KNUTE NELSON: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
KNUTE NELSON (EIN 41-1263433)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201122239349302117
Schema version
2009v1.7
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)
Timestamp2011-08-11T15:22:59-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15601 Green Valley Drive Ste 700AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554371145ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411263433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Knute NelsonBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKNUTNameControl
Phone3207636653Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 12th Avenue EastAddressLine1
CityAlexandriaCity
StateMNState
ZIP Code56308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark AndersonName
TitleCEOTitle
Phone3207636653Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKim Hunwardsen CPAName
Phone9529446166Phone
Date Prepared2011-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark AndersonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1420 12th Avenue EastAddressLine1
CityAlexandriaCity
StateMNState
ZIP Code56308ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15412030GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.knutenelson.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionOperation of Nursing HomeActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees408TotalNbrEmployees
Total Nbr Volunteers280TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1393110ContributionsGrantsPriorYear
Contributions Grants Current Year3000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15032966ProgramServiceRevenuePriorYear
Program Service Revenue CY15370181ProgramServiceRevenueCY
Investment Income Prior Year60584InvestmentIncomePriorYear
Investment Income Current Year38849InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16486660TotalRevenuePriorYear
Total Revenue Current Year15412030TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year58752GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY45246GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8931405SalariesEtcPriorYear
Salaries Etc Current Year9890143SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3770TotalFundrsngExpCurrentYear
Other Expense Prior Year5826186OtherExpensePriorYear
Other Expenses Current Year5237662OtherExpensesCurrentYear
Total Expenses Prior Year14816343TotalExpensesPriorYear
Total Expenses Current Year15173051TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1670317RevenuesLessExpensesPriorYear
Revenues Less Expenses CY238979RevenuesLessExpensesCY
Total Assets BOY18369087TotalAssetsBOY
Total Assets EOY42485395TotalAssetsEOY
Total Liabilities BOY7903483TotalLiabilitiesBOY
Total Liabilities EOY28349372TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10465604NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14136023NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Knute Nelson is to provide a full continuum of services for older adults to enhance their quality of life. Our vision is to be the recognized leader of quality and innovative services for older adults.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13274395Expense
Grants45246Grants
Revenue15370181Revenue
DescriptionKnute Nelson, an affiliate of Evangelical Lutheran Church of America, provides a full continuum of services for older adults to enhance their quality of life through a 140-bed skilled nursing facility, 59 assisted living units, and home care agency. Knute Nelson has 300+ employees and over 280 volunteers making it one of the top ten employers within the City of Alexandria. Within the skilled nursing facility, we have a short-term stay unit, rehabilitation program, care suites for end-of-life programming and provide hospice care in partnership with local hospice providers for terminally-ill residents. We also have a wellness program that provides classes for residents, activities, and a chaplaincy program; all which enhance their quality of living. Our chaplaincy program is guided by Christian principles. All faiths are celebrated here and our chaplain provides a wide range of spiritual care through worship service, Bible study groups, and resident and family support. The skilled nursing facility had 342 admissions and 338 discharges from 10/01/09 to 09/30/10. An increasing area of focus is our short-term stay program where individuals will receive necessary physical, speech, and occupational therapies and return back to their home. Knute Nelson accepts all payor sources: Medicare, Medicaid, Insurance, and Private Pay. If a resident is unable to pay for their services, we will work with you to find a means to pay for their services and help them facilitate the application process for medical assistance through family members, Knute Nelson and Douglas County Social Services. The goal of the Knute Nelson Home Care program is to help individuals stay in their own home as long as safely possible. We are able to help individuals of any age with skilled nursing services, physical, speech and occupational therapies, IV therapy, wound care, private duty nursing, home health aide, or assessment and management of your medical needs. We serve individuals within a 60-mile radius of Alexandria with offices in Morris, Elbow Lake, Long Prairie, and Osakis. Our assisted living facility, Nelson Gables, promotes independence, security and quality of life. Daily coffee hour, restaurant style meal program, active aging wellness classes, parties and outings keep residents as active as they wish to be. A 24-hour staff, under the direction of a registered nurse, is ready to offer assistance with medication management, medication administration, bathing, and personal care.Grand Arbor, registered through Knute Nelson Senior Living Campus, LLC, is an enhanced continuing care retirement community that encourages active lifestyles with a town center and wellness center set among independent living apartments; general and high acuity assisted living apartments; and memory care assisted living apartments. A 24-hour licensed staff, under the direction of a registered nurse, is able to offer assistance with medication management, medication administration, bathing, and other personal cares.Description
Total Program Service Expense13274395TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees408NumberOfEmployees
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
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 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 Line1Marnie Gugisberg CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3207631164TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 12th Avenue EastAddressLine1
CityAlexandriaCity
StateMNState
ZIP Code56308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Roger Blank
Chair1.00XX000
Tom Anderson
Vice Chair1.00XX000
Mary Jane Reif
Vice Chair (thru 2-21-10)1.00XX000
Bill Leuthner
Secretary1.00XX000
Dennis Schmidt
Treasurer1.00XX000
Ruth Nagle
Director1.00X000
Jerry Hansen
Director1.00X000
Eileen Eiser
Director1.00X000
Kathy Nohre
Director1.00X000
Yvonne Kinney-Hockert
Director1.00X000
Ron Sletto
Director (thru 2-21-10)1.00X000
Mark Anderson
CEO35.00X127189020915
Marnie Gugisberg
CFO39.00X7436508359
FieldValueIRS element (for citing)
Total Reportable Comp From Org201554TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29274TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehabcare Group Inc
PO Box 503534St LouisMO631053534Therapy Contractor1157012
Pope & Associates
1255 Energy Park DriveSt PaulMN551085518Architect213134
Senior Housing Partners
2845 Hamline Ave NorthRosevilleMN55113Developer139517
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions3000AllOtherContributions
Total Contributions3000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident Service Reven6230001508122315081223
Other Revenue900099200213200213
Auxiliary and Coffee S7210008874588745
FieldValueIRS element (for citing)
Total Program Service Revenue15370181TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38849TotalRevenueColumn
Exclusion$38,849ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15412030TotalRevenueColumn
Related Or Exempt Function Income15370181RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$38,849ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total45246Total
Program Services45246ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total230942Total
Management And General230942ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8022583Total
Program Services7447399ProgramServices
Management And General575184ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total86794Total
Program Services84553ProgramServices
Management And General2241ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total893280Total
Program Services826827ProgramServices
Management And General66453ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total656544Total
Program Services594341ProgramServices
Management And General62203ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8814Total
Management And General8814ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16711Total
Management And General16711ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total815751Total
Program Services624601ProgramServices
Management And General191150ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total93293Total
Management And General89523ManagementAndGeneral
Fundraising3770Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1329162Total
Program Services1119493ProgramServices
Management And General209669ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total630387Total
Program Services630387ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total120186Total
Management And General120186ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28361Total
Management And General28361ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total215712Total
Program Services215712ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1051540Total
Program Services1051540ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total159959Total
Management And General159959ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Surcharge & pre screen441424441424
Food122456122456
Coffee Shop4984449844
Licenses & Permits478161517132645
Education395781879020788

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total66668Total
Program Services36455ProgramServices
Management And General30213ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15173051Total
Program Services13274395ProgramServices
Management And General1894886ManagementAndGeneral
Fundraising3770Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1197070BOY
EOY1507344EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1597626BOY
EOY1369727EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2135BOY
EOY1424EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85767BOY
EOY110093EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27205291LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12319691LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9270066BOY
EOY14885600EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1522822BOY
EOY20859473EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2012702BOY
EOY2695072EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY292500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2680899BOY
EOY764162EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18369087BOY
EOY42485395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1179464BOY
EOY1472714EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4003995BOY
EOY25189394EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY37634BOY
EOY36164EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY177308EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2682390BOY
EOY1473792EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7903483BOY
EOY28349372EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10037269BOY
EOY13043514EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY428335BOY
EOY1092509EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10465604BOY
EOY14136023EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18369087BOY
EOY42485395EOY
FieldValueIRS element (for citing)
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 Years33000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1393110CurrentTaxYearMinus1Year
Current Tax Year3000CurrentTaxYear
Total1612974Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11743427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12736009CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14297953CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15032966CurrentTaxYearMinus1Year
Current Tax Year15508181CurrentTaxYear
Total69318536Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11776427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12820303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14397523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16426076CurrentTaxYearMinus1Year
Current Tax Year15511181CurrentTaxYear
Total70931510Total

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 Total50970931510PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years104255CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years206171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155822CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60584CurrentTaxYearMinus1Year
Current Tax Year38773CurrentTaxYear
Total565605Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years104255CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years206171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155822CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60584CurrentTaxYearMinus1Year
Current Tax Year38773CurrentTaxYear
Total565605Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11880682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13026474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14553345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16486660CurrentTaxYearMinus1Year
Current Tax Year15549954CurrentTaxYear
Total71497115Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99210PublicSupportPercentage509
Prior Year Support Percentage0.99120PriorYearSupportPercentage
Investment Income Percentage0.00790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2268577OtherCostOrOtherBasis
Book Value2268577BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15867001OtherCostOrOtherBasis
Depreciation8658809Depreciation
Book Value7208192BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4243277OtherCostOrOtherBasis
Depreciation3187700Depreciation
Book Value1055577BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4826436OtherCostOrOtherBasis
Depreciation473182Depreciation
Book Value4353254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14885600TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Careventures Cooperative5000F
Interest in Knute Nelson Foundation2690072F
FieldValueIRS element (for citing)
Total Of Book Value Securities2695072TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Insurance Reserve$124,770
Construction Payable$1,260,855
Reservation Deposits$46,500
Non-compete Agreement Payable$41,667
FieldValueIRS element (for citing)
Total Of Amounts1473792TotalOfAmounts
Total Revenue15412030TotalRevenue
Total Expenses15173051TotalExpenses
Excess Or Deficit For Year238979ExcessOrDeficitForYear
Net Unrealized GL On Investments11950NetUnrealizedGLOnInvestments
Prior Period Adjustments2737120PriorPeriodAdjustments
Other$682,370OtherAmount
Total Adjustments3431440TotalAdjustments
Excess Or Deficit Per FS3670419ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15412030TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15412030RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015412030TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15173051TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15173051ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015173051TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:The organization acts as a custodian for the funds of the residents of the Home and assisted living.
Part X:During 2010, the Corporation adopted the provisions of Accounting Standards Codification (ASC) 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes). The Corporation undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant tax authorities. The implementation of this standard had no material impact on the financial statements. As of both the date of adoption and as of September 30, 2010, no amounts were recorded as a result of this analysis. The Corporation is no longer subject to Federal and State tax examinations by tax authorities for years before 2007.Description of Uncertain Tax Positions Under FIN 48:
Part XI, Line 8 - Other Adjustments:Change in Value of Foundation: 682370.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantscholarshipsTypeOfGrant
Number Of Recipients17NumberOfRecipients
Amount Of Cash Grant45246AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Knute Nelson makes payments directly to the school and directly to the individuals, depending on the circumstance. For payments made directly to individuals, a receipt must be provided showing book or tuition expense before the scholarship is issued.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
City of Alexandria Minnesota
416004926015185AL52010-07-0819865000Build Senior Housing Campus00
City of Alexandria Minnesota
4160049262006-06-084300000Assisted Living Facility00
City of Alexandria Minnesota
4160049262010-07-084500000Skilled Nursing Facility Project00

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount DefeasedAmountDefeasedCapital ExpendituresCapitalExpenditures
1986500015055001778856457093620110001
4300000831182007101110107423206140
45000003036626201000011463374

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
010000
010000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2Tom Anderson and Eileen Eiser have a business relationship.
Form 990, Part VI, Section A, line 6The membership of the organization is made up of fourteen area Lutheran churches which are elected as members by the Board of Directors of the organization. At all times, the majority of members of the organization are required to be congregations of the Evangelical Lutheran Church in America, or its successor.
Form 990, Part VI, Section A, line 7aThe organization's nominating committee, which consist of two voting delegates of members elected by the members at the annual meeting of members, the President of the Auxiliary/Friends of Knute, and two directors appointed by the Board of Directors, makes recommendations for elections to the Board of Directors. The Board of Directors is then elected by its members at an annual meeting.
Form 990, Part VI, Section B, line 11The return is reviewed initially by the CFO and CEO. The Finance & Audit committee then reviews and makes a recommendation to the Board of Directors to approve the return.
Form 990, Part VI, Section B, line 12cEach officer, director, and key employee is required to fill out a conflict of interest form annually. The form is reviewed initially by the President of the Board of Directors and the CEO for potential conflicts. If a conflict exists, it is reviewed by the Board of Directors. Any person with a conflict is restricted from voting on related matters.
Form 990, Part VI, Section B, line 15aThe Board determines the compensation of the CEO based on comparability data. The CEO is reviewed annually by the executive board which then reports back to the full board of directors. The decision is noted in the board minutes. The CEO determines the compensation of the CFO based on comparability data and presents this information to the Executive Team of the Board of Directors. This process takes place on an annual basis.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part VII, Section A:In addition to the hours served at Knute Nelson, the Directors also serve 1 hour per week at the Knute Nelson Foundation, a related organization. The CEO and CFO also serve 5 hours and 1 hour per week respectively to the Knute Nelson Foundation.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Knute Nelson Senior Living Campus LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 12th Avenue EastAddressLine1
CityAlexandriaCity
StateMNState
ZIP Code56308ZIPCode
FieldValueIRS element (for citing)
EIN272940787EIN
Primary ActivitiesSenior HousingPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income76TotalIncome
EOY Assets26794916EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Knute Nelson FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 12th Avenue EastAddressLine1
CityAlexandriaCity
StateMNState
ZIP Code56308ZIPCode
FieldValueIRS element (for citing)
EIN411451486EIN
Primary ActivitiesFundraisingPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status11APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Knute Nelson FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Amount Involved0AmountInvolved

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