LYNGBLOMSTEN CARE CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LYNGBLOMSTEN CARE CENTER INC (EIN 41-1310487)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349302221
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)
Timestamp2011-11-14T09:32:22-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411310487EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LYNGBLOMSTEN CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLYNGNameControl
Phone6516462941Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1
CityST PAULCity
StateMNState
ZIP Code55108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRADLEY J JACOBSONName
TitleCFOTitle
Phone6516462941Phone
Date Signed2011-11-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL MIKELSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1
CityST PAULCity
StateMNState
ZIP Code55108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18749964GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LYNGBLOMSTEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees508TotalNbrEmployees
Total Nbr Volunteers777TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year401086ContributionsGrantsPriorYear
Contributions Grants Current Year49929ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18418142ProgramServiceRevenuePriorYear
Program Service Revenue CY18345039ProgramServiceRevenueCY
Investment Income Prior Year126801InvestmentIncomePriorYear
Investment Income Current Year159964InvestmentIncomeCurrentYear
Other Revenue Prior Year-187122OtherRevenuePriorYear
Other Revenue Current Year89336OtherRevenueCurrentYear
Total Revenue Prior Year18758907TotalRevenuePriorYear
Total Revenue Current Year18644268TotalRevenueCurrentYear
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 Year13349972SalariesEtcPriorYear
Salaries Etc Current Year13342140SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4525683OtherExpensePriorYear
Other Expenses Current Year4778895OtherExpensesCurrentYear
Total Expenses Prior Year17875655TotalExpensesPriorYear
Total Expenses Current Year18121035TotalExpensesCurrentYear
Revenues Less Expenses Prior Year883252RevenuesLessExpensesPriorYear
Revenues Less Expenses CY523233RevenuesLessExpensesCY
Total Assets BOY14121279TotalAssetsBOY
Total Assets EOY14689973TotalAssetsEOY
Total Liabilities BOY4711697TotalLiabilitiesBOY
Total Liabilities EOY4615698TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9409582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10074275NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINFLUENCED 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16465937Expense
Grants0Grants
Revenue18345039Revenue
DescriptionTHE LYNGBLOMSTEN CARE CENTER, A 237-BED SKILLED NURSING FACILITY, PROVIDES BOTH SHORT-TERM REHABILITATION AND LONG-TERM HEALTHCARE, INCLUDING ALZHEIMER'S CARE. IN 2010, 529 PERSONS RECEIVED CARE. 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. A PALS (PASSING ALONG LIFE'S STORIES) PROGRAM WAS RECENTLY INITIATED, WHERE EMPLOYEES FROM ACROSS THE ORGANIZATION ARE PAIRED WITH A RESIDENT FOR WEEKLY VISITS ENHANCING THE LIVES OF BOTH THE RESIDENTS AND THE EMPLOYEES. IN 2010:-THE TRANSITIONAL CARE UNIT WAS EXPANDED FROM 21 TO 30 BEDS, AND TWO SERVICE HOUSE PROGRAMS WERE MODIFIED TO BETTER ACCOMMODATE THE MORE DEPENDENT CARE LEVEL OF THOSE RESIDENTS.-THREE MAJOR PHYSICAL UPGRADES OCCURRED: ELEVATORS UPGRADED, EXTERIOR BRICK FACADE REPLACED, AND TUB/SHOWER ROOMS WERE RENOVATED.-THE CARE CENTER WAS AWARDED A GRANT FROM THE STATE OF MINNESOTA TO REDUCE RE-HOSPITALIZATIONS, TO IMPROVE INFORMATION FLOW FROM HOSPITAL TO NURSING HOME, TO ESTABLISH PROTOCOLS FOR THE CARE OF RESIDENTS WITH CERTAIN CHRONIC CONDITIONS, AND TO IMPROVE PALLIATIVE CARE.LYNGBLOMSTEN CARE CENTER, INC. IS AFFILIATED WITH LYNGBLOMSTEN AND THE EVANGELICAL LUTHERAN CHURCH IN AMERICA.Description
Total Program Service Expense16465937TotalProgramServiceExpense
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 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 Required1ScheduleJRequired
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees508NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Policy1DocumentRetentionPolicy
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 Line1BRADLEY J JACOBSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6516325310TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11415 ALMOND AVENUEAddressLine1
CityST PAULCity
StateMNState
ZIP Code55108ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ESTHER TATLEY
CHAIR1.00XX000
CAROL PLETCHER
VICE CHAIR1.00XX000
CHARLES NORTON
SECRETARY1.00XX000
HOWARD OSTREM
TREASURER1.00XX000
FERYLE BORGESON
DIRECTOR1.00X000
KIM DURKEE
DIRECTOR1.00X000
REV JAY EBERTH
DIRECTOR1.00X000
LISA EDSTROM
DIRECTOR1.00X000
LEONARD EILTS
DIRECTOR1.00X000
GINGER FISCHER
DIRECTOR1.00X000
LESLIE GRANT
DIRECTOR1.00X000
LARRY GRAY
DIRECTOR1.00X000
MAYNARD JACOBSON
DIRECTOR1.00X000
BILL SANDEN
DIRECTOR1.00X000
JEANETTE SEVERSON
DIRECTOR1.00X000
DON WALCH
DIRECTOR1.00X000
PAUL MIKELSON
CEO30.30XX1312694233313638
BRADLEY J JACOBSON
CFO36.00X94168010711
JEFF HEINECKE
ADMINISTRATOR40.00X94992018669
FieldValueIRS element (for citing)
Total Reportable Comp From Org320429TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs42333TotalReportableCompFrmRltdOrgs
Total Other Compensation43018TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations49929RelatedOrganizations
Total Contributions49929TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column18345039TotalRevenueColumn
Related Or Exempt Function Income18345039RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18345039TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column179367TotalRevenueColumn
Exclusion$179,367ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities86293Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities105696Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-19403Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-19403TotalRevenueColumn
Exclusion-$19,403ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS REVENUE90009943405$43,405
SATELITE TV REVENUE90009924509$24,509
TELEPHONE REVENUE90009921422$21,422
FieldValueIRS element (for citing)
Total Other Revenue89336TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18644268TotalRevenueColumn
Related Or Exempt Function Income18345039RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$249,300ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total360122Total
Management And General360122ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9909137Total
Program Services9419435ProgramServices
Management And General489702ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total229352Total
Program Services218475ProgramServices
Management And General10877ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1978519Total
Program Services1809205ProgramServices
Management And General169314ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total865010Total
Program Services780384ProgramServices
Management And General84626ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total325Total
Management And General325ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total52147Total
Management And General52147ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total615900Total
Program Services588538ProgramServices
Management And General27362ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36763Total
Management And General36763ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1317532Total
Program Services1098048ProgramServices
Management And General219484ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total383798Total
Program Services316395ProgramServices
Management And General67403ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25037Total
Management And General25037ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total136204Total
Program Services122197ProgramServices
Management And General14007ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total816623Total
Program Services732641ProgramServices
Management And General83982ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total135621Total
Program Services121674ProgramServices
Management And General13947ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LICENSE SURCHARGE667155667155
FOOD591790591790

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18121035Total
Program Services16465937ProgramServices
Management And General1655098ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY860958BOY
EOY1600498EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1638963BOY
EOY1453919EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1575245BOY
EOY1340185EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY38332BOY
EOY155828EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21868074LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14364997LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7102264BOY
EOY7503077EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1176312BOY
EOY1806398EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY399180BOY
EOY399180EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY90028BOY
EOY78535EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1239997BOY
EOY352353EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14121279BOY
EOY14689973EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1425393BOY
EOY1664707EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY58442BOY
EOY41640EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3168985BOY
EOY2828625EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58877BOY
EOY80726EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4711697BOY
EOY4615698EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9317676BOY
EOY10004102EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY91906BOY
EOY70173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9409582BOY
EOY10074275EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14121279BOY
EOY14689973EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses523233ReconcilationRevenueExpenses
Reconcilation Other Changes141460ReconcilationOtherChanges
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 Years211880CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years261128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years428379CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year401086CurrentTaxYearMinus1Year
Current Tax Year49929CurrentTaxYear
Total1352402Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16981190CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17687892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18084374CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18418142CurrentTaxYearMinus1Year
Current Tax Year18345039CurrentTaxYear
Total89516637Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17193070CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17949020CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18512753CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18819228CurrentTaxYearMinus1Year
Current Tax Year18394968CurrentTaxYear
Total90869039Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50990869039PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years188362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years205455CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years147375CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125937CurrentTaxYearMinus1Year
Current Tax Year179367CurrentTaxYear
Total846496Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years188362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years205455CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years147375CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125937CurrentTaxYearMinus1Year
Current Tax Year179367CurrentTaxYear
Total846496Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-187122CurrentTaxYearMinus1Year
Current Tax Year89336CurrentTaxYear
Total14033Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17390944CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18200159CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18716751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18758043CurrentTaxYearMinus1Year
Current Tax Year18663671CurrentTaxYear
Total91729568Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99060PublicSupportPercentage509
Prior Year Support Percentage0.99210PriorYearSupportPercentage
Investment Income Percentage0.00920InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00860PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUSGeneralExplanation

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 Basis94767OtherCostOrOtherBasis
Book Value94767BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19411436OtherCostOrOtherBasis
Depreciation12693976Depreciation
Book Value6717460BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2288485OtherCostOrOtherBasis
Depreciation1614925Depreciation
Book Value673560BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73386OtherCostOrOtherBasis
Depreciation56096Depreciation
Book Value17290BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7503077TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATION$1,672
ASSET RETIREMENT OBLIGATION$12,888
DEFERRED COMPENSATION PLAN$66,166
FieldValueIRS element (for citing)
Total Of Amounts80726TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonPAUL MIKELSONNamePerson
Base Compensation Filing Org119533BaseCompensationFilingOrg
Comp Based On Related Orgs38551CompBasedOnRelatedOrgs
Bonus Filing Org648BonusFilingOrg
Bonus Related Orgs208BonusRelatedOrgs
Other Compensation Filing Org11088OtherCompensationFilingOrg
Other Compensation Related Orgs3574OtherCompensationRelatedOrgs
Deferred Comp Filing Org4837DeferredCompFilingOrg
Deferred Comp Related Orgs1559DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org5477NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs1765NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org141583TotalCompensationFilingOrg
Total Compensation Related Orgs45657TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1THE 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 6THE BOARD OF DIRECTORS OF THE LYNGBLOMSTEN CORPORATION ARE THE MEMBERS OF LYNGBLOMSTEN CARE CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE CONGERGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO AS MEMBERS OF THE LYNGBLOMSTEN CORPORATION ELECT THE LYNGBLOMSEN CORPORATE BOARD. THE LYNGBLOMSTEN CORPORATE BOARD OF DIRECTORS SERVE AS THE MEMEBERS OF LYNGBLOMSTEN CARE CENTER, INC. AND ELECT THAT BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11THE 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.
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 12C
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 2010. THE CORPORATE BOARD'S EXECUTIVE COMMITTEE ALSO PERFORMS A COMPENSATION STUDY APROXIMATELY EVERY 5 YEARS, LAST COMPLETED IN 2006.FORM 990, PART VI, SECTION B, LINE 15A
ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 141,460.FORM 990, PART XI, LINE 5:
EXPLANATION OF HOURS WORKEDPAUL MIKELSON, CEO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: LYMBLOMSTEN CARE CENTER: 30.25 HOURS LYNGBLOMSTEN APARTMENTS: 1.75 HOURS HERITAGE APARTMENTS, INC.: 1.42 HOURS LYNGBLOMSTEN FOUNDATION: 6 HOURS LYNGBLOMSTEN SERVICES: 0.58 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 HOURFORM 990, PART VII, SECTION A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
LYNGBLOMSTEN APARTMENTS INC
1455 ALMOND AVEST PAULMN55108411327121LOW INCOME SENIOR HOUSINGMN501(C)39LYNGBLOMSTEN0
HERITAGE APARTMENTS INC
1440 MIDWAY PARKWAYST PAULMN55108411913420MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIESMN501(C)39LYNGBLOMSTEN0
LYNGBLOMSTEN FOUNDATION
1415 ALMOND AVEST PAULMN55108363371887FUNDRAISING FOR LYNGBLOMSTENMN501(C)37LYNGBLOMSTEN0
LYNGBLOMSTEN SERVICES INC
1415 ALMOND AVEST PAULMN55108411760448SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTHMN501(C)39LYNGBLOMSTEN0
LYNGBLOMSTEN
1415 ALMOND AVEST PAULMN55108410693865MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONSMN501(C)390N/A
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 Orgs0PerformOfServicesForOtherOrgs
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 Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.