ST LUKES LUTHERAN CARE CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST LUKES LUTHERAN CARE CENTER (EIN 41-0859026)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-07
IRS object ID
201130389349300113
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)
Timestamp2011-02-07T11:36:35-06:00Timestamp
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)
EIN410859026EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKES LUTHERAN CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone5075262184Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11219 SOUTH RAMSEYAddressLine1
CityBLUE EARTHCity
StateMNState
ZIP Code56013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN HUISMANName
TitleBOARD CHAIRMANTitle
Phone5075262184Phone
Date Signed2011-01-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTrent FastName
Phone5074347000Phone
Date Prepared2011-01-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLEAH KILLIAN-SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11219 SOUTH RAMSEYAddressLine1
CityBLUE EARTHCity
StateMNState
ZIP Code56013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9036763GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.STLCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees290TotalNbrEmployees
Total Nbr Volunteers237TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year183133ContributionsGrantsPriorYear
Contributions Grants Current Year168571ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8603962ProgramServiceRevenuePriorYear
Program Service Revenue CY8745686ProgramServiceRevenueCY
Investment Income Prior Year15480InvestmentIncomePriorYear
Investment Income Current Year-56317InvestmentIncomeCurrentYear
Other Revenue Prior Year119274OtherRevenuePriorYear
Other Revenue Current Year108273OtherRevenueCurrentYear
Total Revenue Prior Year8921849TotalRevenuePriorYear
Total Revenue Current Year8966213TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6008773SalariesEtcPriorYear
Salaries Etc Current Year5736098SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2920074OtherExpensePriorYear
Other Expenses Current Year3020033OtherExpensesCurrentYear
Total Expenses Prior Year8928847TotalExpensesPriorYear
Total Expenses Current Year8756131TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6998RevenuesLessExpensesPriorYear
Revenues Less Expenses CY210082RevenuesLessExpensesCY
Total Assets BOY9208556TotalAssetsBOY
Total Assets EOY9951378TotalAssetsEOY
Total Liabilities BOY7571956TotalLiabilitiesBOY
Total Liabilities EOY8104696TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1636600NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1846682NetAssetsOrFundBalancesEOY
Mission DescriptionST. LUKE'S LUTHERAN CARE CENTER PROVIDES ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES AND IS SPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY AND HAPPINESS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7947533Expense
Revenue8701699Revenue
DescriptionPROVISION OF CARE AND HOUSING FOR THE ELDERLY AND HANDICAPPED BY OPERATING A 127-BED LICENSED NURSING FACILITY AND A 28-UNIT ASSISTED LIVING FACILITY IN BLUE EARTH, MINNESOTA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense56045Expense
Revenue43987Revenue
DescriptionPROVISION OF LICENSED ADULT DAY CARE SERVICE FOR 10 INDIVIDUALS PER DAYDescription
FieldValueIRS element (for citing)
Total Program Service Expense8003578TotalProgramServiceExpense
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 Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees290NumberOfEmployees
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
Form1098 C Filed1Form1098CFiled
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Policy0WhistleblowerPolicy
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

FieldValueIRS element (for citing)
Name PersonERIN FARLANDNamePerson
Telephone Number5075262184TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11219 SOUTH RAMSEYAddressLine1
CityBLUE EARTHCity
StateMNState
ZIP Code56013ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN HUISMAN
BOARD CHAIRMAN1.00XX000
CAROLYN HALVORSON
BOARD VICE CHAIR1.00XX000
DONNIS MATTHEWS
BOARD SECRETARY/TREASURE1.00XX000
PAT COUPANGER
DIRECTOR1.00X000
ROGER HOLLAND
DIRECTOR1.00X000
ROGER LEGRED
DIRECTOR1.00X000
EVERETT WESSELS
DIRECTOR1.00X000
HENRIK HENDRICKSEN
DIRECTOR1.00X000
SONJA WILLMERT
DIRECTOR1.00X000
SHARON HOFFMAN
DIRECTOR1.00X000
KATHY SATRE
DIRECTOR1.00X000
AUDREY KIIHN
DIRECTOR1.00X000
GENE NELSON
CEO/ADMINISTRATOR40.00X120410011353
ERIN FARLAND
CHIEF FINANCIAL OFFICER40.00X57941014310
FieldValueIRS element (for citing)
Total Reportable Comp From Org178351TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25663TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP
PO Box 503534ST LOUISMO631503534THERAPY SERVICES342650
WAGNER CONSTRUCTION
PO BOX 698AUSTINMN55912GENERAL CONTRACTOR283514
TSP
1500 HIGHWAY 52 NORTHROCHESTERMN55901ARCHITECT112511
TEXTILE CARE SERVICES
225 Woodlake Drive SeROCHESTERMN559045530LINEN/LAUNDRY SERVICES101787
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations140700RelatedOrganizations
All Other Contributions27871AllOtherContributions
Total Contributions168571TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PMTS62300045413224541322
RESIDENT REVENUE62300033486363348636
FRIENDSHIP COURT REV623000677046677046
SOUTHVIEW ESTATES REV6230009124991249
ADULT DAY CARE REV6230004398743987

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column43446TotalRevenueColumn
Related Or Exempt Function Income43446RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8745686TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2578TotalRevenueColumn
Exclusion$2,578ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other58895Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-58895Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-58895TotalRevenueColumn
Exclusion-$58,895ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory20440GrossSalesOfInventory
Cost Of Goods Sold11655CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8785TotalRevenueColumn
Exclusion$8,785ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY SHOP REVENUE81290049674$49,674
MISCELLANEOUS INCOME90009932270$32,270
GUEST/EMPLOYEE MEALS90009917544$17,544
FieldValueIRS element (for citing)
Total Other Revenue99488TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8966213TotalRevenueColumn
Related Or Exempt Function Income8745686RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$51,956ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total116046Total
Management And General116046ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4324203Total
Program Services4074555ProgramServices
Management And General249648ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35543Total
Program Services32700ProgramServices
Management And General2843ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total910206Total
Program Services837390ProgramServices
Management And General72816ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total350100Total
Program Services322095ProgramServices
Management And General28005ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3244Total
Management And General3244ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22651Total
Program Services275ProgramServices
Management And General22376ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total145391Total
Program Services145391ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total13342Total
Management And General13342ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total584940Total
Program Services524038ProgramServices
Management And General60902ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total266353Total
Program Services266353ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4878Total
Program Services4878ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30400Total
Program Services10364ProgramServices
Management And General20036ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total293734Total
Program Services293734ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total478201Total
Program Services478201ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total95186Total
Management And General95186ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING HOME ASSESSMENT357505357505
THERAPY EXPENSE339836339836
FOOD COSTS290079290079
MISCELLANEOUS3395233952
PRE-ADMISSION SCREENING2245722457

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total37884Total
Program Services26184ProgramServices
Management And General11700ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8756131Total
Program Services8003578ProgramServices
Management And General752553ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY128499BOY
EOY834307EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY333049BOY
EOY143658EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY666111BOY
EOY598240EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY55962BOY
EOY56339EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY132357BOY
EOY45891EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13976384LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5809455LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7767344BOY
EOY8166929EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY33413BOY
EOY71479EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY58895BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY32926BOY
EOY34535EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9208556BOY
EOY9951378EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY726137BOY
EOY931216EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6657812BOY
EOY7014834EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY188007BOY
EOY158646EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7571956BOY
EOY8104696EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1636600BOY
EOY1846682EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1636600BOY
EOY1846682EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9208556BOY
EOY9951378EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year72373CurrentTaxYearMinus1Year
Current Tax Year75879CurrentTaxYear
Total341939Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7369481CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8001538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8276022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8603962CurrentTaxYearMinus1Year
Current Tax Year8745686CurrentTaxYear
Total40996689Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7475429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8050715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8314584CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8676335CurrentTaxYearMinus1Year
Current Tax Year8821565CurrentTaxYear
Total41338628Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153792CurrentTaxYearMinus1Year
Current Tax Year140700CurrentTaxYear
Total707310Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153792CurrentTaxYearMinus1Year
Current Tax Year140700CurrentTaxYear
Total707310Total
FieldValueIRS element (for citing)
Public Support Total50940631318PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years156743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years166759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years132604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126240CurrentTaxYearMinus1Year
Current Tax Year95270CurrentTaxYear
Total677616Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years156743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years166759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years132604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126240CurrentTaxYearMinus1Year
Current Tax Year95270CurrentTaxYear
Total677616Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7632172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8217474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8447188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8802575CurrentTaxYearMinus1Year
Current Tax Year8916835CurrentTaxYear
Total42016244Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96700PublicSupportPercentage509
Prior Year Support Percentage0.95860PriorYearSupportPercentage
Investment Income Percentage0.01610InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01600PriorYrInvestIncomePercentage
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 Basis97373OtherCostOrOtherBasis
Book Value97373BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11473673OtherCostOrOtherBasis
Depreciation4594199Depreciation
Book Value6879474BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1358220OtherCostOrOtherBasis
Depreciation1031824Depreciation
Book Value326396BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1047118OtherCostOrOtherBasis
Depreciation183432Depreciation
Book Value863686BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8166929TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESIDENT TRUST PAYABLE$4,867
DUE TO RELATED PARTY$100,000
ASSET RETIREMENT OBLIGATION$38,326
SECURITY DEPOSITS$15,453
FieldValueIRS element (for citing)
Total Of Amounts158646TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationSt. Luke's Lutheran Care Center and Affiliates follows the income tax standard for uncertain tax positions. No liability has been recognized as a result of this standard. Each entity 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 are open for examination by the IRS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11BOARD HAS DIRECTED THE MANAGEMENT OF THE CARE CENTER TO REVIEW THE FORM 990 PRIOR TO SIGNING BY THE CARE CENTER BOARD CHAIR.
Form 990, Part VI, Section B, line 12cAll Board Members annually review and sign new conflict of interest and confidentiality agreements. Care Center administration monitors for compliance with established policies & procedures.
Form 990, Part VI, Section B, line 15aThe process used to set the Administrators annual salary is based on a combination of comparison to comparable organizations through use of compensation surveys as well as the experience and performance of the administrator as determined by the Board of Directors. This is only for the CEO/Administrator. Other Key Employees, including CFO, have their salaries set by the administrator and are also eligible and receive any COST OF LIVING ADJUSTMENTS (COLA) set by the state of Minnesota. The administrator does not receive the COLA.
Form 990, Part VI, Section C, line 19COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT REQUEST IN THE ADMINISTRATIVE OFFICE.
FORM 990, PART XI, Line 2c: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHVIEW ESTATES
1219 SOUTH RAMSEYBLUE EARTHMN56013411845740ELDERLY & HANDICAPPED HOUSINGMN501(C)(3)9St Lukes Lutheran Care Center
ST LUKE'S NURSING HOME FOUNDATION
1219 SOUTH RAMSEYBLUE EARTHMN56013411483909SUPPORT ST. LUKE'S LUTHERAN CARE CENTERMN501(C)(3)11a, Ist Lukes Lutheran Care Center
NEW LIFE MANOR INC
1219 SOUTH RAMSEYBLUE EARTHMN56013411401396ELDERLY & HANDICAPPED HOUSINGMN501(C)(3)9st Lukes Lutheran Care Center
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 Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
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 Line1ST LUKE'S NURSING HOME FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved140700AmountInvolved

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