FURP.ORG / PUBLIC DATA EXPLORER

LEGACY SENIOR SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LEGACY SENIOR SERVICES (EIN 80-0015864)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201132229349301213
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)
Timestamp2011-08-10T15:51:05-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Betts & Hayes LtdBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1801 Meander CtAddressLine1
CityMedinaCity
StateMNState
ZIP Code55340ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN800015864EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Legacy Senior Services dbaBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLEGANameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line114416 Spring Lake RoadAddressLine1
CityMinnetonkaCity
StateMNState
ZIP Code55345ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEric LundeName
TitlePresidentTitle
Date Signed2011-08-04DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCindy K Hayes CPAName
Phone7634783169Phone
Date Prepared2011-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts40041296GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTo operate skilled nursing facilities and senior housing communities that provide for the long-term care of the aged infirmed injured and sickActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees1120TotalNbrEmployees
Total Nbr Volunteers538TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14754ContributionsGrantsPriorYear
Contributions Grants Current Year38914ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38965370ProgramServiceRevenuePriorYear
Program Service Revenue CY39732833ProgramServiceRevenueCY
Investment Income Prior Year8064InvestmentIncomePriorYear
Investment Income Current Year9116InvestmentIncomeCurrentYear
Other Revenue Prior Year450153OtherRevenuePriorYear
Other Revenue Current Year260433OtherRevenueCurrentYear
Total Revenue Prior Year39438341TotalRevenuePriorYear
Total Revenue Current Year40041296TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24515450SalariesEtcPriorYear
Salaries Etc Current Year24092504SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year42974TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY27176TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year27176TotalFundrsngExpCurrentYear
Other Expense Prior Year14715955OtherExpensePriorYear
Other Expenses Current Year15362773OtherExpensesCurrentYear
Total Expenses Prior Year39274379TotalExpensesPriorYear
Total Expenses Current Year39482453TotalExpensesCurrentYear
Revenues Less Expenses Prior Year163962RevenuesLessExpensesPriorYear
Revenues Less Expenses CY558843RevenuesLessExpensesCY
Total Assets BOY18147015TotalAssetsBOY
Total Assets EOY18521750TotalAssetsEOY
Total Liabilities BOY14301869TotalLiabilitiesBOY
Total Liabilities EOY14117761TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3845146NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4403989NetAssetsOrFundBalancesEOY
Mission DescriptionTo operate skilled nursing facilities and senior housing communities that provide for the long-term care of the aged infirmed injured and sickMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense37033892Expense
DescriptionSkilled nursing care and assisted livingDescription
Total Program Service Expense37033892TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
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 EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096108NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1120NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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 PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHealth Dimensions GroupNamePerson
Telephone Number7635375700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14400 Baker Road Suite 100AddressLine1
CityHopkinsCity
StateMNState
ZIP Code55343ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Char Samuelson
Director3.00X360000
Eric Lunde
PresidentTreasurer6.00X840000X
Roger Green
DirectorSecretary3.00X360000X
Brooke Mengwasser
Physical Therapist40.0011292200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org128522TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Health Dimensions
4400 Baker RoadMplsMN55343Mgmt fees & consul1456882
HDG-WI LLC
4400 Baker RoadMplsMN55343Management fees1819390
BSG Maintenance Inc
PO Box 165NewburgWI53060Hskpglaundry svcs542434
Aviands LLC
NW 5704 PO Box 1450MplsMN554855704Dietary services450833
ProRehab
200 Lewis Ave SWatertownMN55388Contracted therapy255531
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions38914AllOtherContributions
Total Contributions38914TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE PAYPRIVATE INS62300045222534522253
MEDICARE62300088830588883058
MEDICAID6230001824707618247076
MANAGED CARE62300029803742980374
ASSISTEDIND LIVING62300044833994483399

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column616673TotalRevenueColumn
Related Or Exempt Function Income616673RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39732833TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9116TotalRevenueColumn
Related Or Exempt Function Income9116RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUE - RELATEDDescription
Business Code623000BusinessCode
Total Revenue Column260433TotalRevenueColumn
Related Or Exempt Function Income260433RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue260433TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40041296TotalRevenueColumn
Related Or Exempt Function Income40002382RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total15600Total
Management And General15600ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19409049Total
Program Services19409049ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59234Total
Program Services59234ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2918757Total
Program Services2918757ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1689864Total
Program Services1689864ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2131798Total
Management And General2131798ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total96242Total
Management And General96242ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68394Total
Management And General68394ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total27176Total
Fundraising27176Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total92782Total
Management And General92782ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total160687Total
Program Services160687ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2654210Total
Program Services2654210ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total81164Total
Program Services81164ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total663486Total
Program Services663486ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total738078Total
Program Services738078ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total525161Total
Program Services525161ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES21883482188348
SUPPLIES12203801220380
FOOD643378643378
OTHER ANCILLARY11045601104560
PHARMACY668983668983

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2325122Total
Program Services2308553ProgramServices
Management And General16569ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39482453Total
Program Services37033892ProgramServices
Management And General2421385ManagementAndGeneral
Fundraising27176Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY63237BOY
EOY448607EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1337107BOY
EOY1255719EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3271017BOY
EOY3847938EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19426BOY
EOY19426EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY294522BOY
EOY171105EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14775884LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2190079LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12940820BOY
EOY12585805EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8333BOY
EOY5833EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY212553BOY
EOY187317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18147015BOY
EOY18521750EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2637872BOY
EOY2437322EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10079605BOY
EOY10105172EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1584392BOY
EOY1575267EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14301869BOY
EOY14117761EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY420399BOY
EOY1403554EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3424747BOY
EOY3000435EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3845146BOY
EOY4403989EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18147015BOY
EOY18521750EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses558843ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
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 Minus2 Years25985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14754CurrentTaxYearMinus1Year
Current Tax Year38914CurrentTaxYear
Total79653Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16462465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27947877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34641309CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38965370CurrentTaxYearMinus1Year
Current Tax Year39732833CurrentTaxYear
Total157749854Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16462465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27947877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34667294CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38980124CurrentTaxYearMinus1Year
Current Tax Year39771747CurrentTaxYear
Total157829507Total
FieldValueIRS element (for citing)
Public Support Total509157829507PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30037CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8064CurrentTaxYearMinus1Year
Current Tax Year9116CurrentTaxYear
Total101087Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30037CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8064CurrentTaxYearMinus1Year
Current Tax Year9116CurrentTaxYear
Total101087Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years172460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125854CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years999324CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year450153CurrentTaxYearMinus1Year
Current Tax Year260433CurrentTaxYear
Total2008224Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16642806CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28119720CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35696655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39438341CurrentTaxYearMinus1Year
Current Tax Year40041296CurrentTaxYear
Total159938818Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98680PublicSupportPercentage509
Prior Year Support Percentage0.98560PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
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 Basis1413200OtherCostOrOtherBasis
Book Value1413200BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11152803OtherCostOrOtherBasis
Depreciation1282187Depreciation
Book Value9870616BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1098068OtherCostOrOtherBasis
Depreciation476219Depreciation
Book Value621849BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1111813OtherCostOrOtherBasis
Depreciation431673Depreciation
Book Value680140BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12585805TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
LOAN COSTS24951
DEPOSITS50142
RESIDENT TRUST112223
Rounding1
FieldValueIRS element (for citing)
Total Book Value Other Assets187317TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL AND RELATED TA$1,325,543
ACCRUED OTHER$137,501
RESIDENT TRUST LIABILITY$112,223
FieldValueIRS element (for citing)
Total Of Amounts1575267TotalOfAmounts

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualMullen Company LLCNameOfIndividual
ActivityabdeActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts37900GrossReceipts
Amount Retained By Contractor37067AmountRetainedByContractor
Net To Organization833NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts37900TotalGrossReceipts
Total Retained By Contractors37067TotalRetainedByContractors
Total Net To Organization833TotalNetToOrganization
Licensed StatesCOLicensedStates

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
City of Frazee MN
4160051742007-08-013620000Health care facility acquisitionfalsefalsefalse
City of Frazee MN
4160051742007-08-011230000Health care facility acquisitionfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
36200009955735204432008falsefalsetruetrue
12300003382711961732008falsefalsetruetrue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
01. Management duties delegation (Part VI, line 3)Management company is responsible for all the day to day operations of Legacy Senior Services and its subsidiaries including but not limited to supervision of personnel preparation of budgets financial reporting ensuring care practices meet federalstate regulations maintaining quality care initiatives etc
02. Form 990 governing body review (Part VI, line 11)The 990 is reviewed by the Manager of Financial Services and the Vice president of Financial Services prior to filing The 990 will also be provided to the Legacy Senior Services Board President for review prior to filing
03. Other officer or key employee compensation (Part VI, line 15bLegacy Senior Services retained legal counsel to study board officerdirector compensation Legal counsels recommendations were presented to the board and documented in board minutes Comparability data was obtained and documented to ensure compensation amounts would be considered reasonable To comply with Legacys conflict of interest policy each board member voted only on the compensation awarded to the other officersdirectors and did not vote on the compensation for himself or herself
04. Governing documents, etc, available to public (Part VI, line 19)No documents available to the public

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssets
LSS OF MADISON LLC
110 BELMONT ROAD MADISON WIMadisonWI53714201209404NURSING HOMEWI73961781391322
LSS OF SHEBOYGAN LLC
3014 ERIE AVENUE SHEBOYGANWISheboyganWI53081208658381NURSING HOMEWI103278252592256
LSS OF FRAZEE LLC
219 W MAPLE AVE FRAZEE MNFrazeeMN56544208729268NURSING HOME & ASSISTED LIVING FAMN52983615140851
LSS OF MARYCREST
2850 COLUMBINE ROADDENVER CODenverCO80221262181659ASSISTED LIVING FACILITYCO35430726337088
LSS OF TRAVERSE LLC
303 7TH STREET S WHEATON MNWHEATONMN56296273274611NURSING HOME & INDEPENDENT LIVINGMN283742378956