MINNEWASKA LUTHERAN HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MINNEWASKA LUTHERAN HOME (EIN 41-0845402)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-14
IRS object ID
201201359349303805
Schema version
2010v3.4
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)
Timestamp2012-05-14T13:09:31-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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)
NameBRIAN ENGLERName
TitleDIRECTOR OF FINANCETitle
Phone3202397121Phone
Date Signed2012-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN ENGLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 MAIN STREETAddressLine1
CitySTARBUCKCity
StateMNState
ZIP Code56381ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4518548GrossReceipts
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 Members8NbrIndependentVotingMembers
Total Nbr Employees196TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26365ContributionsGrantsPriorYear
Contributions Grants Current Year35736ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4217590ProgramServiceRevenuePriorYear
Program Service Revenue CY4393422ProgramServiceRevenueCY
Investment Income Prior Year17970InvestmentIncomePriorYear
Investment Income Current Year13298InvestmentIncomeCurrentYear
Other Revenue Prior Year58508OtherRevenuePriorYear
Other Revenue Current Year76092OtherRevenueCurrentYear
Total Revenue Prior Year4320433TotalRevenuePriorYear
Total Revenue Current Year4518548TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1413GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8176GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3022775SalariesEtcPriorYear
Salaries Etc Current Year3052953SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1461468OtherExpensePriorYear
Other Expenses Current Year1463810OtherExpensesCurrentYear
Total Expenses Prior Year4485656TotalExpensesPriorYear
Total Expenses Current Year4524939TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-165223RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6391RevenuesLessExpensesCY
Total Assets BOY5431022TotalAssetsBOY
Total Assets EOY5257193TotalAssetsEOY
Total Liabilities BOY3279160TotalLiabilitiesBOY
Total Liabilities EOY3115514TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2151862NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2141679NetAssetsOrFundBalancesEOY
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
Expense4081932Expense
Grants8176Grants
Revenue4393422Revenue
DescriptionMINNEWASKA LUTHERAN HOME, A 64-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)
Expense1246Expense
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 Expense4083178TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Individuals1GrantsToIndividuals
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees196NumberOfEmployees
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 Members8NumberIndependentVotingMembers
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 (13 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 STONE
TREASURER0.50XX000
KEITH NAIG
DIRECTOR0.50X000
PATRICIA DINSMORE
DIRECTOR0.50X000
WARREN HAGESTUEN
DIRECTOR0.50X000
MARK SHUMANN
DIRECTOR0.50X000
JOHN SAMUELSON
DIRECTOR0.50X000
PATRICIA PEDERSON
DIRECTOR0.50X000
PATRICIA PEDERSON
DIRECTOR0.50X000
DEBBIE SCHNEIDER
ADMINISTRATOR26.90X57648013692
BRIAN ENGLER
DIRECTOR OF FINANCE18.50X4371804912
FieldValueIRS element (for citing)
Total Reportable Comp From Org101366TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation18604TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations24601RelatedOrganizations
All Other Contributions11135AllOtherContributions
Total Contributions35736TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column4393422TotalRevenueColumn
Related Or Exempt Function Income4393422RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4393422TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13298TotalRevenueColumn
Exclusion$13,298ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column76092TotalRevenueColumn
Exclusion$76,092ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue76092TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4518548TotalRevenueColumn
Related Or Exempt Function Income4393422RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$89,390ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8176Total
Program Services8176ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total118163Total
Management And General118163ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2434725Total
Program Services2278903ProgramServices
Management And General155822ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total302956Total
Program Services270442ProgramServices
Management And General32514ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total197109Total
Program Services175955ProgramServices
Management And General21154ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total595Total
Management And General595ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25025Total
Management And General25025ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total179932Total
Program Services160410ProgramServices
Management And General19522ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14186Total
Program Services14186ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total393179Total
Program Services378944ProgramServices
Management And General14235ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34366Total
Program Services34366ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total128566Total
Program Services128566ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9310Total
Program Services6533ProgramServices
Management And General2777ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1174Total
Management And General1174ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total99022Total
Program Services99022ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total311001Total
Program Services311001ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total25795Total
Management And General25795ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSE SURCHARGE188469188469
MISCELLANEOUS EXPENSE406321564724985
BEST AGE EXPENSES1255812558

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4524939Total
Program Services4083178ProgramServices
Management And General441761ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25BOY
EOY25EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY368682BOY
EOY471833EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY502373BOY
EOY476762EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21148BOY
EOY21924EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7695771LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4335554LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3596746BOY
EOY3360217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY799366BOY
EOY790265EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2000BOY
EOY2000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY85002BOY
EOY78750EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55680BOY
EOY55417EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5431022BOY
EOY5257193EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY286102BOY
EOY286160EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY3586BOY
EOY5355EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2989472BOY
EOY2823999EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3279160BOY
EOY3115514EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2145995BOY
EOY2135800EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5867BOY
EOY5879EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2151862BOY
EOY2141679EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5431022BOY
EOY5257193EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6391ReconcilationRevenueExpenses
Reconcilation Other Changes-3792ReconcilationOtherChanges
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 Years48853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26365CurrentTaxYearMinus1Year
Current Tax Year35736CurrentTaxYear
Total202554Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4316453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4634617CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4605776CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4217590CurrentTaxYearMinus1Year
Current Tax Year4393422CurrentTaxYear
Total22167858Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4365306CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4655742CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4676251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4243955CurrentTaxYearMinus1Year
Current Tax Year4429158CurrentTaxYear
Total22370412Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1172863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1265531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1104105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1489768CurrentTaxYearMinus1Year
Current Tax Year1546737CurrentTaxYear
Total6579004Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1172863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1265531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1104105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1489768CurrentTaxYearMinus1Year
Current Tax Year1546737CurrentTaxYear
Total6579004Total
FieldValueIRS element (for citing)
Public Support Total50915791408PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years569CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16839CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17970CurrentTaxYearMinus1Year
Current Tax Year13298CurrentTaxYear
Total72220Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years569CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16839CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17970CurrentTaxYearMinus1Year
Current Tax Year13298CurrentTaxYear
Total72220Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1000CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years103719CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58508CurrentTaxYearMinus1Year
Current Tax Year76092CurrentTaxYear
Total239319Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4366875CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4679286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4796809CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4320433CurrentTaxYearMinus1Year
Current Tax Year4518548CurrentTaxYear
Total22681951Total
FieldValueIRS element (for citing)
Public Support Percentage5090.69620PublicSupportPercentage509
Prior Year Support Percentage0.72080PriorYearSupportPercentage
Investment Income Percentage0.00320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00300PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis5950238OtherCostOrOtherBasis
Depreciation3167439Depreciation
Book Value2782799BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis124900OtherCostOrOtherBasis
Depreciation31311Depreciation
Book Value93589BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1392607OtherCostOrOtherBasis
Depreciation1136804Depreciation
Book Value255803BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3360217TotalOfBookValueLandBuildings

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 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 [MINNEWASKA LUTHERAN HOME, MINNEWASKA HOME DEVELOPMENT, HOLLY RIDGE MANOR, AND MINNEWAKSA HOME CARE] ARE 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 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients3NumberOfRecipients
Amount Of Cash Grant8176AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: AFTER THE EMPLOYEE HAS BEEN APPROVED FOR A SCHOLARSHIP HE/SHE MUST PAY FOR ALL EXPENSES FOR EACH SEMESTER OF SCHOOL. AFTER EACH SEMESTER THE EMPLOYEE TURNS IN ALL ELIGIBLE EXPENSES UNDER THE SCHOLARSHIP AGREEMENT. REPORTS ARE RUN TO VERIFY THE EMPLOYEE MET THE REQUIRED HOURS FOR THE SAME DATES OF THE SEMESTER. ONCE THIS IS DONE IF THE EMPLOYEE HAS MET THE REQUIREMENTS HE/SHE IS REIMBURSED FOR THE ELIGIBLE EXPENSES.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCORA STOENNamePerson
FieldValueIRS element (for citing)
RelationshipMOTHER OF BOARD MEMBERRelationship
Amount Of Transaction58075AmountOfTransaction
Description Of TransactionPAYMENTS TO MINNEWASKA LUTHERAN HOME FOR SERVICES RENDEREDDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 MANAGEMENT TEAM DISCUSSED THE COMPLETED FROM 990 AT A BOARD MEETING BEFORE IT WAS FILED.
THE 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 12C
THE 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 12/15/10FORM 990, PART VI, SECTION B, LINE 15A
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -3,792.FORM 990, PART XI, LINE 5:
ALLOCATION OF TIME BETWEEN RELATED ORGANIZATIONSTHE 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, 2011. DEBBIE SCHNEIDER - ADMINISTRATOR: MINNEWASKA LUTHERAN HOME - 26.9 HOURS MINNEWASKA HOME CARE - 2.5 HOURS HOLLY RIDGE MANOR - 1.4 HOURS MINNEWASKA HOME DEVELOPMENT - 0.3 HOURS BRIAN ENGLER - DIRECTOR OF FINANCE: MINNEWASKA LUTHERAN HOME - 18.5 HOURS MINNEWASKA HOME CARE - 12.6 HOURS HOLLY RIDGE MANOR - 2.5 HOURS MINNEWASKA HOME DEVELOPMENT - 0.3 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.FORM 990, PART VII, SECTION A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MINNEWASKA HOME CARE
500 HOLLY RIDGE DRIVESTARBUCKMN56381331124162HOME CAREMN501(C)(3)9MINNEWASKA LUTHERAN HOME1
HOLLY RIDGE MANOR
500 HOLLY RIDGE DRIVESTARBUCKMN56381411649721ASSISTED LIVINGMN501(C)(3)11 - TYPE 2MINNEWASKA LUTHERAN HOME1
MINNEWASKA HOME DEVELOPMENT
605 MAIN STREETSTARBUCKMN56381411504339FUNDRAISINGMN501(C)(3)11 - TYPE 2MINNEWASKA LUTHERAN HOME1
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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