LUTHERAN CARE CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN CARE CENTER (EIN 41-0876706)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-28
IRS object ID
201243339349300669
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

FieldValueIRS element (for citing)
Timestamp2012-11-28T15:15:25-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-11-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF VRIEZEName
PTINP01273590PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts4529999GrossReceipts
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 Employees145TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year53ContributionsGrantsPriorYear
Contributions Grants Current Year11047ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4838445ProgramServiceRevenuePriorYear
Program Service Revenue CY4518867ProgramServiceRevenueCY
Investment Income Prior Year244InvestmentIncomePriorYear
Investment Income Current Year85InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4838742TotalRevenuePriorYear
Total Revenue Current Year4529999TotalRevenueCurrentYear
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 Year2149115SalariesEtcPriorYear
Salaries Etc Current Year2120435SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2716992OtherExpensePriorYear
Other Expenses Current Year2685443OtherExpensesCurrentYear
Total Expenses Prior Year4866107TotalExpensesPriorYear
Total Expenses Current Year4805878TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-27365RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-275879RevenuesLessExpensesCY
Total Assets BOY4269169TotalAssetsBOY
Total Assets EOY4110972TotalAssetsEOY
Total Liabilities BOY5885408TotalLiabilitiesBOY
Total Liabilities EOY6003090TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1616239NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1892118NetAssetsOrFundBalancesEOY
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
Expense4246460Expense
Grants0Grants
Revenue4518867Revenue
DescriptionLUTHERAN CARE CENTER, INC., OPERATES A 65-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 Expense4246460TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees145NumberOfEmployees
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 Duties1DelegationOfManagementDuties
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3206329211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NORTHEASTAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
HERMAN JOHANNES
BOARD PRESIDENT1.00XX000
GENE BLIESE
BOARD VICE PRESIDENT0.80XX000
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
MERLIN KOESTNER
FORMER BOARD PRESIDENT0.30XX000
NADINE DREVLOW
FORMER DIRECTOR0.30X000
SUSAN KROLL
FORMER DIRECTOR0.30X000
SCOT ALLEN
ADMINISTRATOR40.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH DIMENSIONS GROUP
4400 BAKER RD SUITE 100MINNEAPOLISMN55343MANAGEMENT SERVICES379616
REHABCARE GROUP
7733 FORSYTH BLVD SUITE 2300ST LOUISMO63105THERAPY SERVICES225818
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions11047AllOtherContributions
Total Contributions11047TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUES62300045115774511577
OTHER INCOME62300072907290
FieldValueIRS element (for citing)
Total Program Service Revenue4518867TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column85TotalRevenueColumn
Exclusion$85ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4529999TotalRevenueColumn
Related Or Exempt Function Income4518867RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$85ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1569087Total
Program Services1564922ProgramServices
Management And General4165ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total44578Total
Program Services44444ProgramServices
Management And General134ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total383258Total
Program Services382175ProgramServices
Management And General1083ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total123512Total
Program Services123179ProgramServices
Management And General333ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total379616Total
Program Services136686ProgramServices
Management And General242930ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total158259Total
Management And General158259ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total410087Total
Program Services331889ProgramServices
Management And General78198ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1655Total
Management And General1655ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total634830Total
Program Services616843ProgramServices
Management And General17987ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total95083Total
Program Services84824ProgramServices
Management And General10259ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total414911Total
Program Services397326ProgramServices
Management And General17585ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total180413Total
Program Services172767ProgramServices
Management And General7646ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total41638Total
Program Services39873ProgramServices
Management And General1765ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES & SURCHARGES248422248230192
FOOD8491784917
PRE-ADMISSION SCREENING1838518385
PROVISION FOR BAD DEBTS1200012000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5227Total
Management And General5227ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4805878Total
Program Services4246460ProgramServices
Management And General559418ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY130220BOY
EOY97626EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY300760BOY
EOY320377EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25447BOY
EOY36231EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6410136LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3181046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3390335BOY
EOY3229090EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY138906BOY
EOY133468EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY283501BOY
EOY294180EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4269169BOY
EOY4110972EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY832662BOY
EOY993166EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3041531BOY
EOY3042947EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY27521BOY
EOY25109EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1973251BOY
EOY1930928EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10443BOY
EOY10940EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5885408BOY
EOY6003090EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1616239BOY
EOY-1892118EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1616239BOY
EOY-1892118EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4269169BOY
EOY4110972EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-275879ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years45421CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1451CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53CurrentTaxYearMinus1Year
Current Tax Year11047CurrentTaxYear
Total58222Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4037227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4653275CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4881867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4838445CurrentTaxYearMinus1Year
Current Tax Year4518867CurrentTaxYear
Total22929681Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4082648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4653525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4883318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4838498CurrentTaxYearMinus1Year
Current Tax Year4529914CurrentTaxYear
Total22987903Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years224623CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years282919CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year121639CurrentTaxYearMinus1Year
Current Tax Year467055CurrentTaxYear
Total1096236Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years224623CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years282919CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year121639CurrentTaxYearMinus1Year
Current Tax Year467055CurrentTaxYear
Total1096236Total
FieldValueIRS element (for citing)
Public Support Total50921891667PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years261CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year244CurrentTaxYearMinus1Year
Current Tax Year85CurrentTaxYear
Total13031Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years261CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year244CurrentTaxYearMinus1Year
Current Tax Year85CurrentTaxYear
Total13031Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4093852CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4654762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4883579CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4838742CurrentTaxYearMinus1Year
Current Tax Year4529999CurrentTaxYear
Total23000934Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95180PublicSupportPercentage509
Prior Year Support Percentage0.97940PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
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 Basis125863OtherCostOrOtherBasis
Book Value125863BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5314024OtherCostOrOtherBasis
Depreciation2352119Depreciation
Book Value2961905BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis80587OtherCostOrOtherBasis
Depreciation69603Depreciation
Book Value10984BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis889662OtherCostOrOtherBasis
Depreciation759324Depreciation
Book Value130338BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3229090TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST FUNDS25427
REPAIR & REPLACEMENT FUND51338
BOND FUND49650
RESERVE FUND167765
FieldValueIRS element (for citing)
Total Book Value Other Assets294180TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENT OBLIGATIONDescription
Amount$10,940Amount
FieldValueIRS element (for citing)
Total Of Amounts10940TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: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 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 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 A, LINE 3HEALTH DIMENSIONS GROUP PROVIDED MANAGEMENT, ADMINISTRATION, ACCOUNTING, MDS CLINICAL, AND NURSE MANAGEMENT SERVICES TO LUTHERAN CARE CENTER.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD CHAIR, THE MANAGEMENT COMPANY, 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, LINE 15: THE ORGANIZATION HAS NO COMPENSATED BOARD MEMBERS, OFFICERS OR KEY EMPLOYEES. MANAGEMENT SERVICES ARE PROVIDED BY HEALTH DIMENSIONS GROUP. HEALTH DIMENSIONS GROUP MAKES A RECOMMENDATION FOR THE COMPENSATION OF THE ADMINISTRATOR (TOP MANAGEMENT OFFICIAL). COMPENSATION FOR BOTH THE ADMINISTRATOR AND OTHER KEY EMPLOYEES OF THE ORGANIZATION ARE REVIEWED AND APPROVED BY THE BOARD MEMBERS THROUGH THE BUDGET PROCESS. THIS PROCESS WAS LAST COMPLETED IN 2011.
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 Income851466TotalIncome
EOY Assets2518091EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

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