 1 TO THE ORGANIZATION'S FINANCIAL STATEMENTS: THE HOME, MHD, HOLLY RIDGE, AND HOME CARE HAVE ALL BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND APPLICABLE STATE STATUTES. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE INCOME TAX RETURNS OF THE ORGANIZATION IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF ANY OF ITS ENTITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CORA STOEN
MOTHER OF BOARD MEMBER58152PAYMENTS TO MINNEWASKA LUTHERAN HOME FOR SERVICES RENDERED0
CASSANDRA FEIGUM
DAUGHTER IN LAW OF BOARD MEMBER15733COMPENSATION0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF MINNEWASKA LUTHERAN HOME CONSIST OF CERTAIN CONGREGATIONS LOCATED IN THE GENERAL COMMUNITY OF STARBUCK, MINNESOTA. EACH MEMBER CONGREGATION MAY APPOINT ONE INDIVIDUAL TO ACT AS A DELEGATE ON ITS BEHALF. THE PRESENT MEMBERS ARE: FRON LUTHERAN CHURCH - STARBUCK, MINNESOTA MINEWASKA LUTHERAN CHURCH - STARBUCK, MINNESOTA ST. JOHN'S LUTHERAN CHURCH - STARBUCK, MINNESOTA IMMANUEL LUTHERAN CHURCH - STARBUCK, MINNESOTA INDHERRED LUTHERAN CHURCH - STARBUCK, MINNESOTA EAST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA WEST ZION LUTHERAN CHURCH - STARBUCK, MINNESOTA TRINITY LUTHERAN CHURCH - CYRUS, MINNESOTA
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENTS TO THE ARTICLES OF INCORPORATION AND/OR THE BYLAWS REQUIRE AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE EMAILED TO THE BOARD PRIOR TO FILING WITH THE IRS. IT WILL THEN BE DISCUSSED IN DETAIL WITH MANAGEMENT AT THEIR AUGUST 28TH BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEE WITH BOARD-DELEGATED POWERS. ANY INDIVIDUAL WITH AN ACTUAL OR POTENTIAL CONFLICT IS REQUIRED TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE MATERIAL FACTS, THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE BY MAJORITY VOTE WHETHER A CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE BOARD OR COMMITTEE SEEKS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE, THE BOARD OR COMMITTEE DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL MAY NOT BE PRESENT FOR A DISCUSSION OF, OR VOTE ON, WHETHER TO ENTER THE TRANSACTION. THE RELEVANT FACTS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN STATEMENTS DISCLOSING EXISTING CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE ADMINISTRATOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. EVERY YEAR, THE ADMINISTRATOR PRESENTS A PROPOSAL FOR COMPENSATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN USES A CURRENT SALARY SURVEY (DONE BY AGING SERVICES OF MN) TO COMPARE TO THE PROPOSAL AND THEN COMES TO A CONCLUSION ON WHAT THE COMPENSATION WILL BE. THIS IS THEN INCORPORATED IN THE BOARD MINUTES AND ADMINISTRATOR'S ANNUAL REVIEW. THE PROCESS LAST OCCURRED 12/15/10
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 15,140.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII, SECTION ATHE OFFICERS OF MINNEWASKA LUTHERAN HOME ALSO SERVE AS THE OFFICERS OF THREE RELATED ORGANIZATIONS: MINNEWASKA HOME DEVELOPMENT, MINNEWASKA HOME CARE, AND HOLLY RIDGE MANOR. THE AVERAGE WEEKLY HOURS OF EACH OFFICER WERE SPENT AS FOLLOWS FOR THE YEAR ENDED SEPTEMBER 30, 2012. DEBBIE SCHNEIDER - ADMINISTRATOR: MINNEWASKA LUTHERAN HOME - 25.9 HOURS MINNEWASKA HOME CARE - 2.4 HOURS HOLLY RIDGE MANOR - 1.4 HOURS MINNEWASKA HOME DEVELOPMENT - 0.3 HOURS MURRAY FINGER - ADMINISTRATOR: MINNEWASKA LUTHERAN HOME - 32 HOURS MINNEWASKA HOME CARE - 5 HOURS HOLLY RIDGE MANOR - 3 HOURS BRIAN ENGLER - DIRECTOR OF FINANCE: MINNEWASKA LUTHERAN HOME - 17.39 HOURS MINNEWASKA HOME CARE - 11.89 HOURS HOLLY RIDGE MANOR - 2.39 HOURS MINNEWASKA HOME DEVELOPMENT - 0.32 HOURS THE BOARD MEMBERS OF MINNEWASKA LUTHERAN HOME ALSO SERVE AS THE BOARD MEMBERS OF THREE RELATED ORGANIZATIONS: MINNEWASKA HOME DEVELOPMENT, MINNEWASKA HOME CARE, AND HOLLY RIDGE MANOR. EACH BOARD MEMBER SERVES EACH ORGANIZATION FOR APPROXIMATELY 0.50 HOURS PER WEEK, OR FOR A TOTAL OF APPROXIMATELY 2.0 HOURS MONTHLY.ALLOCATION OF TIME BETWEEN RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MINNEWASKA HOME CARE
605 MAIN STREETSTARBUCKMN56381331124162HOME CAREMN501(C)(3)9N/A1
HOLLY RIDGE MANOR
500 HOLLY RIDGE DRIVESTARBUCKMN56381411649721ASSISTED LIVINGMN501(C)(3)11 - TYPE 2N/A1
MINNEWASKA HOME DEVELOPMENT
605 MAIN STREETSTARBUCKMN56381411504339FUNDRAISINGMN501(C)(3)11 - TYPE 2N/A1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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