EBEN EZER LUTHERAN CARE CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EBEN EZER LUTHERAN CARE CENTER (EIN 84-0194430)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349305537
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)
Timestamp2011-11-14T15:04:59-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EHRHARDT KEEFE STEINER & HOTTMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1
CityDENVERCity
StateCOState
ZIP Code802372843ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840194430EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Eben Ezer Lutheran Care CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEBENNameControl
Phone9708422861Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1122 Hospital RoadAddressLine1
CityBrushCity
StateCOState
ZIP Code80723ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLeslie MasonName
TitleChief Financial OfficerTitle
Date Signed2011-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG R CHOUNName
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBarbara BradshawNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1122 HOSPITAL ROADAddressLine1
CityBrushCity
StateCOState
ZIP Code80723ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12705484GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.ebenezer-cares.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1903YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionOur mission as a Christian Ministry is to be a caring community of housing, health care, spiritual, and supportive services for older persons and others with special needs.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees332TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI7393TotalGrossUBI
Net Unrelated Business Txbl Income6348NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year151590ContributionsGrantsPriorYear
Contributions Grants Current Year543964ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11800024ProgramServiceRevenuePriorYear
Program Service Revenue CY11187753ProgramServiceRevenueCY
Investment Income Prior Year-87245InvestmentIncomePriorYear
Investment Income Current Year140251InvestmentIncomeCurrentYear
Other Revenue Prior Year413906OtherRevenuePriorYear
Other Revenue Current Year133273OtherRevenueCurrentYear
Total Revenue Prior Year12278275TotalRevenuePriorYear
Total Revenue Current Year12005241TotalRevenueCurrentYear
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 Year6915809SalariesEtcPriorYear
Salaries Etc Current Year7092215SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year49405TotalFundrsngExpCurrentYear
Other Expense Prior Year4048787OtherExpensePriorYear
Other Expenses Current Year3905670OtherExpensesCurrentYear
Total Expenses Prior Year10964596TotalExpensesPriorYear
Total Expenses Current Year10997885TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1313679RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1007356RevenuesLessExpensesCY
Total Assets BOY12245487TotalAssetsBOY
Total Assets EOY13278330TotalAssetsEOY
Total Liabilities BOY5350510TotalLiabilitiesBOY
Total Liabilities EOY5197757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6894977NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8080573NetAssetsOrFundBalancesEOY
Mission DescriptionTHE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE AND HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9954975Expense
Revenue11179953Revenue
DescriptionProviding skilled nursing care, respite care, assisted living, independent living, personal care, homemaking and lifeline emergency response services to the elderly and persons with special needs. The care center provided service to more than 400 persons for personal and homemaking care and residential services to over 300 persons.Description
Total Program Service Expense9954975TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees332NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHELLY GRIFFITHNamePerson
Telephone Number9708422861TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1122 HOSPITAL ROADAddressLine1
CityBrushCity
StateCOState
ZIP Code80723ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Dr Norman Aarestad
Director1.0X000
George Dikeou
Director1.0X000
Mike Berryhill
Chair1.0X000X
Jeff Hanson
Director1.0X000
Andrew Larrick
Director1.0X000
Paul Olsen
Director1.0X000
Dr Alan Dahms
Director1.0X000
Jo Ann Kruglet
Secretary1.0X000X
Dr Kerry Hart
Director1.0X000
Robert Chapin
Vice Chair/Treasurer1.0X000X
Roger Schaefer
Director1.0X000
Barbara Bradshaw
Chief Executive Officer40.010211708140X
Shelly Griffith
Chief Financial Officer40.05857807091X
FieldValueIRS element (for citing)
Total Reportable Comp From Org160695TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15231TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations543964RelatedOrganizations
Total Contributions543964TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT SERVICE REVENUE6230001104801111048011
AUXILIARY623000139742131942$7,800
FieldValueIRS element (for citing)
Total Program Service Revenue11187753TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column52021TotalRevenueColumn
Exclusion$52,021ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14194Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real6801Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7393Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7393TotalRevenueColumn
Unrelated Business Revenue7393UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities781672Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities693442Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities88230Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column88230TotalRevenueColumn
Exclusion$88,230ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
INSURANCE PROCEEDS6242001116911169
INSURANCE REFUNDS & SETTLEMENTS6242003006630066
EARNINGS OF EQUITY INVESTEE52429884645$84,645
FieldValueIRS element (for citing)
Total Other Revenue125880TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12005241TotalRevenueColumn
Related Or Exempt Function Income11221188RelatedOrExemptFunctionIncome
Unrelated Business Revenue7393UnrelatedBusinessRevenue
Exclusion$232,696ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total160695Total
Management And General121657ManagementAndGeneral
Fundraising39038Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5559676Total
Program Services5282301ProgramServices
Management And General277375ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59803Total
Program Services53573ProgramServices
Management And General5449ManagementAndGeneral
Fundraising781Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total897944Total
Program Services847781ProgramServices
Management And General48157ManagementAndGeneral
Fundraising2006Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total414097Total
Program Services385829ProgramServices
Management And General25435ManagementAndGeneral
Fundraising2833Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61396Total
Management And General61396ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total19898Total
Management And General19898ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total437174Total
Program Services385884ProgramServices
Management And General50224ManagementAndGeneral
Fundraising1066Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total29349Total
Program Services29349ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47231Total
Program Services13691ProgramServices
Management And General33540ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40179Total
Program Services40179ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total275058Total
Program Services258454ProgramServices
Management And General16604ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total110170Total
Program Services102126ProgramServices
Management And General8044ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41548Total
Program Services33498ProgramServices
Management And General8050ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total290838Total
Program Services134300ProgramServices
Management And General156538ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total452889Total
Program Services446388ProgramServices
Management And General6501ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total235261Total
Program Services131587ProgramServices
Management And General103674ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FOOD482142482142
THERAPIES408185408185
SUPPLIES35720032900827994198
MED SUPPLIES & PHARMACEUTICALS350070350070
REPAIRS & MAINTENANCE99711918377874

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total167371Total
Program Services148793ProgramServices
Management And General15095ManagementAndGeneral
Fundraising3483Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10997885Total
Program Services9954975ProgramServices
Management And General993505ManagementAndGeneral
Fundraising49405Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1720176BOY
EOY2444856EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1432111BOY
EOY1078619EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY55190BOY
EOY53648EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY69058BOY
EOY76539EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14881983LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8578223LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6197017BOY
EOY6303760EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1373504BOY
EOY1586831EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1397931BOY
EOY1733577EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12245487BOY
EOY13278330EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY764038BOY
EOY774232EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1986BOY
EOY1968EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4474992BOY
EOY4291349EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY109494BOY
EOY130208EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5350510BOY
EOY5197757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6894977BOY
EOY8080573EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6894977BOY
EOY8080573EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12245487BOY
EOY13278330EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1007356ReconcilationRevenueExpenses
Reconcilation Other Changes178240ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years189501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years237613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years691233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151590CurrentTaxYearMinus1Year
Current Tax Year543964CurrentTaxYear
Total1813901Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8688478CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9492751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10332705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11800024CurrentTaxYearMinus1Year
Current Tax Year11187753CurrentTaxYear
Total51501711Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8877979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9730364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11023938CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11951614CurrentTaxYearMinus1Year
Current Tax Year11731717CurrentTaxYear
Total53315612Total
FieldValueIRS element (for citing)
Public Support Total50953315612PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77555CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45535CurrentTaxYearMinus1Year
Current Tax Year52021CurrentTaxYear
Total325921Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years10393CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1048CurrentTaxYearMinus1Year
Current Tax Year7393CurrentTaxYear
Total26759Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46583CurrentTaxYearMinus1Year
Current Tax Year59414CurrentTaxYear
Total352680Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year412425CurrentTaxYearMinus1Year
Current Tax Year125880CurrentTaxYear
Total747656Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8948748CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9969947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11169620CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12410622CurrentTaxYearMinus1Year
Current Tax Year11917011CurrentTaxYear
Total54415948Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97978PublicSupportPercentage509
Prior Year Support Percentage0.98118PriorYearSupportPercentage
Investment Income Percentage0.00648InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00675PriorYrInvestIncomePercentage
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)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance231847BeginningOfYearBalance
End Of Year Balance231847EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance224347BeginningOfYearBalance
Contributions7500Contributions
End Of Year Balance231847EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance224347BeginningOfYearBalance
End Of Year Balance224347EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis66372OtherCostOrOtherBasis
Book Value66372BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9900191OtherCostOrOtherBasis
Depreciation4977052Depreciation
Book Value4923139BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4673320OtherCostOrOtherBasis
Depreciation3601171Depreciation
Book Value1072149BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis242100OtherCostOrOtherBasis
Book Value242100BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6303760TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM FOUNDATION619573
BOND ISSUANCE COSTS-NET168057
BOND PROCEEDS HELD IN TRUST479374
BOND INTEREST FUND46468
BOND PRINCIPAL FUND32500
INV. IN CAPTIVE INSURANCE357644
OTHER RECEIVABLE25520
INTEREST RECEIVABLE4441
FieldValueIRS element (for citing)
Total Book Value Other Assets1733577TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEPOSITS OF RESIDENTS$45,182
ASSET RETIREMENT OBLIGATION$60,367
DEFERRED COMPENSATION$24,659
FieldValueIRS element (for citing)
Total Of Amounts130208TotalOfAmounts
Total Revenue12005241TotalRevenue
Total Expenses10997885TotalExpenses
Excess Or Deficit For Year1007356ExcessOrDeficitForYear
Net Unrealized GL On Investments178240NetUnrealizedGLOnInvestments
Total Adjustments178240TotalAdjustments
Excess Or Deficit Per FS1185596ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12190282TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments178240NetUnrealizedGainsInvestments
Revenue Not Rptd F990178240RevenueNotRptdF990
Revenue Subtotal12012042RevenueSubtotal
Other Revenues Not Included-6801OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-6801RevenueNotRptdOnFinStmt
Total Revenue Per Form99012005241TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11004686TotExpensesEtcAuditedFinclStmt
Other Expenses Included6801OtherExpensesIncluded
Expenses Not Rptd F9906801ExpensesNotRptdF990
Expenses Subtotal10997885ExpensesSubtotal
Total Expenses Per Form99010997885TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 StatementSchedule D, Part XThe organization adopted guidance related to uncertainty in income taxes in the FASB Accounting Standards Codification 740 on January 1, 2009. After evaluating the tax positions taken, none are considered to be uncertain; therefore, no amounts have been recognized as of December 31, 2010 or 2009. If incurred, interest and penalties associated with tax positions are recorded in the period assessed as other expenses. No interest or penalties have been assessed as of December 31, 2010 and 2009. Tax years that remain subject to examination include 2007 through 2010 for the federal return, and 2006 through 2010 for the Colorado return.
Amounts Included On 990, Not On Financial StatementsSchedule D, Part XII, Line 4bRental Expenses -$6,801
Amounts Included On 990, Not On Financial StatementsSchedule D, Part XIII, Line 2dRental Expenses $6,801
Intended Use of Endowment FundsSchedule D, Part V, Line 4Endowments are held by Eben Ezer Lutheran Care Center Foundation, a related organization. The endowment consists of two individual funds established to support the operations of the organization.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
City of Brush Colorado
846000638117416bu02004-09-01195000Industrial Development Revenuefalsefalsefalse
City of Brush Colorado
846000638117416bv82004-09-01640000Industrial Development Revenuefalsefalsefalse
City of Brush Colorado
846000638117416bw62004-09-011350000Industrial Development Revenuefalsefalsefalse
City of Brush Colorado
846000638117416bx42004-09-012125000Industrial Development Revenuefalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
19500080951869052004truefalsetruetrue
640000345226054782004truefalsetruetrue
13500006904512809552004truefalsetruetrue
212500011047220145282004truefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Board Review of Form 990Form 990, Part VI, Line 11bThe Audit Committee reviews the Form 990 in detail before it is filed and approves the filing of the return. The Board of Directors then is provided with a copy of the Form 990.
Compensation Setting ProcessForm 990, Part VI, Line 15The board reviews surveys from other similar organizations on compensation levels. The board reviews and approves the compensation for the CEO based on comparable compensation. The CEO and Audit Committee approves the compensation for the CFO based on comparability. The organization maintains the appropriate documentation of how the compensation is set.
Conflict of Interest DisclosureForm 990, Part VI, Line 12CThe organization has a written conflict of interest policy. At every board meeting, the members are asked if there has been a change in their independence with the organization. This information is documented within the minutes.
Organizational Documents Available to the PublicForm 990, Part VI, Line 19The organization makes its governing documents, conflict of interest policy, or financial statements available to the public upon request.
Other Changes in Net AssetsForm 990, Part XI, Line 5Unrealized Gains $178,240
Delegation of AuthorityForm 990, Part VI, Line 1The executive committee shall consist of the officers of the board and shall have the power to transact all regular business during the interim between meetings of the Board, provided that any action taken shall not be in conflict with the policies, or any prior action, of the Board. The Executive Committee shall refer all matters of major importance to the Board. It shall consider all matters referred to it by the Board and shall act for the Board in emergencies. The Executive Committee shall not act without Board approval in the following matters: (i) any sale or purchase of land or buildings. (ii) Any funding for capital improvements through either mortgage funding or a fund campaign. (iii) Any establishment of administrative positions, including position descriptions and filling of said positions.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Eben Ezer Lutheran Care Ctr Foundation
122 Hospital RoadBrushCO80723742480396SupportCO501(c)(3)11-1NA
Eben Ezer Lutheran Housing Center
1900 Edison StreetBrushCO80723840884015HousingCO501(c)(3)7NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Eben Ezer Lutheran Care Center FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypecTransactionType
Amount Involved543964AmountInvolved

Comments

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