2013-11-15T09:29:44-06:00 2013-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-07-01 410876706 LUTHERAN CARE CENTER LUTH 3206329211 1200 1ST AVENUE NORTHEAST LITTLE FALLS MN 56345 HERMAN JOHANNES 3206329211 2013-11-14 1 KURT BENNION P01469618 6123764500 2012 2015-11-30 17:44:51Z SCOT ALLEN 1200 1ST AVENUE NORTHEAST LITTLE FALLS MN 56345 4400413 0 X WWW.LUTHERANCARECENTER.COM X 1964 MN PROVISION OF LONG TERM CARE SERVICES TO THE ELDERLY. 10 10 123 75 0 0 11047 185 4518867 4400106 85 122 0 0 4529999 4400413 0 0 0 0 2120435 2083235 0 0 0 2685443 2178448 4805878 4261683 -275879 138730 4110972 4105609 6003090 5858997 -1892118 -1753388 TO PROVIDE QUALITY CARE AND SERVICES TO OUR RESIDENTS EMPHASIZING THE WHOLE PERSON: MEDICALLY, SPIRITUALLY AND SOCIALLY. 0 0 3892567 0 4400106 LUTHERAN 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. 3892567 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 20 0 123 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X SCOT ALLEN 3206329211 1200 1ST AVENUE NORTHEAST LITTLE FALLS MN 56345 HERMAN JOHANNES 1.00 X X 0 0 0 GENE BLIESE 0.80 X X 0 0 0 CAROLYN ILGEN 0.50 X X 0 0 0 ELAINE ASMUS 0.30 X 0 0 0 TERRI HOLMGREN 0.30 X 0 0 0 ROBERT HOLZ 0.30 X 0 0 0 HARRY MILLER 0.30 X 0 0 0 KEITH SCHUMANN 0.30 X 0 0 0 SCOT ALLEN 40.00 X 22100 0 0 22100 0 0 0 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 267081 1 185 185 PATIENT REVENUES 623000 4378907 4378907 OTHER INCOME 623000 21199 21199 4400106 122 122 4400413 4400106 0 122 65354 65354 1489179 1484487 4692 38724 38607 117 367386 366264 1122 122592 122221 371 39627 39627 117926 117926 402449 283995 118454 963 963 91929 70727 21202 92680 82917 9763 3895 3895 352224 337296 14928 181404 173716 7688 39044 37389 1655 PROGRAM SUPPLIES 523214 523214 LICENSES & SURCHARGES 216530 216350 180 FOOD 72816 72816 MISCELLANEOUS EXPENSES 18108 18108 25639 17214 8425 4261683 3892567 369116 0 97626 43733 320377 469745 36231 37195 6433333 3355024 3229090 3078309 133468 128030 294180 348597 4110972 4105609 993166 878761 3042947 3034363 25109 22916 1930928 1911444 10940 11513 6003090 5858997 X -1892118 -1753388 -1892118 -1753388 4110972 4105609 138730 0 X 0 1 X 1 0 X 250 1451 53 11047 185 12986 4653275 4881867 4838445 4518867 4400106 23292560 4653525 4883318 4838498 4529914 4400291 23305546 0 282919 121639 467055 643870 1515483 282919 121639 467055 643870 1515483 21790063 1237 261 244 85 122 1949 1237 261 244 85 122 1949 4654762 4883579 4838742 4529999 4400413 23307495 0.93490 0.95180 0.00010 0.00060 X 0 1 X 125863 125863 5330169 2506177 2823992 80587 71093 9494 896714 777754 118960 3078309 RESIDENT TRUST FUNDS 23185 REPAIR & REPLACEMENT FUND 51359 BOND FUND 135236 RESERVE FUND 138817 348597 ASSET RETIREMENT OBLIGATION 11513 11513 X 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. FORM 990, PART VI, SECTION A, LINE 1 THE 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 11 THE 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 12C LUTHERAN 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 19 LUTHERAN CARE CENTER'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ITS CONFLICT OF INTEREST POLICY IS NOT OPEN TO THE PUBLIC. BRIDGEWAY ESTATES LLC 1200 1ST AVENUE NE LITTLE FALLS MN 56345 275375167 ASSISTED LIVING & CONGREGATE HOUSING MN 863746 2465414 LUTHERAN CARE CENTER