GOOD SHEPHERD LUTHERAN HOME: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD LUTHERAN HOME (EIN 41-0880871)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-06-27
- IRS object ID
- 202201789349301320
- Schema version
- 2020v4.2
- 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) |
|---|---|---|
| Return | 2022-06-27T15:28:08-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N RIVERFRONT DR SUITE 300 | AddressLine1Txt |
| City | MANKATO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410880871 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD LUTHERAN HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 5078647714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 747 | AddressLine1Txt |
| City | RUSHFORD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 559710747 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID U'REN | PersonNm |
| Person Title | BOARD PRESIDENT | PersonTitleTxt |
| Phone | 5078647714 | PhoneNum |
| Signature | 2022-05-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | UREN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSH SHERBURNE | PreparerPersonNm |
| PTIN | P02039400 | PTIN |
| Phone | 5073868800 | PhoneNum |
| Preparation | 2022-05-23 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID U'REN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 747 | AddressLine1Txt |
| City | RUSHFORD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 559710747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,331,849 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GOODSHEP-RUSHFORD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE NURSING HOME/ASSISTED LIVING CARE SERVICES TO THE ELDERLY | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 177 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $274,556 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $979,409 | PYContributionsGrantsAmt |
| CY Contributions Grants | $447,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,109,980 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,762,850 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,172 | PYInvestmentIncomeAmt |
| CY Investment Income | $61,125 | CYInvestmentIncomeAmt |
| PY Other Revenue | $65,141 | PYOtherRevenueAmt |
| CY Other Revenue | $60,247 | CYOtherRevenueAmt |
| PY Total Revenue | $8,188,702 | PYTotalRevenueAmt |
| CY Total Revenue | $7,331,849 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,326,171 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,740,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,115,458 | PYOtherExpensesAmt |
| CY Other Expenses | $2,591,131 | CYOtherExpensesAmt |
| PY Total Expenses | $7,441,629 | PYTotalExpensesAmt |
| CY Total Expenses | $7,331,680 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $747,073 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $169 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,871,663 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,632,546 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,120,637 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,590,194 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,751,026 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,042,352 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE NURSING HOME CARE AND ASSISTED LIVING CARE SERVICES TO THE ELDERLY OF RUSHFORD, MINNESOTA AND THE SURROUNDING AREA AND ALSO TO PROVIDE CHILD CARE SERVICES FOR EMPLOYEES AND THE PUBLIC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,292,681 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,762,850 | RevenueAmt |
| Desc | PROVIDE SERVICES TO THE ELDERLY THROUGH THE OPERATION OF A 70-BED NURSING HOME, A 15-UNIT ASSISTED LIVING COMPLEX, A 32-UNIT SUBSIDIZED APARTMENT BUILDING, AND A CHILD DAY CARE IN RUSHFORD, MINNESOTA. | Desc |
| Total Program Service Expenses | $6,292,681 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 177 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA SPECE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5078647714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 HOME STREET | AddressLine1Txt |
| City | RUSHFORD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55971 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| DAVID U'REN | |||||||
| PRESIDENT | 0.19 | 0.19 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DARLENE CHIGLO | |||||||
| VICE PRESIDENT | 0.19 | 0.19 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KAREN EICH | |||||||
| SECRETARY/TREASURER | 0.19 | 0.19 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DICK JOHNSON | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| LOUIS BOEHMKE | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| MARVIN HOSCH | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| LUANNE DVORAK | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| LINDA PAULSON | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| NANCY BENSON | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| DARREL HIGHUM | |||||||
| DIRECTOR | 0.19 | 0.19 | Yes (X) | $0 | $0 | $0 | |
| TOM LINDH | |||||||
| ADMINISTRATOR - PART YEAR | 30.00 | 10.00 | Yes (X) | $96,860 | $0 | $12,178 | |
| RHONDA SPECE | |||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 10.00 | Yes (X) | $65,275 | $0 | $22,900 | |
| SAMANTHA COLBENSON | |||||||
| ADMINISTRATOR | 30.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $162,135 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $35,078 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ONESTAFF MEDICAL | |||||
| PO BOX 3544 | OMAHA | NE | 68103 | TRAVEL STAFF | $2,501,251 |
| ACCOUNTABLE HEALTHCARE STAFFING | |||||
| PO BOX 732800 | DALLAS | TX | 75373 | TRAVEL STAFF | $197,849 |
| AEGIS THERAPIES INC | |||||
| PO BOX 936653 | ATLANTA | GA | 31193 | THERAPY CHARGES | $158,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $341,242 | GovernmentGrantsAmt |
| All Other Contributions | $106,385 | AllOtherContributionsAmt |
| Total Contributions | $447,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| RESIDENT REVENUE | 623000 | $6,029,712 | $6,029,712 | |
| APARTMENT REVENUE | 623000 | $401,226 | $401,226 | |
| DAY CARE REVENUE | 624410 | $305,062 | $30,506 | $274,556 |
| MGMT CONTRACT REVENUE | 561000 | $25,690 | $25,690 | |
| THERAPY RENT | 532000 | $1,160 | $1,160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,762,850 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,125 | TotalRevenueColumnAmt |
| Exclusion | $61,125 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55 | TotalRevenueColumnAmt |
| Exclusion | $55 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| BEAUTY SHOP REVENUE | 812900 | $28,198 | $28,198 |
| MISCELLANEOUS REVENUE | 900099 | $23,648 | $23,648 |
| GUEST/EMPLOYEE MEALS | 900099 | $8,346 | $8,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $60,192 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,331,849 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,488,294 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $274,556 | UnrelatedBusinessRevenueAmt |
| Exclusion | $121,372 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,140 | TotalAmt |
| Management And General | $243,140 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,458,698 | TotalAmt |
| Program Services | $3,391,579 | ProgramServicesAmt |
| Management And General | $67,119 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,300 | TotalAmt |
| Program Services | $31,420 | ProgramServicesAmt |
| Management And General | $2,880 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,104 | TotalAmt |
| Program Services | $672,584 | ProgramServicesAmt |
| Management And General | $61,520 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,307 | TotalAmt |
| Program Services | $247,650 | ProgramServicesAmt |
| Management And General | $22,657 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,106 | TotalAmt |
| Management And General | $27,106 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,101,807 | TotalAmt |
| Program Services | $682,761 | ProgramServicesAmt |
| Management And General | $419,046 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,818 | TotalAmt |
| Management And General | $9,818 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,264 | TotalAmt |
| Management And General | $16,264 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,233 | TotalAmt |
| Program Services | $450,092 | ProgramServicesAmt |
| Management And General | $16,141 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,279 | TotalAmt |
| Management And General | $4,279 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,764 | TotalAmt |
| Program Services | $27,764 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,935 | TotalAmt |
| Program Services | $38,935 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,550 | TotalAmt |
| Program Services | $225,550 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,048 | TotalAmt |
| Management And General | $64,048 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $324,672 | $324,672 | |
| FOOD COSTS | $157,431 | $157,431 | |
| BAD DEBT EXPENSE | $75,178 | $75,178 | |
| CHILD DAY CARE | $34,398 | $34,398 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,648 | TotalAmt |
| Program Services | $7,845 | ProgramServicesAmt |
| Management And General | $9,803 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,331,680 | TotalAmt |
| Program Services | $6,292,681 | ProgramServicesAmt |
| Management And General | $1,038,999 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,823 | BOYAmt |
| EOY | $11,645 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,047,791 | BOYAmt |
| EOY | $1,502,384 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,957 | BOYAmt |
| EOY | $601,153 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $23,994 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,236 | BOYAmt |
| EOY | $37,882 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,623 | BOYAmt |
| EOY | $169,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,121,030 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,643,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,509,954 | BOYAmt |
| EOY | $1,477,950 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,173,390 | BOYAmt |
| EOY | $1,474,757 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,889 | BOYAmt |
| EOY | $333,396 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,871,663 | BOYAmt |
| EOY | $5,632,546 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,640 | BOYAmt |
| EOY | $338,761 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,491 | BOYAmt |
| EOY | $212,638 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,187 | BOYAmt |
| EOY | $932,444 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,319 | BOYAmt |
| EOY | $106,351 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,120,637 | BOYAmt |
| EOY | $1,590,194 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,635,028 | BOYAmt |
| EOY | $3,921,877 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,998 | BOYAmt |
| EOY | $120,475 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,751,026 | BOYAmt |
| EOY | $4,042,352 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,871,663 | BOYAmt |
| EOY | $5,632,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $169 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $308,126 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$16,969 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $77,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $979,409 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $447,627 | CurrentTaxYearAmt |
| Total | $1,658,022 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,755,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,592,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,990,865 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,858,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,488,294 | CurrentTaxYearAmt |
| Total | $32,684,878 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,833,174 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,671,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,065,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,837,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,935,921 | CurrentTaxYearAmt |
| Total | $34,342,900 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $79,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,506 | CurrentTaxYearAmt |
| Total | $318,994 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $797,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,348,666 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,257,295 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,930,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,409,267 | CurrentTaxYearAmt |
| Total | $9,743,824 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $797,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,427,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,331,514 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,997,614 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,507,773 | CurrentTaxYearAmt |
| Total | $10,062,818 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $24,280,082 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,657 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,561 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,141 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,180 | CurrentTaxYearAmt |
| Total | $179,420 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $280,144 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $291,754 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $289,558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $251,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $274,556 | CurrentTaxYearAmt |
| Total | $1,387,981 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $315,801 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $310,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $316,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $288,850 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,736 | CurrentTaxYearAmt |
| Total | $1,567,401 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,674 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,471 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $53,759 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,596 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,192 | CurrentTaxYearAmt |
| Total | $238,692 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,190,649 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,000,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,435,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,190,866 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,331,849 | CurrentTaxYearAmt |
| Total | $36,148,993 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.67170 | PublicSupportCY509Pct |
| Public Support PY509 | 0.71590 | PublicSupportPY509Pct |
| Investment Income CY | 0.04340 | InvestmentIncomeCYPct |
| Investment Income PY | 0.04420 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,109 | OtherCostOrOtherBasisAmt |
| Book Value | $45,109 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,189,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,672,083 | DepreciationAmt |
| Book Value | $517,744 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,815,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,910,215 | DepreciationAmt |
| Book Value | $904,970 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,782 | DepreciationAmt |
| Book Value | $10,127 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,477,950 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTY | $120,475 |
| GUARANTY FUND CERTIFICATE | $117,870 |
| LAND & MINERAL RIGHTS | $8,731 |
| EQUITY IN COOPERATIVE | $50,092 |
| LOAN RESERVE | $36,228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $333,396 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT TRUST FUND | $6,553 |
| RENTAL DEPOSITS | $7,596 |
| ASSET RETIREMENT OBLIGATION | $26,202 |
| DUE TO RELATED PARTY | $66,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $106,351 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOME HAS BEEN GRANTED EXEMPT STATUS FROM FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE HOME OR APARTMENTS AS A RESULT OF THIS STANDARD. THE HOME AND APARTMENTS FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE NINE AREA EVANGELICAL LUTHERAN CHURCHES ARE MEMBERS OF THE LUTHERAN HOME. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ELEVEN EVANGELICAL LUTHERAN CHURCHES NOMINATE AND ELECT MEMBERS OF THE GOVERNING BODY AT THE ANNUAL MEETING. EACH CHURCH SENDS TWO REPRESENTATIVES TO THE ANNUAL MEETING TO VOTE ON BEHALF OF THEIR CONGREGATION. AT THE ANNUAL MEETING BUT PRIOR TO VOTING, EACH MEMBER REPRESENTATIVE IS ALLOWED TO NOMINATE NEW CANDIDATES FOR THE GOVERNING BODY TO BE PUT ON THE BALLOT. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO BEING FILED WITH THE IRS, A COPY OF FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE BOARD PRESIDENT OR ACTING DIRECTOR AND THE CFO, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF THE APPROPRIATE DOCUMENTATION. UPON COMPLETION OF THE REVIEW, THE FORMS ARE REVIEWED AND VOTED ON AT A BOARD MEETING PRIOR TO SUBMITTAL TO THE IRS. THE ELECTED OFFICERS WILL SIGN THE FORMS WHERE NEEDED. |
| FORM 990, PART VI, SECTION B, LINE 12C | IF ANYONE REASONABLY BELIEVES THAT A POLICY, PRACTICE OR ACTIVITY OF GOOD SHEPHERD LUTHERAN SERVICES IS IN VIOLATION OF LAW, A WRITTEN COMPLAINT MUST BE FILED BY THE PERSON TO THEIR MANAGER, UP TO AND INCLUDING THE ADMINISTRATOR OR A BOARD MEMBER OF GOOD SHEPHERD LUTHERAN SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PROCESS FOR DETERMINING THE ADMINISTRATOR COMPENSATION IS REVIEWED ANNUALLY BY THE GOVERNING BODY. ALSO, THE BOARD WILL VOTE ON WHETHER TO APPROVE THE MINNESOTA COST OF LIVING ADJUSTMENT. IN THE CASE MINNESOTA DOES RECOMMEND A COST OF LIVING ADJUSTMENT, THE GOVERNING BODY WILL VOTE ON WHETHER TO APPROVE THE COST OF LIVING ADJUSTMENT FOR ALL EMPLOYEES OF THE HOME. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE TO THE PUBLIC IN THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DATA PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 66,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,651. DIETICIAN: PROGRAM SERVICE EXPENSES 65,574. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,574. MAINTENANCE & SERVICE CONTRACT: PROGRAM SERVICE EXPENSES 22,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,099. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 31,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,563. NURSING: PROGRAM SERVICE EXPENSES 314,773. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,773. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 89,842. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,842. OTHER PURCHASED/PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 5,282. MANAGEMENT AND GENERAL EXPENSES 349,918. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,200. PHARMACY CONSULTANT & EXPENSE: PROGRAM SERVICE EXPENSES 39,233. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,233. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 106,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,590. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,477. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 7,805. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,805. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD SENIOR APARTMENTS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 747 | AddressLine1Txt |
| City | RUSHFORD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411757528 | EIN |
| Primary Activities | TO PROVIDE LOW INCOME HOUSING TO THE ELDERLY OR HANDICAPPED | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 11 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD LUTHERAN SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NO TRANSACTIONS OVER 50000 | BusinessNameLine1Txt |