2025-07-24T08:21:44-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 SOUTH TEJON STREET SUITE 1100 COLORADO SPRINGS CO 80903 990 2024-01-01 840194430 EBEN EZER LUTHERAN CARE CENTER EBEN 9708422861 122 HOSPITAL ROAD BRUSH CO 80723 SHELLY GRIFFITH CEO 9708422861 2025-07-23 1 1 SARAH HINTZ P00492291 7196350330 2025-07-23 2024 2025-03-06 01:10:19Z SHELLY GRIFFITH 122 HOSPITAL ROAD BRUSH CO 80723 20565532 0 X WWW.EBENEZER.ORG X 1903 CO PROVIDE SKILLED NURSING CARE AND RELATED SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. 10 10 290 204 0 0 448710 1976223 12547290 13880797 506334 437630 2235 80714 13504569 16375364 3933 4849 0 0 7568630 8290316 0 0 55320 8091005 8699273 15663568 16994438 -2158999 -619074 40079724 43509389 32275265 36319757 7804459 7189632 X THE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE SEE SCHEDULE O FOR CONTINUATIONELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. 1 0 14952018 4849 13880797 PROVIDING SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER ALSO PROVIDES ELECTRONIC MONITORING SERVICES TO INDIVIDUALS IN THEIR HOME. 14952018 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 27 0 1 290 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CO X LESLIE MASON 9708422861 122 HOSPITAL ROAD BRUSH CO 80723 SHELLY GRIFFITH CEO 30.00 10.00 X 209151 0 31816 LESLIE MASON CFO 39.00 1.00 X 150342 0 26131 MARK FRASIER CHAIR 1.00 1.00 X X 0 0 0 ROGER SCHAEFER VICE-CHAIR (AS OF JULY 2024) 1.00 2.00 X X 0 0 0 MIKE BERRYHILL VICE-CHAIR (THROUGH JUNE 2024) 1.00 1.00 X X 0 0 0 MICHAEL LEE SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 SONYA BASS DIRECTOR 1.00 2.00 X 0 0 0 ROBERT CHAPIN DIRECTOR 1.00 2.00 X 0 0 0 PASTOR JOHN KNUTSON DIRECTOR (THROUGH JUNE 2024) 1.00 1.00 X 0 0 0 TRAVIS LEFEVER DIRECTOR 1.00 2.00 X 0 0 0 PASTOR ROBERT RITZEN DIRECTOR 1.00 0.00 X 0 0 0 NANCY SAMPLES DIRECTOR (THROUGH JUNE 2024) 1.00 1.00 X 0 0 0 PASTOR MICHAEL TEKRONY DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER THISTLE DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS VANNOY DIRECTOR 1.00 1.00 X 0 0 0 359493 0 57947 2 0 1 0 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 1930649 MARVEL MEDICAL STAFFING PO BOX 201424 DALLAS TX 75320 STAFFING AGENCY 536779 PREMERE REHAB LLC INFINITY REHAB 8100 SW NYBERG ST SUITE 200 TUALATIN OR 97062 REHAB CONTRACTOR 270777 G2 ROOFING 6920 S JORDAN ROAD UNIT F ENGLEWOOD CO 80112 ROOFING CONTRACTOR 195000 THE JAMAR COMPANY 4701 MIKE COLALILLO DRIVE DULUTH MN 55807 HVAC 120330 7 1976223 1976223 PATIENT SERVICE REV. 623000 13782220 13782220 MEALS/CATERING 623000 48152 48152 TRANSPORTATION 623000 13361 13361 TELEPHONE 623000 13189 13189 BEAUTY SHOP 623000 11824 11824 12051 12051 13880797 242211 242211 5875 3619 2256 2256 2256 4176093 205875 4182535 4014 -6442 201861 195419 195419 MISCELLANEOUS 623000 78458 78458 78458 16375364 13880797 0 518344 X 4849 4849 417440 417440 6679554 6336364 292435 50755 50298 44800 4482 1016 652381 624849 27532 490643 422401 65137 3105 935 935 57307 57307 8759 8759 2753626 2657673 95953 20631 20631 20052 400 19652 170853 48982 121871 444 444 461314 460818 496 17034 4349 12685 943421 506764 436657 2858012 2858012 453705 156030 297675 SUPPLIES 550116 502856 47260 BAD DEBT 69104 69104 FOOD 57663 57663 TAX AND LICENSES 48524 438 48086 207773 175035 32738 16994438 14952018 1987100 55320 1437496 1316750 4308659 4529204 1056759 919353 84499 93465 330296 493756 58634632 23444731 31529230 35189901 371875 428125 960910 538835 40079724 43509389 611534 744220 4657 12848 38295 35169 31308861 35200006 311918 327514 32275265 36319757 X 7804459 7189632 7804459 7189632 40079724 43509389 -619074 4247 0 X X 0 1 X 1 1 1 X 3421983 1019387 4408523 448710 1976223 11274826 12252681 12336791 12397554 12547290 13880797 63415113 15674664 13356178 16806077 12996000 15857020 74689939 0 0 0 74689939 45855 14646 9780 236844 248086 555211 45855 14646 9780 236844 248086 555211 101292 100287 15866 78458 295903 15821811 13471111 16831723 13232844 16183564 75541053 0.98870 0.99060 0.00730 0.00470 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL TICKETS / GUEST MEALS - 2020 AMOUNT: $ 28,677. BEAUTY SHOP - 2020 AMOUNT: $ 10,756. TELEPHONE - 2020 AMOUNT: $ 16,522. MISCELLANEOUS - 2020 AMOUNT: $ 40,838. 2021 AMOUNT: $ 100,287. 2022 AMOUNT: $ 15,866. 2024 AMOUNT: $ 78,458. TRANSPORTATION - 2020 AMOUNT: $ 4,499. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 655143 95016 94992 655167 655119 105356 105332 655143 655095 15766 15742 655119 655071 91198 91174 655095 655071 91355 91355 655071 0.00000 1.00000 0.00000 0 1 1 397372 397372 50492267 17569781 32922486 7696008 5874950 1821058 48985 48985 35189901 ASSET RETIREMENT OBLIGATION 327514 327514 X 17044178 4247 663448 667695 16376483 -1119 -1119 16375364 17320672 326234 326234 16994438 0 16994438 PART IV, LINE 2B: THE CARE CENTER IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS IN THE SKILLED NURSING FACILITY. PART V, LINE 4: ENDOWMENTS ARE HELD BY EBEN EZER LUTHERAN CARE CENTER FOUNDATION, A RELATED ORGANIZATION. THE ENDOWMENT CONSISTS OF THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION. PART X, LINE 2: THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AS OF DECEMBER 31, 2024 AND 2023, THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION REVENUE NOT INCLUDED 2,349,339. HOUSING CENTER REVENUE NOT INCLUDED 330,596. ELIMINATING ENTRY TO CONSOLIDATE FINANCIAL STATEMENTS -2,016,487. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSED TO REVENUE -3,619. CONTRIBUTION EXPENSE RECLASSED TO EXPENSE 2,500. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSED TO REVENUE 3,619. FOUNDATION EXPENSES NOT INCLUDED 2,029,316. HOUSING CENTER EXPENSES NOT INCLUDED 312,286. ELIMINATING ENTRY TO CONSOLIDATE FINANCIAL STATEMENTS -2,016,487. CONTRIBUTION EXPENSE RECLASSED TO EXPENSE -2,500. X X X X 0 0 0 0 0 0 0 0 0 SHELLY GRIFFITH CEO 189151 0 20000 0 0 0 4550 0 27266 0 240967 0 0 0 LESLIE MASON CFO 138342 0 12000 0 0 0 4880 0 21251 0 176473 0 0 0 FORM 990, PART III, LINE 2 ACQUIRED FOUR ADDITIONAL ASSISTED LIVING BUILDINGS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN SHALL NOT BE IN CONFLICT WITH THE POLICIES, OR ANY PRIOR ACTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD. IT SHALL CONSIDER ALL MATTERS REFERRED TO IT BY THE BOARD AND SHALL ACT FOR THE BOARD IN EMERGENCIES. THE EXECUTIVE COMMITTEE SHALL NOT ACT WITHOUT BOARD APPROVAL IN THE FOLLOWING MATTERS: (I) ANY SALE OR PURCHASE OF LAND OR BUILDINGS, (II) ANY FUNDING FOR CAPITAL IMPROVEMENTS THROUGH EITHER MORTGAGE FUNDING OR A FUND CAMPAIGN, (III) ANY ESTABLISHMENT OF ADMINISTRATIVE POSITIONS, INCLUDING POSITION DESCRIPTIONS AND FILLING OF SAID POSITIONS. FORM 990, PART VI, SECTION A, LINE 2 SONYA BASS, DIRECTOR AND SHELLY GRIFFITH, CEO HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE INDEPENDENT CPA FIRM WITH INFORMATION PROVIDED BY MANGEMENT. WHEN PREPARATION IS COMPLETED AND A DRAFT IS AVAILABLE THE AUDIT COMMITTEE REVIEWS THE FORM 990 IN DETAIL BEFORE IT IS FILED AND APPROVES THE FILING OF THE RETURN. THE BOARD OF DIRECTORS THEN IS PROVIDED WITH A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT APPLIES TO BOARD MEMBERS. EVERY YEAR MEMBERS ARE ASKED IF THERE HAS BEEN A CHANGE IN THEIR INDEPENDENCE WITH THE ORGANIZATION. CONTRACTS AND OTHER TRANSACTIONS WHICH MAY INVOLVE A DIRECT OR INDIRECT CONFLICT OF INTEREST BETWEEN THE BOARD MEMBER AND EBEN EZER SHALL BE VALID, BINDING AND ENFORCEABLE AND SHALL NOT BE VOIDABLE BY EBEN EZER IF (1) THE MATERIAL FACTS OF THE INTEREST ARE FULLY DISCLOSED IN ADVANCE TO THE BOARD OF DIRECTORS OF EBEN EZER, AND (2) AFTER ASCERTAINMENT IN GOOD FAITH OF THE FAIRNESS OF THE TRANSACTION, EVEN THOUGH THE NUMBER OF DISINTERESTED BOARD MEMBERS MAY BE LESS THAN A QUORUM. A BOARD MEMBER WITH A CONFLICT SHOULD NOT ONLY REFRAIN FROM VOTING BUT SHOULD ALSO BE EXCUSED, IF POSSIBLE, FROM ANY BOARD DISCUSSION INVOLVING THE PROPOSED TRANSACTION. MOREOVER, THAT BOARD MEMBER SHOULD NOT PARTICIPATE IN NEGOTIATING THE TERMS OF THE PROPOSED TRANSACTION. ANY CONFLICTS ARE DOCUMENTED WITHIN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS SURVEYS AND 990 COMPENSATION DATA FROM OTHER SIMILAR ORGANIZATIONS ON COMPENSATION LEVELS. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO BASED ON COMPARABLE COMPENSATION. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF HOW THE COMPENSATION IS SET. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND / OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING EXPENSES: PROGRAM SERVICE EXPENSES 32,085. MANAGEMENT AND GENERAL EXPENSES 9,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,471. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,273,052. MANAGEMENT AND GENERAL EXPENSES 86,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,359,619. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 352,536. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,536. FORM 990, PAGE 12, PART XII, LINE 2C - SELECTION OF INDEPENDENT ACCOUNTANT THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT, BY THE AUDIT COMMITTEE, HAS NOT CHANGED FROM THE PRIOR YEAR. EBEN EZER LUTHERAN CARE CENTER FOUNDATION 122 HOSPITAL ROAD BRUSH CO 80723 742480396 SUPPORT CO 501(C)(3) LINE 12A, I EBEN EZER LUTHERAN CARE CENTER 1 EBEN EZER LUTHERAN HOUSING CENTER 1900 EDISON STREET BRUSH CO 80723 840884015 HOUSING CO 501(C)(3) LINE 10 EBEN EZER LUTHERAN CARE CENTER 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 EBEN EZER LUTHERAN CARE CENTER FOUNDATION C 1976223 FMV EBEN EZER LUTHERAN CARE CENTER FOUNDATION D 221590 FMV