CARMEL RESIDENCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARMEL RESIDENCE INC (EIN 39-1448325)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-30
IRS object ID
201333039349300938
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-30T14:52:26-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391448325EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARMEL RESIDENCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARMNameControl
Phone9202354653Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHERESA M BERTRAMName
TitlePRESDIENT & CEOTitle
Phone9202325220Phone
Date Signed2013-10-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCORY RUTLEDGEName
PTINP01329381PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHERESA M BERTRAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts705303GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANHOMES.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING FOR AGING PERSONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1817ContributionsGrantsPriorYear
Contributions Grants Current Year5994ContributionsGrantsCurrentYear
Program Service Revenue Prior Year586153ProgramServiceRevenuePriorYear
Program Service Revenue CY570274ProgramServiceRevenueCY
Investment Income Prior Year21574InvestmentIncomePriorYear
Investment Income Current Year63892InvestmentIncomeCurrentYear
Other Revenue Prior Year47423OtherRevenuePriorYear
Other Revenue Current Year46736OtherRevenueCurrentYear
Total Revenue Prior Year656967TotalRevenuePriorYear
Total Revenue Current Year686896TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year201032SalariesEtcPriorYear
Salaries Etc Current Year197038SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year432651OtherExpensePriorYear
Other Expenses Current Year445923OtherExpensesCurrentYear
Total Expenses Prior Year633683TotalExpensesPriorYear
Total Expenses Current Year642961TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23284RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43935RevenuesLessExpensesCY
Total Assets BOY4306648TotalAssetsBOY
Total Assets EOY4003083TotalAssetsEOY
Total Liabilities BOY3272020TotalLiabilitiesBOY
Total Liabilities EOY2924520TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1034628NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1078563NetAssetsOrFundBalancesEOY
Mission DescriptionCARMEL RESIDENCE, INC., IS PART OF A FAMILY OF HEALTHCARE AND RESIDENTIAL SERVICE ORGANIZATIONS COMMITTED TO PROVIDING QUALITY CARE AND LIFE ENRICHING OPPORTUNITIES TO THE AGING AND THOSE IN NEED IN A CARING, CHRISTIAN ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense268014Expense
Grants0Grants
Revenue570274Revenue
DescriptionCARMEL RESIDENCE, INC., PROVIDES INDEPENDENT LIVING FACILITIES FOR AGING PERSONS. THE ENTITY HAS 76 INDEPENDENT LIVING UNITS.Description
Total Program Service Expense268014TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Liabilities1ReportOtherLiabilities
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIM MAKINamePerson
Telephone Number9202325238TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LOIS JAENKE
CHAIR0.201.40XX000
JIM STAPEL
VICE CHAIR0.201.40XX000
DR JAN EDELSTEIN
SECRETARY0.201.40XX000
KAREN FREDRICK
BOARD MEMBER0.201.40X000
MARK BEECHER
BOARD MEMBER0.201.40X000
KATHLEEN BELLAIRE
BOARD MEMBER0.201.40X000
THOMAS DUNHAM
BOARD MEMBER0.201.40X000
WAYNE MUELLER
BOARD MEMBER0.201.40X000
DR ROGER HEROLD
BOARD MEMBER0.201.40X000
REV RICK HOPKINS
BOARD MEMBER0.201.40X000
REV KAREN JEWELL
BOARD MEMBER0.201.40X000
GEORGE KONTOS
BOARD MEMBER0.201.40X000
JANE KUHN
BOARD MEMBER0.201.40X000
DR SUZANNE MARNOCHA
BOARD MEMBER0.201.40X000
REV KEMP JONES
SECRETARY (FORMER)0.201.40XX000
DR RICHARD AMES
BOARD MEMBER (FORMER)0.201.40X000
STEVE LAUTENSCHLAGER
BOARD MEMBER (FORMER)0.201.40X000
JULIE VANDENBERG
CORPORATE SECRETARY4.5036.00X0676799147
CRAIG UBBELOHDE
PRESIDENT & CEO THRU FEB 20124.5036.00X0806017554
RICHARD KERN
CFO THRU MARCH 20124.5036.00X0531684307
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs201448TotalReportableCompFrmRltdOrgs
Total Other Compensation21008TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1B KOTTKE CONSTRUCTIONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1581 4TH STREETAddressLine1
CityFOND DU LACCity
StateWIState
ZIP Code54935ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSTRUCTION SERVICESDescriptionOfServices
Compensation119447Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations5994RelatedOrganizations
Total Contributions5994TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
APARTMENT OPERATIONS623990533603533603
ENTRANCE FEE REVENUES6239903667136671
FieldValueIRS element (for citing)
Total Program Service Revenue570274TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14548TotalRevenueColumn
Exclusion$14,548ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real37965Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37965Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37965TotalRevenueColumn
Exclusion$37,965ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other67751Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other18407Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other49344Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column49344TotalRevenueColumn
Exclusion$49,344ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LAUNDRY REVENUE9000998419$8,419
MISCELLANEOUS REVENUE900099352$352
FieldValueIRS element (for citing)
Total Other Revenue8771TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column686896TotalRevenueColumn
Related Or Exempt Function Income570274RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$110,628ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total197002Total
Program Services86530ProgramServices
Management And General110472ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total36Total
Management And General36ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total17472Total
Management And General17472ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4802Total
Management And General4802ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27566Total
Program Services26016ProgramServices
Management And General1550ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14046Total
Management And General14046ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10459Total
Management And General10459ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2778Total
Management And General2778ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total135797Total
Program Services135797ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1092Total
Program Services233ProgramServices
Management And General859ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total209641Total
Management And General209641ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total18078Total
Program Services18078ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
RESIDENT EXPENSES28322832
MISCELLANEOUS EXPENSES11421142
FOOD218218

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total642961Total
Program Services268014ProgramServices
Management And General374947ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87357BOY
EOY22666EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1525999BOY
EOY1300346EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY423BOY
EOY414EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY53BOY
EOY2958EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6272449LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3601975LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2689000BOY
EOY2670474EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3964BOY
EOY3964EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY-148BOY
EOY2261EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4306648BOY
EOY4003083EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14575BOY
EOY12201EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY570016BOY
EOY507431EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2681049BOY
EOY2401631EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6380BOY
EOY3257EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3272020BOY
EOY2924520EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1030664BOY
EOY1074599EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3964BOY
EOY3964EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1034628BOY
EOY1078563EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4306648BOY
EOY4003083EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses43935ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1978CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2010CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4462CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1817CurrentTaxYearMinus1Year
Current Tax Year5994CurrentTaxYear
Total16261Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years450228CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years377166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years570334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year586153CurrentTaxYearMinus1Year
Current Tax Year570274CurrentTaxYear
Total2554155Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years452206CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years379176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years574796CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year587970CurrentTaxYearMinus1Year
Current Tax Year576268CurrentTaxYear
Total2570416Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7037CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years41614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60579CurrentTaxYearMinus1Year
Current Tax Year53858CurrentTaxYear
Total163088Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7037CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years41614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60579CurrentTaxYearMinus1Year
Current Tax Year53858CurrentTaxYear
Total163088Total
FieldValueIRS element (for citing)
Public Support Total5092407328PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years92687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58821CurrentTaxYearMinus1Year
Current Tax Year52513CurrentTaxYear
Total356889Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years92687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58821CurrentTaxYearMinus1Year
Current Tax Year52513CurrentTaxYear
Total356889Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10176CurrentTaxYearMinus1Year
Current Tax Year8771CurrentTaxYear
Total48229Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years547150CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years481124CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years652741CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year656967CurrentTaxYearMinus1Year
Current Tax Year637552CurrentTaxYear
Total2975534Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80900PublicSupportPercentage509
Prior Year Support Percentage0.79870PriorYearSupportPercentage
Investment Income Percentage0.11990InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.14940PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: LAUNDRY REVENUE BEAUTY SHOP MISCELLANEOUS INCOMEGeneralExplanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis43875OtherCostOrOtherBasis
Book Value43875BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5004557OtherCostOrOtherBasis
Depreciation2812177Depreciation
Book Value2192380BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis139846OtherCostOrOtherBasis
Depreciation108300Depreciation
Book Value31546BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1075134OtherCostOrOtherBasis
Depreciation681498Depreciation
Book Value393636BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9037OtherCostOrOtherBasis
Book Value9037BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2670474TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$3,257Amount
FieldValueIRS element (for citing)
Total Of Amounts3257TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:CARMEL RESIDENCE OFFERS RESIDENTS THREE ENTRANCE OPTIONS UPON RESIDENCY. THE RESIDENT(S) MAY CHOOSE TO MAKE A NON-INTEREST-BEARING ENTRANCE DEPOSIT, WHICH IS REFUNDABLE AT 90% WITHIN 90 DAYS OF TERMINATION OF OCCUPANCY TO THE RESIDENT OR THEIR PERSONAL REPRESENTATIVE. THE SECOND OPTION REQUIRES A NONREFUNDABLE DEPOSIT OF 10% OF THE ENTRANCE FEE, AND THE THIRD OPTION REQUIRES A REFUNDABLE SECURITY DEPOSIT EQUAL TO ONE MONTH'S RENT. UNTIL RECOGNIZED AS REVENUE, NON-REFUNDABLE SECURITY DEPOSITS ARE REPORTED IN FORM 990, PART X, LINE 19 AS DEFERRED REVENUE. REFUNDABLE DEPOSITS ARE REPORTED IN FORM 990, PART X, LINE 21 AS ESCROW ACCOUNTS.
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ENTITY IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE INFORMATIONAL RETURNS FOR THE YEARS 2008 TO 2011 ARE OPEN TO EXAMINATION BY THOSE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS PLUS TWO OTHER MEMBERS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR THE AGENDA FOR THE BOARD AND VOTING MEMBERSHIP MEETINGS. THIS COMMITTEE SHALL KEEP ITSELF INFORMED OF THE ENTIRE OPERATION OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS, AND SHALL EXECUTE SUCH ACTIONS AS MAY BE ASSIGNED TO IT BY THE BOARD. THE COMMITTEE SHALL ALSO CONCERN ITSELF WITH MATTERS NOT ASSIGNED TO OTHER COMMITTEES.
FORM 990, PART VI, SECTION A, LINE 3ALL OF CARMEL RESIDENCE'S MANAGEMENT, INCLUDING EXECUTIVE MANAGEMENT, IS PROVIDED BY LUTHERAN HOMES OF OSHKOSH, THE SOLE MEMBER AND CONTROLLING ORGANIZATION OF CARMEL RESIDENCE.
FORM 990, PART VI, SECTION A, LINE 6LUTHERAN HOMES OF OSHKOSH, INC., IS THE SOLE MEMBER OF CARMEL RESIDENCE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS OF CARMEL RESIDENCE, INC. ARE ELECTED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC.
FORM 990, PART VI, SECTION A, LINE 7BMAJOR STANDARD OPERATING PROCEDURES, MAJOR POLICIES, AND PROGRAMS OF CARMEL RESIDENCE, INC. ARE SUBMITTED TO THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC., FOR APPROVAL AND IMPLEMENTATION. AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS REQUIRE THAT APPROVAL OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC..
FORM 990, PART VI, SECTION B, LINE 11BEFORE IT WAS FILED, THE FORM 990 WAS REVIEWED BY THE CEO, THEN DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST FORM TO EACH MEMBER OF THE BOARD OF DIRECTORS AND VARIOUS COMMITTEE MEMBERS THAT REQUIRES EACH TO IDENTIFY POTENTIAL CONFLICTS OR OTHER RELATED PARTY INTERESTS. THE REPORTS ARE REVIEWED BY THE SECRETARY AND CEO AND ANY CONFLICTS ARE BROUGHT TO THE BOARD'S ATTENTION. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST IS REQUIRED TO DISCLOSE THE MATERIAL FACTS BEFORE THE BOARD DISCUSSES THE ISSUE. A MEMBER OF THE BOARD WHO HAS A CONFLICT OF INTEREST MAY NOT VOTE ON ANY SUCH ISSUE BEFORE THE BOARD. ANY QUESTION OF WHETHER THERE IS A CONFLICT IS RESOLVED BY THE BOARD OF DIRECTORS. IF THE BOARD OF DIRECTORS DETERMINES THAT A DIRECTOR HAS COMMITTED A SUBSTANTIAL VIOLATION OF THE CONFLICT OF INTEREST POLICY, THE INDIVIDUAL IS REMOVED FROM THE OFFICE OF DIRECTOR. IN ADDITION, ALL MANAGEMENT EMPLOYEES ARE INFORMED OF THE ORGANIZATION'S POLICY REGARDING RELATED PARTY TRANSACTIONS AND CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AND IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S FORM 1023 IS ALSO AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN HOMES OF OSHKOSH INC
225 NORTH EAGLE STREETOSHKOSHWI54902391032234MANAGEMENT SERVICESWI501(C)(3)LINE 9N/A0
BETHEL HOME INC
225 NORTH EAGLE STREETOSHKOSHWI54902391209707SKILLED NURSING FACILITYWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
GABRIEL'S VILLA INC
225 NORTH EAGLE STREETOSHKOSHWI54902391857036SENIOR HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA APARTMENTS INC
225 NORTH EAGLE STREETOSHKOSHWI54902237148097SENIOR HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA SOUTH INC
225 NORTH EAGLE STREETOSHKOSHWI54902391238670SENIOR HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA III INC
225 NORTH EAGLE STREETOSHKOSHWI54902391270056SENIOR HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
BETHEL FOUNDATION OF OSHKOSH INC
225 NORTH EAGLE STREETOSHKOSHWI54902010938793FUNDRAISINGWI501(C)(3)LINE 11A, I0LUTHERAN HOMES OF OSHKOSH INC
EDEN REHABILIATION SUITES AND GREENHOUSE HOMES INC
3151 EDEN COURTOSHKOSHWI54902900506872SKILLED NURSING FACILITYWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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