LYNGBLOMSTEN CARE CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LYNGBLOMSTEN CARE CENTER INC (EIN 41-1310487)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-08
- IRS object ID
- 201203139349300540
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-08T10:47:58-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411310487 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYNGBLOMSTEN CARE CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LYNG | NameControl |
| Phone | 6516462941 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1415 ALMOND AVENUE | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55108 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRADLEY J JACOBSON | Name |
| Title | CFO | Title |
| Phone | 6516462941 | Phone |
| Date Signed | 2012-10-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CORY RUTLEDGE | Name |
| PTIN | P01329381 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL MIKELSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1415 ALMOND AVENUE | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19921516 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 9386 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LYNGBLOMSTEN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 517 | TotalNbrEmployees |
| Total Nbr Volunteers | 1547 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 49929 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 73053 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18345039 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19138746 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 159964 | InvestmentIncomePriorYear |
| Investment Income Current Year | 154544 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 89336 | OtherRevenuePriorYear |
| Other Revenue Current Year | 224504 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18644268 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19590847 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1000000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13342140 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13499275 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4778895 | OtherExpensePriorYear |
| Other Expenses Current Year | 4925026 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18121035 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19424301 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 523233 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 166546 | RevenuesLessExpensesCY |
| Total Assets BOY | 14689973 | TotalAssetsBOY |
| Total Assets EOY | 14126890 | TotalAssetsEOY |
| Total Liabilities BOY | 4615698 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4039753 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10074275 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10087137 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | INFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17730283 | Expense |
| Grants | 1000000 | Grants |
| Revenue | 19138746 | Revenue |
| Description | THE LYNGBLOMSTEN CARE CENTER, A 237-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING ALZHEIMER'S CARE. IN 2011, 618 PERSONS RECEIVED CARE - AN INCREASE OF 16% OVER THE PREVIOUS YEAR. CHAPLAINS, VOLUNTEERS, AND PROFESSIONAL STAFF ENSURE RESIDENTS RECEIVE QUALITY HEALTH CARE IN A DIGNIFIED MANNER. ALTHOUGH HEALTH ISSUES PREVENT THESE SENIORS FROM ENJOYING LIVING IN THEIR OWN HOMES, LYNGBLOMSTEN PROMOTES PERSON-CENTERED CARE, GIVING THESE OLDER ADULTS AS MANY CHOICES AND COMFORTS OF HOME AS POSSIBLE. EDUCATIONAL AND SOCIAL EVENTS ARE HOSTED TO ENHANCE THE LIVES OF THESE SENIORS AND THEIR FAMILIES. ONE OF THE HIGHLIGHTS FROM 2011 WAS THE EXPANSION (NEARLY 400 SQUARE FEET) OF OUR THERAPY GYM TO ACCOMMODATE THE PREVIOUSLY EXPANDED TRANSITIONAL CARE UNIT AND THE SUBSEQUENT GROWTH IN THE NUMBER OF RESIDENTS REQUIRING REHABILITATIVE SERVICES.LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. | Description |
| Total Program Service Expense | 17730283 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 517 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADLEY J JACOBSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6516325310 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1415 ALMOND AVENUE | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55108 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ESTHER TATLEY | ||||||
| DIRECTOR/PAST CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| CAROL PLETCHER | ||||||
| CHAIR/VICE CHAIR (FORMER) | 1.00 | X | X | 0 | 0 | 0 |
| CHARLES NORTON | ||||||
| VICE CHAIR/SECRETARY (FORMER) | 1.00 | X | X | 0 | 0 | 0 |
| HOWARD OSTREM | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| FERYLE BORGESON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KIM DURKEE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| REV JAY EBERTH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LISA EDSTROM | ||||||
| DIRECTOR (FORMER) | 1.00 | X | 0 | 0 | 0 | |
| LEONARD EILTS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GINGER FISCHER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LESLIE GRANT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LARRY GRAY | ||||||
| SECRETARY/DIRECTOR (FORMER) | 1.00 | X | X | 0 | 0 | 0 |
| MAYNARD JACOBSON | ||||||
| DIRECTOR (FORMER) | 1.00 | X | 0 | 0 | 0 | |
| BILL SANDEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JEANETTE SEVERSON | ||||||
| DIRECTOR (FORMER) | 1.00 | X | 0 | 0 | 0 | |
| DON WALCH | ||||||
| DIRECTOR (FORMER) | 1.00 | X | 0 | 0 | 0 | |
| PAUL MIKELSON | ||||||
| CEO | 30.20 | X | X | 136410 | 44264 | 14666 |
| CARL BUETTEMEIER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BETCHEN OBERDORFER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TOM SCHULTZ | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KAREN VENINGA | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BRADLEY J JACOBSON | ||||||
| CFO | 36.00 | X | 95005 | 0 | 11784 | |
| JEFF HEINECKE | ||||||
| ADMINISTRATOR | 40.00 | X | 95776 | 0 | 21722 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 327191 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 44264 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 48172 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 73053 | RelatedOrganizations |
| Total Contributions | 73053 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 19138746 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19138746 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19138746 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 137185 | TotalRevenueColumn |
| Exclusion | $137,185 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 348028 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 330669 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17359 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17359 | TotalRevenueColumn |
| Exclusion | $17,359 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| BEAUTY SHOP REVENUE | 900099 | 112261 | $112,261 |
| MISCELLANEOUS REVENUE | 900099 | 56785 | $56,785 |
| SATELITE TV REVENUE | 900099 | 23245 | $23,245 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32213 | TotalRevenueColumn |
| Exclusion | $32,213 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 224504 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19590847 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19138746 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $379,048 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000000 | Total |
| Program Services | 1000000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371771 | Total |
| Management And General | 371771 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10389393 | Total |
| Program Services | 9671809 | ProgramServices |
| Management And General | 717584 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257959 | Total |
| Program Services | 244642 | ProgramServices |
| Management And General | 13317 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1647190 | Total |
| Program Services | 1515005 | ProgramServices |
| Management And General | 132185 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 832962 | Total |
| Program Services | 751755 | ProgramServices |
| Management And General | 81207 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12665 | Total |
| Management And General | 12665 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52968 | Total |
| Management And General | 52968 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 733932 | Total |
| Program Services | 703511 | ProgramServices |
| Management And General | 30421 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37576 | Total |
| Management And General | 37576 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 727011 | Total |
| Program Services | 701724 | ProgramServices |
| Management And General | 25287 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407980 | Total |
| Program Services | 330557 | ProgramServices |
| Management And General | 77423 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26865 | Total |
| Management And General | 26865 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121597 | Total |
| Program Services | 109092 | ProgramServices |
| Management And General | 12505 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 859102 | Total |
| Program Services | 770752 | ProgramServices |
| Management And General | 88350 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135100 | Total |
| Program Services | 121206 | ProgramServices |
| Management And General | 13894 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| LICENSE SURCHARGE | 667155 | 667155 |
| FOOD | 607981 | 607981 |
| MEDICAL SUPPLIES | 535094 | 535094 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19424301 | Total |
| Program Services | 17730283 | ProgramServices |
| Management And General | 1694018 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1600498 | BOY |
| EOY | 1466051 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1453919 | BOY |
| EOY | 1462033 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1340185 | BOY |
| EOY | 1409536 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155828 | BOY |
| EOY | 62942 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22182406 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15167182 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7503077 | BOY |
| EOY | 7015224 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1806398 | BOY |
| EOY | 1984380 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399180 | BOY |
| EOY | 399180 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78535 | BOY |
| EOY | 67042 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352353 | BOY |
| EOY | 260502 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14689973 | BOY |
| EOY | 14126890 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1664707 | BOY |
| EOY | 1427524 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41640 | BOY |
| EOY | 39126 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2828625 | BOY |
| EOY | 2472612 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80726 | BOY |
| EOY | 100491 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4615698 | BOY |
| EOY | 4039753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10004102 | BOY |
| EOY | 10030860 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70173 | BOY |
| EOY | 56277 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10074275 | BOY |
| EOY | 10087137 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14689973 | BOY |
| EOY | 14126890 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 166546 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -153684 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 261128 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 428379 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 401086 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 49929 | CurrentTaxYearMinus1Year |
| Current Tax Year | 73053 | CurrentTaxYear |
| Total | 1213575 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17687892 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18084374 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18418142 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18345039 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19138746 | CurrentTaxYear |
| Total | 91674193 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17949020 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18512753 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18819228 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18394968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19211799 | CurrentTaxYear |
| Total | 92887768 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 92887768 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 205455 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 147375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 125937 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 179367 | CurrentTaxYearMinus1Year |
| Current Tax Year | 137185 | CurrentTaxYear |
| Total | 795319 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 205455 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 147375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 125937 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 179367 | CurrentTaxYearMinus1Year |
| Current Tax Year | 137185 | CurrentTaxYear |
| Total | 795319 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56623 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -187122 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 89336 | CurrentTaxYearMinus1Year |
| Current Tax Year | 224504 | CurrentTaxYear |
| Total | 229025 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18200159 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18716751 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18758043 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18663671 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19573488 | CurrentTaxYear |
| Total | 93912112 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98910 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99060 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00850 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00920 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94767 | OtherCostOrOtherBasis |
| Book Value | 94767 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19571997 | OtherCostOrOtherBasis |
| Depreciation | 13377907 | Depreciation |
| Book Value | 6194090 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2442256 | OtherCostOrOtherBasis |
| Depreciation | 1728354 | Depreciation |
| Book Value | 713902 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 73386 | OtherCostOrOtherBasis |
| Depreciation | 60921 | Depreciation |
| Book Value | 12465 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7015224 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATION | $7,061 |
| ASSET RETIREMENT OBLIGATION | $13,159 |
| DEFERRED COMPENSATION PLAN | $80,271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 100491 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE CORPORATION IS THE TRUSTEE OF VARIOUS RESIDENT AND TENANT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS AND INVESTMENTS. | |
| PART X: | THE CORPORATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER 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 APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2008 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYNGBLOMSTEN FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1415 ALMOND AVENUE | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 363371887 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 1000000 | AmountOfCashGrant |
| Purpose Of Grant | TO FUND FUTURE LYNGBLOMSTEN CARE CENTER OPERATIONS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: LYNGBLOMSTEN CARE CENTER MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. ALL RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE USE OF THESE FUNDS THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAUL MIKELSON | NamePerson |
| Base Compensation Filing Org | 119374 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 38737 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 4328 | BonusFilingOrg |
| Bonus Related Orgs | 1405 | BonusRelatedOrgs |
| Other Compensation Filing Org | 12708 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 4122 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 4966 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 1611 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 6108 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 1981 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 147484 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 47856 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I, LINE 3: LYNGBLOMSTEN CARE CENTER, INC. PAYS THE COMPENSATION FOR THE OFFICERS AND EMPLOYEES OF THE ORGANIZATION. HERITAGE APARTMENTS, INC. THEN REIMBURSES LYNGBLOMSTEN CARE CENTER, INC. FOR ALL SALARIES AND BENEFIT EXPENSES. LYNGBLOMSTEN CARE CENTER, INC. USES THE FOLLOWING WHEN DETERMINING COMPENSATION FOR OFFICERS AND EMPLOYEES: (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) COMPENSATION SURVEY OR STUDY, AND (4) APPROVAL BY BOARD OF DIRECTORS OR COMPENSATION COMMITTEE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS MADE UP THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY OF THE BOARD ALONG WITH PRESIDENT/CEO OF THE CORPORATION. ALL ITEMS APPROVED BY THE EXECUTIVE COMMITTEE ARE REAFFIRMED BY THE FULL BOARD AT THEIR NEXT MEETING. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE BOARD OF DIRECTORS OF THE LYNGBLOMSTEN CORPORATION ARE THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE CONGREGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO AS MEMBERS OF THE LYNGBLOMSTEN CORPORATION ELECT THE LYNGBLOMSTEN CORPORATE BOARD. THE LYNGBLOMSTEN CORPORATE BOARD OF DIRECTORS SERVE AS THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC. AND ELECT THAT BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO AND CEO REVIEW THE DOCUMENT, WHICH IS EMAILED TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO THEIR MEETING FOR REVIEW AND COMMENT. THE BOARD RECEIVES THE DOCUMENT PRIOR TO THEIR BOARD MEETING BY EMAIL OR POSTING TO THEIR INTERNAL WEBSITE. PAPER COPIES ARE AVAILABLE AT THE BOARD MEETING FOR FURTHER DISCUSSION AND BOARD APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AN UPDATED CONFLICT OF INTEREST POLICY IS SIGNED BY ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY. THIS POLICY IS MONITORED BY THE CEO AND IF ANY CONFLICTS OF INTERESTS EXIST THAT INDIVIDUAL IS EXCLUDED FROM PARTICIPATION AND VOTING ON RELATED TRANSACTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | LYNGBLOMSTEN CARE CENTER, INC. RELIES ON THE LYNGBLOMSTEN CORPORATE BOARD'S EXECUTIVE COMMITTEE WHO REVIEWS AND SETS CEO'S COMPENSATION. THE CEO SETS THE ANNUAL EVALUATION PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES AND THE LYNGBLOMSTEN CARE CENTER, INC. BOARD APPROVES THE ANNUAL BUDGET. THE COMPENSATION REVIEW PROCESS IS CONDUCTED EACH YEAR IN JANUARY AND WAS LAST CONDUCTED IN JANUARY 2011. THE CORPORATE BOARD'S EXECUTIVE COMMITTEE ALSO PERFORMS A COMPENSATION STUDY APROXIMATELY EVERY 5 YEARS, LAST COMPLETED IN 2011. | |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -153,684. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART VII, SECTION A | PAUL MIKELSON, CEO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: LYMBLOMSTEN CARE CENTER: 30.2 HOURS LYNGBLOMSTEN APARTMENTS: 2.86 HOURS HERITAGE APARTMENTS, INC.: 2.86 HOURS LYNGBLOMSTEN FOUNDATION: 3.48 HOURS LYNGBLOMSTEN SERVICES: 0.6 HOURS BRADLEY J. JACOBSON, CFO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: LYMBLOMSTEN CARE CENTER: 36 HOURS LYNGBLOMSTEN APARTMENTS: 1 HOUR HERITAGE APARTMENTS, INC.: 1 HOUR LYNGBLOMSTEN FOUNDATION: 1 HOUR LYNGBLOMSTEN SERVICES: 1 HOUR IN ADDITION TO BEING A BOARD MEMBER OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, ESTHER TATLEY, CAROL PLETCHER, HOWARD OSTREM, CHARLES NORTON, FERYLE BORGESON, KIM DURKEE, REV. JAY EBERTH, LEONARD EILTS, GINGER FISCHER, LESLIE GRANT, LARRY GRAY, BILL SANDEN, CARL BUETTEMEIER, BETCHEN OBERDORFER, TOM SCHULTZ AND KAREN VENINGA ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATION LYNGBLOMSTEN SERVICES, INC. FOR AN AVERAGE OF 1 HOUR PER WEEK. IN ADDITION TO BEING A BOARD MEMBER OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, CAROL PLETCHER, HOWARD OSTREM, LARRY GRAY AND CHARLES NORTON ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATIONS, HERITAGE APARTMENTS, INC. AND LYNGBLOMSTEN APARTMENTS, INC. FOR AN AVERAGE OF 1 HOUR PER WEEK. IN ADDITION TO BEING BOARD MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC., THE FOLLOWING BOARD MEMBERS, CAROL PLETCHER, CHARLES NORTON, AND ESTHER TATLEY ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZATION, LYNGBLOMSTEN FOUNDATION FOR AN AVERAGE OF 1 HOUR PER WEEK. | EXPLANATION OF HOURS WORKED |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LYNGBLOMSTEN APARTMENTS INC | |||||||||||
| 1455 ALMOND AVE | ST PAUL | MN | 55108 | 411327121 | LOW INCOME SENIOR HOUSING | MN | 501(C)3 | 9 | LYNGBLOMSTEN | 0 | |
| HERITAGE APARTMENTS INC | |||||||||||
| 1440 MIDWAY PARKWAY | ST PAUL | MN | 55108 | 411913420 | MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIES | MN | 501(C)3 | 9 | LYNGBLOMSTEN | 0 | |
| LYNGBLOMSTEN FOUNDATION | |||||||||||
| 1415 ALMOND AVE | ST PAUL | MN | 55108 | 363371887 | FUNDRAISING FOR LYNGBLOMSTEN | MN | 501(C)3 | 7 | LYNGBLOMSTEN | 0 | |
| LYNGBLOMSTEN SERVICES INC | |||||||||||
| 1415 ALMOND AVE | ST PAUL | MN | 55108 | 411760448 | SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTH | MN | 501(C)3 | 9 | LYNGBLOMSTEN | 0 | |
| LYNGBLOMSTEN | |||||||||||
| 1415 ALMOND AVE | ST PAUL | MN | 55108 | 410693865 | MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONS | MN | 501(C)3 | 9 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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