ST JOHNS LUTHERAN HOME: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS LUTHERAN HOME (EIN 41-0847708)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-01-26
IRS object ID
201130269349300708
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)
Timestamp2011-01-26T10:54:53-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Line1PO BOX 217AddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410847708EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5073738226Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLACEAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOT SPATESName
TitleCEOTitle
Phone5073738226Phone
Date Signed2011-01-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTrent FastName
Phone5074347000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOT SPATESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLACEAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12423419GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.STJOHNSOFALBERTLEA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionST. JOHN'S LUTHERAN HOME WAS ORGANIZED FOR THE PURPOSE OF BUILDING, ERECTING, ESTABLISHING, MAINTAINING, EQUIPPING, MANAGING, OPERATING, AND ENDOWING A CHRISTIAN HOME MINISTERING TO THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF AGING MEN AND WOMEN.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees352TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI22179TotalGrossUBI
Net Unrelated Business Txbl Income-2718NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year351259ContributionsGrantsPriorYear
Contributions Grants Current Year359580ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11807257ProgramServiceRevenuePriorYear
Program Service Revenue CY11929680ProgramServiceRevenueCY
Investment Income Prior Year138653InvestmentIncomePriorYear
Investment Income Current Year94075InvestmentIncomeCurrentYear
Other Revenue Prior Year43661OtherRevenuePriorYear
Other Revenue Current Year40084OtherRevenueCurrentYear
Total Revenue Prior Year12340830TotalRevenuePriorYear
Total Revenue Current Year12423419TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7797939SalariesEtcPriorYear
Salaries Etc Current Year7814043SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4294475OtherExpensePriorYear
Other Expenses Current Year4356968OtherExpensesCurrentYear
Total Expenses Prior Year12092414TotalExpensesPriorYear
Total Expenses Current Year12171011TotalExpensesCurrentYear
Revenues Less Expenses Prior Year248416RevenuesLessExpensesPriorYear
Revenues Less Expenses CY252408RevenuesLessExpensesCY
Total Assets BOY12411074TotalAssetsBOY
Total Assets EOY12230057TotalAssetsEOY
Total Liabilities BOY6965384TotalLiabilitiesBOY
Total Liabilities EOY6531959TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5445690NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5698098NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide physical, emotional, social and Christian Care for all people, with dignity and respect, in an environment of God's grace.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11206874Expense
Revenue11907501Revenue
DescriptionST. JOHN'S LUTHERAN HOME WAS ORGANIZED FOR THE PURPOSE OF BUILDING, ERECTING, ESTABLISHING, MAINTAINING, EQUIPPING, MANAGING, OPERATING AND ENDOWING A CHRISTIAN HOME MINISTERING TO THE PHYSICAL, SPIRITUAL, EMOTIONAL AND SOCIAL NEEDS OF AGING MEN AND WOMEN. PROVISION OF NURSING CARE AND HOUSING TO THE ELDERLY AND HANDICAPPED BY OPERATING A 170-BED LICENSED NURSING FACILITY AND A 48-UNIT APARTMENT COMPLEX.Description
Total Program Service Expense11206874TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt 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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees352NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
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 Line1DUANE MALLONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5074731015TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1901 LUTHER PLAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ORVILLE SIMONSON
DIRECTOR1.00X000
REV WENDY ANDERSON
DIRECTOR1.00X000
MICHELLE SORENSON
SECRETARY1.00X000
HERB ANDERSEN
DIRECTOR1.00X000
DAVE OLSON
TREASURER1.00X000
SONJA JOHNSON
CHAIRMAN1.00X000
THERESA JACKSON
VICE CHAIRMAN1.00X000
ARNOLD BIEDERMANN
DIRECTOR1.00X000
CINDY LAMPING
DIRECTOR1.00X000
LOIS EPLAND
DIRECTOR1.00X000
SCOT SPATES
CEO40.00106341017154X
DUANE MALLON
CFO38.007716109682X
FieldValueIRS element (for citing)
Total Reportable Comp From Org183502TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation26836TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1REHAB CAREBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631503534ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation520548Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations346727RelatedOrganizations
All Other Contributions12853AllOtherContributions
Total Contributions359580TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
RESIDENT REVENUE62300097112609711260
MEDICARE/MEDICAID PAYM62300021818742181874
MANAGEMENT INCOME5617002217922179
MISCELLANEOUS REVENUE6230001391113911
PHONE RENTAL623000456456
FieldValueIRS element (for citing)
Total Program Service Revenue11929680TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column94075TotalRevenueColumn
Exclusion$94,075ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY SHOP62300030478$30,478
MISCELLANEOUS INCOME9000994957$4,957
NON-RESIDENT MEALS6230003547$3,547

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1102TotalRevenueColumn
Exclusion$1,102ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue40084TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12423419TotalRevenueColumn
Related Or Exempt Function Income11907501RelatedOrExemptFunctionIncome
Unrelated Business Revenue22179UnrelatedBusinessRevenue
Exclusion$134,159ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total210338Total
Management And General210338ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6334202Total
Program Services6120452ProgramServices
Management And General213750ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total173037Total
Program Services162655ProgramServices
Management And General10382ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total623024Total
Program Services585643ProgramServices
Management And General37381ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total473442Total
Program Services445035ProgramServices
Management And General28407ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1385Total
Management And General1385ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65706Total
Management And General65706ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total258766Total
Program Services246497ProgramServices
Management And General12269ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22992Total
Management And General22992ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total649253Total
Program Services580844ProgramServices
Management And General68409ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total358297Total
Program Services358297ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4921Total
Program Services3529ProgramServices
Management And General1392ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39199Total
Program Services29699ProgramServices
Management And General9500ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total238797Total
Program Services238797ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total772468Total
Program Services772468ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total126095Total
Management And General126095ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COSTS546548546548
TAXES & LICENSES527866527866
THERAPY EXPENSE388982388982
PHARMACY130167130167
BAD DEBT EXPENSE5095350953

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total174573Total
Program Services69395ProgramServices
Management And General105178ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12171011Total
Program Services11206874ProgramServices
Management And General964137ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY563420BOY
EOY734028EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4736703BOY
EOY4544611EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1138231BOY
EOY1076906EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75546BOY
EOY108682EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17011418LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11356316LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5775159BOY
EOY5655102EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY100882BOY
EOY100753EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21133BOY
EOY9975EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12411074BOY
EOY12230057EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1366420BOY
EOY1236015EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5135000BOY
EOY4810000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY463964BOY
EOY485944EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6965384BOY
EOY6531959EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5445690BOY
EOY5698098EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5445690BOY
EOY5698098EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12411074BOY
EOY12230057EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years436525CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years372735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years397810CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year351259CurrentTaxYearMinus1Year
Current Tax Year359580CurrentTaxYear
Total1917909Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11378365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11218576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11408909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11807257CurrentTaxYearMinus1Year
Current Tax Year11929680CurrentTaxYear
Total57742787Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11814890CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11591311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11806719CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12158516CurrentTaxYearMinus1Year
Current Tax Year12289260CurrentTaxYear
Total59660696Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years410609CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years343329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years366283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335560CurrentTaxYearMinus1Year
Current Tax Year346727CurrentTaxYear
Total1802508Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years410609CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years343329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years366283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335560CurrentTaxYearMinus1Year
Current Tax Year346727CurrentTaxYear
Total1802508Total
FieldValueIRS element (for citing)
Public Support Total50957858188PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years209157CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138653CurrentTaxYearMinus1Year
Current Tax Year94075CurrentTaxYear
Total825286Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years209157CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138653CurrentTaxYearMinus1Year
Current Tax Year94075CurrentTaxYear
Total825286Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12024047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11786538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11994893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12297169CurrentTaxYearMinus1Year
Current Tax Year12383335CurrentTaxYear
Total60485982Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95660PublicSupportPercentage509
Prior Year Support Percentage0.95810PriorYearSupportPercentage
Investment Income Percentage0.01360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01380PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis33456OtherCostOrOtherBasis
Book Value33456BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11296506OtherCostOrOtherBasis
Depreciation7713844Depreciation
Book Value3582662BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5062504OtherCostOrOtherBasis
Depreciation3284870Depreciation
Book Value1777634BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis618952OtherCostOrOtherBasis
Depreciation357602Depreciation
Book Value261350BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5655102TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LEASE DEPOSITS$39,899
PATIENT TRUST FUNDS$14,870
ASSET RETIREMENT OBLIGATION$431,175
FieldValueIRS element (for citing)
Total Of Amounts485944TotalOfAmounts
Total Revenue12423419TotalRevenue
Total Expenses12171011TotalExpenses
Excess Or Deficit For Year252408ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS252408ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12423419TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12423419RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012423419TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12171011TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12171011ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012171011TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationThe Organization has been granted exempt status relative to federal and state income taxes under Section 501(c)3 of the Internal Revenue Code. The Organization follows the income tax standard for uncertain tax positions. No liability has been recognized by the Organization as a result of this standard. The Orgniazation files as a tax-exempt organization. Should that status be challenged in the future, all years since inception could be subject to review by the IRS. The 2007, 2008, and 2009 tax years of the Organization are open for examination by the IRS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
CITY OF ALBERT LEA MINNESOTA
416004922012797BL92006-02-22645000IMPROVE THE FACILITIES00
CITY OF ALBERT LEA MINNESOTA
416004922012797BK12006-02-225315000REFINANCING00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundWorking Capital ExpendituresWorkingCapitalExpenditures
6450004500060000020070011
531500015618910112827554876056

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
110000
110000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonArnold BiedermannNamePerson
FieldValueIRS element (for citing)
RelationshipBoard memberRelationship
Amount Of Transaction65107AmountOfTransaction
Description Of TransactionBoard member Arnold Biedermann has two granddaughters who are employed by the organization. One is an LPN with compensation of $35,302 and the other is an RN with compensation of $29,805.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11PRIOR TO BEING FILED WITH THE IRS, THE BOARD CHAIRMAN AND CEO REVIEW IN DETAIL A COPY OF THE FORM 990, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES.
Form 990, Part VI, Section B, line 12cA corporate compliance program is reviewed with all new hires and with new board members. Board members and key employees annually complete a survey related to business relationships and family members that could or do create a conflict of interest. These are summarized and filed along with board meeting minutes. Conflicts of interest are determined by a review of the potential conflicts by the administrator and board of directors.
Form 990, Part VI, Section B, line 15The process used to set the Administrator's annual salary is based on a comparison to comparable organizations. The Board of Directors reviews the Minnesota senior housing trade association's annual wage survey. This survey includes information related to the size of the organization and the not-for-profit status of the organization. In addition to this, the 990's from comparable senior housing campuses are reviewed by the Board of Directors and used to establish the administrator's wage. This process was not reviewed in 2010.There was not an increase in the administrator's wage in 2010 due to a campus wide wage freeze.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ST JOHNS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O ST JOHNS HOME HWY 13AddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
EIN416054307EIN
Primary ActivitiesTO PROVIDE SUPPORT TO ST. JOHN'S LUTHERAN HOMEPrimaryActivities
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 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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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