LUTHERAN CARE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN CARE CENTER (EIN 41-0876706)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201343199349300139
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)
Timestamp2013-11-15T09:29:44-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

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 Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410876706EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone3206329211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NORTHEASTAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHERMAN JOHANNESName
TitleBOARD PRESIDENTTitle
Phone3206329211Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKURT BENNIONName
PTINP01469618PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOT ALLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NORTHEASTAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4400413GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANCARECENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF LONG TERM CARE SERVICES TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees123TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11047ContributionsGrantsPriorYear
Contributions Grants Current Year185ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4518867ProgramServiceRevenuePriorYear
Program Service Revenue CY4400106ProgramServiceRevenueCY
Investment Income Prior Year85InvestmentIncomePriorYear
Investment Income Current Year122InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4529999TotalRevenuePriorYear
Total Revenue Current Year4400413TotalRevenueCurrentYear
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 Year2120435SalariesEtcPriorYear
Salaries Etc Current Year2083235SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2685443OtherExpensePriorYear
Other Expenses Current Year2178448OtherExpensesCurrentYear
Total Expenses Prior Year4805878TotalExpensesPriorYear
Total Expenses Current Year4261683TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-275879RevenuesLessExpensesPriorYear
Revenues Less Expenses CY138730RevenuesLessExpensesCY
Total Assets BOY4110972TotalAssetsBOY
Total Assets EOY4105609TotalAssetsEOY
Total Liabilities BOY6003090TotalLiabilitiesBOY
Total Liabilities EOY5858997TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1892118NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1753388NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY CARE AND SERVICES TO OUR RESIDENTS EMPHASIZING THE WHOLE PERSON: MEDICALLY, SPIRITUALLY AND SOCIALLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3892567Expense
Grants0Grants
Revenue4400106Revenue
DescriptionLUTHERAN CARE CENTER, INC., OPERATES A 55-BED NURSING FACILITY AND A 42-BED CONGREGATE HOUSING AND ASSISTED LIVING FACILITY FOR THE ELDERLY OF THE LITTLE FALLS, MINNESOTA AREA. THE ORGANIZATION ALSO PROVIDES SERVICES DESIGNATED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS.Description
Total Program Service Expense3892567TotalProgramServiceExpense
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 Assets1ReportOtherAssets
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 Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees123NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSCOT ALLENNamePerson
Telephone Number3206329211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NORTHEASTAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
HERMAN JOHANNES
BOARD CHAIR1.00XX000
GENE BLIESE
BOARD VICE CHAIR0.80XX000
CAROLYN ILGEN
BOARD SECRETARY0.50XX000
ELAINE ASMUS
DIRECTOR0.30X000
TERRI HOLMGREN
DIRECTOR0.30X000
ROBERT HOLZ
DIRECTOR0.30X000
HARRY MILLER
DIRECTOR0.30X000
KEITH SCHUMANN
DIRECTOR0.30X000
SCOT ALLEN
ADMINISTRATOR40.00X2210000
FieldValueIRS element (for citing)
Total Reportable Comp From Org22100TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
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 Line1REHABCARE GROUPBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation267081Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions185AllOtherContributions
Total Contributions185TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUES62300043789074378907
OTHER INCOME6230002119921199
FieldValueIRS element (for citing)
Total Program Service Revenue4400106TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column122TotalRevenueColumn
Exclusion$122ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4400413TotalRevenueColumn
Related Or Exempt Function Income4400106RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$122ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total65354Total
Program Services65354ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1489179Total
Program Services1484487ProgramServices
Management And General4692ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total38724Total
Program Services38607ProgramServices
Management And General117ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total367386Total
Program Services366264ProgramServices
Management And General1122ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total122592Total
Program Services122221ProgramServices
Management And General371ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total39627Total
Management And General39627ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total117926Total
Management And General117926ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total402449Total
Program Services283995ProgramServices
Management And General118454ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total963Total
Management And General963ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91929Total
Program Services70727ProgramServices
Management And General21202ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total92680Total
Program Services82917ProgramServices
Management And General9763ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3895Total
Management And General3895ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total352224Total
Program Services337296ProgramServices
Management And General14928ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total181404Total
Program Services173716ProgramServices
Management And General7688ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total39044Total
Program Services37389ProgramServices
Management And General1655ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM SUPPLIES523214523214
LICENSES & SURCHARGES216530216350180
FOOD7281672816
MISCELLANEOUS EXPENSES1810818108

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25639Total
Program Services17214ProgramServices
Management And General8425ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4261683Total
Program Services3892567ProgramServices
Management And General369116ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY97626BOY
EOY43733EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY320377BOY
EOY469745EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36231BOY
EOY37195EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6433333LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3355024LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3229090BOY
EOY3078309EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY133468BOY
EOY128030EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY294180BOY
EOY348597EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4110972BOY
EOY4105609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY993166BOY
EOY878761EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3042947BOY
EOY3034363EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY25109BOY
EOY22916EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1930928BOY
EOY1911444EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10940BOY
EOY11513EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6003090BOY
EOY5858997EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1892118BOY
EOY-1753388EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1892118BOY
EOY-1753388EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4110972BOY
EOY4105609EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses138730ReconcilationRevenueExpenses
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 Years250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1451CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11047CurrentTaxYearMinus1Year
Current Tax Year185CurrentTaxYear
Total12986Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4653275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4881867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4838445CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4518867CurrentTaxYearMinus1Year
Current Tax Year4400106CurrentTaxYear
Total23292560Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4653525CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4883318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4838498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4529914CurrentTaxYearMinus1Year
Current Tax Year4400291CurrentTaxYear
Total23305546Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years282919CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years121639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year467055CurrentTaxYearMinus1Year
Current Tax Year643870CurrentTaxYear
Total1515483Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years282919CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years121639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year467055CurrentTaxYearMinus1Year
Current Tax Year643870CurrentTaxYear
Total1515483Total
FieldValueIRS element (for citing)
Public Support Total50921790063PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1237CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85CurrentTaxYearMinus1Year
Current Tax Year122CurrentTaxYear
Total1949Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1237CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85CurrentTaxYearMinus1Year
Current Tax Year122CurrentTaxYear
Total1949Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4654762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4883579CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4838742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4529999CurrentTaxYearMinus1Year
Current Tax Year4400413CurrentTaxYear
Total23307495Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93490PublicSupportPercentage509
Prior Year Support Percentage0.95180PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00060PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis125863OtherCostOrOtherBasis
Book Value125863BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5330169OtherCostOrOtherBasis
Depreciation2506177Depreciation
Book Value2823992BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis80587OtherCostOrOtherBasis
Depreciation71093Depreciation
Book Value9494BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis896714OtherCostOrOtherBasis
Depreciation777754Depreciation
Book Value118960BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3078309TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST FUNDS23185
REPAIR & REPLACEMENT FUND51359
BOND FUND135236
RESERVE FUND138817
FieldValueIRS element (for citing)
Total Book Value Other Assets348597TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENT OBLIGATIONDescription
Amount$11,513Amount
FieldValueIRS element (for citing)
Total Of Amounts11513TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE CARE CENTER'S RESIDENTS AND HOLDS SECURITY DEPOSITS OF BRIDGEWAY TENANTS.
PART X, LINE 2:THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS GENERALLY EXEMPT FROM PAYMENT OF INCOME AND EXCISE TAXES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES OR MAY JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR AND THE SECRETARY. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE EVALUATION OF THE PERFORMANCE OF THE BOARD OF DIRECTORS AND MANAGEMENT. IT FUNCTIONS AS THE BOARD BETWEEN MEETING OF THE BOARD FOR MATTERS NOT PREVIOUSLY RESERVED TO THE FULL BOARD OR DELEGATED TO ANOTHER COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD CHAIR AND THE ON-SITE ADMINISTRATOR; A COPY OF THE 990 WAS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CLUTHERAN CARE CENTER'S CONFLICT OF INTEREST POLICY COVERS THE COMPANY BOARD OF DIRECTORS, COMMITTEE MEMBERS AND FAMILY MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY DIRECTOR MUST IMMEDIATELY DISCLOSE IN WRITING TO THE CHAIRPERSON OF THE COMPANY BOARD OF DIRECTORS AND TO THE MEMBERS OF THE COMMITTEE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. AFTER DISCLOSURE OF ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE DIRECTOR, THE REMAINING DIRECTORS DISCUSS, AND DETERMINE BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT WERE TO ARISE, THE INDIVIDUAL WOULD LEAVE THE ROOM FOR DISCUSSION AND VOTING ON THE ISSUE.
FORM 990, PART VI, SECTION C, LINE 19LUTHERAN CARE CENTER'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ITS CONFLICT OF INTEREST POLICY IS NOT OPEN TO THE PUBLIC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BRIDGEWAY ESTATES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NEAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode
FieldValueIRS element (for citing)
EIN275375167EIN
Primary ActivitiesASSISTED LIVING & CONGREGATE HOUSINGPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income863746TotalIncome
EOY Assets2465414EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN CARE CENTERBusinessNameLine1

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