LAKELAND HOSPICE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND HOSPICE INC (EIN 36-3255877)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201143149349302059
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T11:59:21-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4310 17TH AVE S PO BOX 2545 | AddressLine1 |
| City | FARGO | City |
| State | ND | State |
| ZIP Code | 581082545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363255877 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Hospice and Home Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAKE | NameControl |
| Phone | 2189981400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 824 | AddressLine1 |
| City | Fergus Falls | City |
| State | MN | State |
| ZIP Code | 56537 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ed Strand | Name |
| Title | Treasurer | Title |
| Phone | 2189981400 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA CHAFFEE CPA | Name |
| Phone | 7012398500 | Phone |
| Date Prepared | 2011-11-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patricia Skogen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 824 | AddressLine1 |
| City | Fergus Falls | City |
| State | MN | State |
| ZIP Code | 56537 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4695589 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lakelandhospice.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | Patient Support | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 122 | TotalNbrEmployees |
| Total Nbr Volunteers | 72 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1078796 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 592019 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5105755 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4103510 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -33935 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1892 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6150616 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4693637 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3325453 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3106836 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 32806 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2167330 | OtherExpensePriorYear |
| Other Expenses Current Year | 1712540 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5492783 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4819376 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 657833 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -125739 | RevenuesLessExpensesCY |
| Total Assets BOY | 4084443 | TotalAssetsBOY |
| Total Assets EOY | 3711567 | TotalAssetsEOY |
| Total Liabilities BOY | 2708916 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2461779 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1375527 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1249788 | NetAssetsOrFundBalancesEOY |
| Mission Description | The purpose of Lakeland Hospice & Home Care is to provide compassionate, emotional, spiritual, and quality healthcare to each patient, promoting independence, comfort, and dignity in all stages of life's journey. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2566420 | Expense |
| Revenue | 2869229 | Revenue |
| Description | Hospice: To provide compassionate comfort care and support for patients of all types of illnesses and all ages. Services provided include home health aides, social workers, spiritual care, volunteers and grief support. Lakeland Hospice services cover 16 counties in the area. As part of the hospice program, an 8 bed hospice house is also operated. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1064617 | Expense |
| Revenue | 1234281 | Revenue |
| Description | Home Care assists individuals to remain in their own home setting with the focus of returning each individual to their best level of functioning through assessments and interventions of skilled nursing, physical, occupational and speech therapy, medical social worker and home health aids. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 3631037 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 122 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dawn Stavaas | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2189981400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 824 | AddressLine1 |
| City | Fergus Falls | City |
| State | MN | State |
| ZIP Code | 56537 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Rev Dr Roger Parks | ||||||
| President(served 1st half of year) | 0.50 | X | X | 0 | 0 | 0 |
| Nathan Johnson | ||||||
| President | 0.50 | X | X | 0 | 0 | 0 |
| Rebecca Odden | ||||||
| Vice President | 0.50 | X | X | 0 | 0 | 0 |
| Diane Thorson | ||||||
| Secretary(served 1st half of year) | 0.50 | X | X | 0 | 0 | 0 |
| Carol Juul | ||||||
| Secretary(served 2nd half of year) | 0.50 | X | X | 0 | 0 | 0 |
| Edward Strand | ||||||
| Treasurer | 0.50 | X | X | 0 | 0 | 0 |
| Jim Worner | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| Larry Schulz | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| Marie Braaten | ||||||
| Director(served 1st half of year) | 0.50 | X | 0 | 0 | 0 | |
| David Schneeberger | ||||||
| Director(served 1st half of year) | 0.50 | X | 0 | 0 | 0 | |
| Rod Votava | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| Connie Seltz | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| John Richards | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| Angelo Greigo | ||||||
| Director | 0.50 | X | 0 | 0 | 0 | |
| Pat Krekelberg | ||||||
| Director(served 2nd half of year) | 0.50 | X | 0 | 0 | 0 | |
| Tom Peterson | ||||||
| Director(served 2nd half of year) | 0.50 | X | 0 | 0 | 0 | |
| Patricia Skogen | ||||||
| Interim Administrator | 24.00 | X | 110000 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 110000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pathway Health Services | |||||
| 2025 Fourth Street | White Bear Lake | MN | 55110 | Interim Administrator | 148670 |
| Lake Region Health Care | |||||
| 712 Cascade St S | Fergus Falls | MN | 56537 | Medical Services | 101779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 592019 | AllOtherContributions |
| Total Contributions | 592019 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 623000 | 4027829 | 4027829 |
| Contracted Services | 561000 | 74405 | 74405 |
| Miscellaneous Revenue | 900099 | 1276 | 1276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4103510 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60 | TotalRevenueColumn |
| Exclusion | $60 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1952 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1952 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1952 | TotalRevenueColumn |
| Exclusion | -$1,952 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4693637 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4103510 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$1,892 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110000 | Total |
| Management And General | 110000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2600001 | Total |
| Program Services | 1713592 | ProgramServices |
| Management And General | 886409 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190488 | Total |
| Program Services | 125546 | ProgramServices |
| Management And General | 64942 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206347 | Total |
| Program Services | 135998 | ProgramServices |
| Management And General | 70349 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38670 | Total |
| Program Services | 38670 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15076 | Total |
| Management And General | 15076 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 242134 | Total |
| Program Services | 242134 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36962 | Total |
| Program Services | 8174 | ProgramServices |
| Fundraising | 28788 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 504690 | Total |
| Program Services | 503613 | ProgramServices |
| Management And General | 1077 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131829 | Total |
| Program Services | 131829 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123630 | Total |
| Program Services | 122839 | ProgramServices |
| Management And General | 791 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9701 | Total |
| Program Services | 2812 | ProgramServices |
| Management And General | 6889 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106333 | Total |
| Program Services | 106333 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239105 | Total |
| Program Services | 239105 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21481 | Total |
| Program Services | 21481 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Nursing Home Expense | Description |
| Total | 225127 | Total |
| Program Services | 225127 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17802 | Total |
| Program Services | 13784 | ProgramServices |
| Fundraising | 4018 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4819376 | Total |
| Program Services | 3631037 | ProgramServices |
| Management And General | 1155533 | ManagementAndGeneral |
| Fundraising | 32806 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20159 | BOY |
| EOY | 43603 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673268 | BOY |
| EOY | 474480 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19508 | BOY |
| EOY | 21648 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22107 | BOY |
| EOY | 48327 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3637650 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 514141 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3349401 | BOY |
| EOY | 3123509 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4084443 | BOY |
| EOY | 3711567 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616322 | BOY |
| EOY | 624605 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2043844 | BOY |
| EOY | 1837174 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48750 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2708916 | BOY |
| EOY | 2461779 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1375527 | BOY |
| EOY | 1249788 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1375527 | BOY |
| EOY | 1249788 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4084443 | BOY |
| EOY | 3711567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -125739 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390074 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 222990 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 465061 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1078796 | CurrentTaxYearMinus1Year |
| Current Tax Year | 592019 | CurrentTaxYear |
| Total | 2748940 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390074 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 222990 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 465061 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1078796 | CurrentTaxYearMinus1Year |
| Current Tax Year | 592019 | CurrentTaxYear |
| Total | 2748940 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2748940 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57114 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12660 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3849 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2203 | CurrentTaxYearMinus1Year |
| Current Tax Year | 60 | CurrentTaxYear |
| Total | 75886 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3052 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10542 | CurrentTaxYearMinus3Years |
| Total | 13594 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2838420 | TotalSupport |
| Gross Receipts From Admissions Etc | 20273085 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96850 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.36570 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126828 | OtherCostOrOtherBasis |
| Book Value | 126828 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2714250 | OtherCostOrOtherBasis |
| Depreciation | 124502 | Depreciation |
| Book Value | 2589748 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 796572 | OtherCostOrOtherBasis |
| Depreciation | 389639 | Depreciation |
| Book Value | 406933 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3123509 | TotalOfBookValueLandBuildings |
| Total Revenue | 4693637 | TotalRevenue |
| Total Expenses | 4819376 | TotalExpenses |
| Excess Or Deficit For Year | -125739 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -125739 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4693637 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4693637 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4693637 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4819376 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4819376 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4819376 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Lakeland is organized as a Minnesota nonprofit corporation and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Lakeland undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination of relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. Lakeland believes that it is compliant with all IRS tax regulations and as of December 31, 2010, has not recorded a tax liability for a tax uncertainty. Lakeland will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Patricia Skogen | NamePerson |
| Base Compensation Filing Org | 110000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 110000 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Patricia Skogen is compensated by Pathway Health Services, Inc. (an unrelated organization) for her Interim Administrator services to Lakeland Hospice and Home Care. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Ed Strand, Larry Schultz, Angelo Griego and Jim Worner have a business relationship. | |
| Form 990, Part VI, Section A, line 3 | Paid contracting company, Pathway Health Services, Inc., for interim administrator services. | |
| Form 990, Part VI, Section A, line 8b | There are no committees with authority to act on behalf of the governing body. | |
| Form 990, Part VI, Section B, line 11 | The Accountant and treasurer reviewed the Form 990. After their review the board was provided the Form 990 electronically before being filed with the IRS. | |
| Board members are asked to disclose conflicts annually. If there is a conflict the board member is asked to abstain from voting. The Administrator and Board President review any conflicts disclosed. They make known to the full board any conflicts disclosed. | Form 990, Part VI, Section B, line 12c | |
| Part VI, Line 15: In 2010, the Administrator was paid on a contracted basis through Pathway Health Services, Inc. | ||
| The governing documents, conflict of interest policy and financial statements are available upon request. | Form 990, Part VI, Section C, line 19 |