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ST JOHN LUTHERAN HOME: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST JOHN LUTHERAN HOME (EIN 41-0711592)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-04-21
IRS object ID
201641129349300214
Schema version
2014v6.0
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)
Return2016-04-21T10:54:18-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411765929PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410711592EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St John Lutheran HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone5077233211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 S County RD 5AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56087ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoshua JensenPersonNm
Person TitleCEOPersonTitleTxt
Phone5077233211PhoneNum
Signature2016-03-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP00484560PTIN
Phone9529446166PhoneNum
Preparation2016-03-24PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoshua JensenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 S County RD 5AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56087ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,636,461GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sjlhome.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1901FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionSkilled nursing careActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee305TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,967,617PYProgramServiceRevenueAmt
CY Program Service Revenue$6,604,670CYProgramServiceRevenueAmt
PY Investment Income$149,671PYInvestmentIncomeAmt
CY Investment Income$25,081CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,117,288PYTotalRevenueAmt
CY Total Revenue$6,629,751CYTotalRevenueAmt
PY Grants And Similar Paid$6,491PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,614CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,089,540PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,639,700CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,500,137PYOtherExpensesAmt
CY Other Expenses$2,363,449CYOtherExpensesAmt
PY Total Expenses$7,596,168PYTotalExpensesAmt
CY Total Expenses$7,014,763CYTotalExpensesAmt
PY Revenues Less Expenses-$478,880PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$385,012CYRevenuesLessExpensesAmt
Total Assets BOY$7,189,167TotalAssetsBOYAmt
Total Assets EOY$6,858,795TotalAssetsEOYAmt
Total Liabilities BOY$4,685,904TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,220,497TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,503,263NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,638,298NetAssetsOrFundBalancesEOYAmt
MissionSt. John's Circle of Care provides services and support that enable all who are within our Circle of Care the ability to thrive together.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,139,265ExpenseAmt
Grant$11,614GrantAmt
Revenue$6,604,670RevenueAmt
DescSt. John Lutheran Home is a 85-bed nursing facility and 7-unit senior rental facility and a 26 unit housing with services facility. Home care services are provided to these facilities and to the community. The home also operates a licensed day care in furtherance of its purpose by providing intergenerational care to residents. This program enhances the well-being of the residents.Desc
Total Program Service Expenses$6,139,265TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee305EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert LamoteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5077233209PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 S County Road 5AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56087ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dan Olson
Chair2.002.00Yes (X)Yes (X)$0$0$0
Sharon Beyer
Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Pat Renberg
Treasurer2.002.00Yes (X)Yes (X)$0$0$0
Laurie Fredin
Secretary2.002.00Yes (X)Yes (X)$0$0$0
Gilbert Anderson
Director1.002.00Yes (X)$0$0$0
Irene Zimmerman
Director (thru Feb 2015)1.001.00Yes (X)$0$0$0
Jo Schwartz
Director1.002.00Yes (X)$0$0$0
Ken Hemmingsen Jr
Director1.001.00Yes (X)$0$0$0
Randy Therkilsen
Director1.002.00Yes (X)$0$0$0
Sue Steinke
Director1.001.00Yes (X)$0$0$0
Paula Roiger
Director1.001.00Yes (X)$0$0$0
Joshua Jensen
CEO40.004.00Yes (X)$100,547$0$1,592
Robert Lamote
CFO40.004.00Yes (X)$61,711$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$162,258TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,592TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
All Tempories Midwest
3638 Central AveMinneapolisMN55418pool nurses and aides$211,160
Aegis Therapies Inc
PO Box 8103Fort SmithAR72902therapy services$201,294
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Revenue623000$6,068,457$6,068,457
Day Care Revenue624410$253,328$253,328
Other Revenue900099$226,171$226,171
Management Fee Revenue900099$56,714$56,714
FieldValueIRS element (for citing)
Total Program Service Revenue$6,604,670TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,791TotalRevenueColumnAmt
Exclusion$31,791ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,710SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,710SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,710TotalRevenueColumnAmt
Exclusion-$6,710ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,629,751TotalRevenueColumnAmt
Related Or Exempt Func Income$6,604,670RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$25,081ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$11,614TotalAmt
Program Services$11,614ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$164,023TotalAmt
Management And General$164,023ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$17,507TotalAmt
Program Services$17,507ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,040,481TotalAmt
Program Services$3,825,793ProgramServicesAmt
Management And General$214,688ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$140,690TotalAmt
Program Services$128,070ProgramServicesAmt
Management And General$12,620ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$276,999TotalAmt
Program Services$252,152ProgramServicesAmt
Management And General$24,847ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,178TotalAmt
Management And General$17,178ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$292,053TotalAmt
Program Services$249,680ProgramServicesAmt
Management And General$42,373ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,491TotalAmt
Program Services$168ProgramServicesAmt
Management And General$1,323ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$353,125TotalAmt
Program Services$309,513ProgramServicesAmt
Management And General$43,612ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,034TotalAmt
Program Services$3,020ProgramServicesAmt
Management And General$24,014ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$346,288TotalAmt
Program Services$346,288ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,679TotalAmt
Program Services$11,235ProgramServicesAmt
Management And General$5,444ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,097TotalAmt
Program Services$8,610ProgramServicesAmt
Management And General$5,487ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$85,639TotalAmt
Program Services$85,639ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$435,463TotalAmt
Program Services$435,463ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,525TotalAmt
Program Services$5,781ProgramServicesAmt
Management And General$45,744ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dietary$289,651$289,651
Surcharge Tax$248,658$248,658
Medical Supplies$138,814$138,814
Bad Debt Expense$18,544$18,544

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,210TotalAmt
Program Services$1,723ProgramServicesAmt
Management And General$25,487ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,014,763TotalAmt
Program Services$6,139,265ProgramServicesAmt
Management And General$875,498ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$82,623BOYAmt
EOY$128,165EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$208,078BOYAmt
EOY$103,520EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$521,453BOYAmt
EOY$512,847EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,924BOYAmt
EOY$31,065EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,241,120LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,407,857LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,069,470BOYAmt
EOY$5,833,263EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$259,619BOYAmt
EOY$249,935EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,189,167BOYAmt
EOY$6,858,795EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$713,319BOYAmt
EOY$632,364EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,958,330BOYAmt
EOY$3,578,457EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$14,255BOYAmt
EOY$9,676EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,685,904BOYAmt
EOY$4,220,497EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,503,263BOYAmt
EOY$2,638,298EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,503,263BOYAmt
EOY$2,638,298EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,189,167BOYAmt
EOY$6,858,795EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$385,012ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,762NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$524,809OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,928,026CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,268,154CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,981,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,967,617CurrentTaxYearMinus1YearAmt
Current Tax Year$6,604,670CurrentTaxYearAmt
Total$35,749,523TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,928,026CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,268,154CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,981,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,967,617CurrentTaxYearMinus1YearAmt
Current Tax Year$6,604,670CurrentTaxYearAmt
Total$35,749,523TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$245,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$126,322CurrentTaxYearMinus1YearAmt
Current Tax Year$282,343CurrentTaxYearAmt
Total$875,188TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$245,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$126,322CurrentTaxYearMinus1YearAmt
Current Tax Year$282,343CurrentTaxYearAmt
Total$875,188TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$34,874,335PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$75,953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,168CurrentTaxYearMinus1YearAmt
Current Tax Year$31,791CurrentTaxYearAmt
Total$209,598TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$75,953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,168CurrentTaxYearMinus1YearAmt
Current Tax Year$31,791CurrentTaxYearAmt
Total$209,598TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,003,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,325,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,006,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,986,785CurrentTaxYearMinus1YearAmt
Current Tax Year$6,636,461CurrentTaxYearAmt
Total$35,959,121TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96980PublicSupportCY509Pct
Public Support PY5090.97630PublicSupportPY509Pct
Investment Income CY0.00580InvestmentIncomeCYPct
Investment Income PY0.00760InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$9,144BeginningBalanceAmt
Additions During Year$3,560AdditionsDuringYearAmt
Distributions During Year$1,723DistributionsDuringYearAmt
Ending Balance$10,981EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,444OtherCostOrOtherBasisAmt
Book Value$6,444BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,261,393OtherCostOrOtherBasisAmt
Depreciation$5,462,751DepreciationAmt
Book Value$4,798,642BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,195,642OtherCostOrOtherBasisAmt
Depreciation$2,472,846DepreciationAmt
Book Value$722,796BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$777,641OtherCostOrOtherBasisAmt
Depreciation$472,260DepreciationAmt
Book Value$305,381BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,833,263TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,621,429TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,762NetUnrealizedGainsInvstAmt
Revenue Not Reported-$4,762RevenueNotReportedAmt
Revenue Subtotal$6,626,191RevenueSubtotalAmt
Other Revenues Not Included$3,560OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,560RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,629,751TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,013,040TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,013,040ExpensesSubtotalAmt
Other Expenses Not Included$1,723OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,723ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,014,763TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 1b:The St. John Lutheran Home Auxiliary is operated under the EIN of St. John Lutheran Home however the assets are not reported on Part X.
Part IV, Line 2b:The Organization acts as custodian for the funds of the residents and holds tenant security deposits. These funds are included in cash and cash equivalents and trade accounts payable in the consolidated financial statements.
Part X, Line 2:The Home is organized as a Minnesota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The entity is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Home is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. The Home has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 4b - Other Adjustments:Auxiliary Revenue not Included in Financial Statements 3,560.
Part XII, Line 4b - Other Adjustments:Auxiliary Expenses not Included in Financial Statements 1,723.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeLPN Course ScholarshipsGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$11,614CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThese scholarships are funded by the State of Minnesota program which builds the cost of the scholarships into our rates the 2nd year after the scholarships are granted.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of SpringfieldBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005552BondIssuerEIN
Bond Issued2006-09-12BondIssuedDt
Issue Price$4,300,000IssuePriceAmt
PurposeMultifamily housing developmentPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$412,568RetiredAmt
Total Proceeds$4,300,000TotalProceedsAmt
Issuance Costs From Proceeds$86,000IssuanceCostsFromProceedsAmt
Capital Expenditures$4,214,000CapitalExpendituresAmt
Substantial Completion2007SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part II, Line 1, Column A:FormAndLineReferenceDesc
ExplanationThe 2006 Revenue Note matures in 2026. The amount on Line 1 represents the amount of principal reduction of the underlying note payable to the financial institutions rather than actual retirement of bonds of the issue.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonElizabeth JensenPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily member of an officerRelationshipDescriptionTxt
Transaction$17,507TransactionAmt
TransactionReportable compensation paid to a family member of a current officer.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 8bThere are no other committees with authority to act on behalf of the board.
Form 990, Part VI, Section B, line 11The CEO and CFO review a draft in detail and provide copies to the board.
Form 990, Part VI, Section B, line 12cThe policy currently covers board members and the CEO and CFO. Annual statements are reviewed by the CEO. If a board member has a conflict, that individual must refrain from voting on the matter.
Form 990, Part VI, Section B, line 15The CEO's performance is evaluated by the Board of Directors' Executive Committee. A summary of the evaluation is provided to the entire board. The board determines the CEO's salaryusing compensation reports provided by Aging Services of Minnesota and Lutheran Services in America. The CFO and other key employees receive the same wage increases as general staff. Based on the CEO's annual review and the same compensation reports, if an additional increase is warranted, the CEO makes a proposal for the board to act on.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy and financial statements would be made available to the public upon request. Each request would be reviewed on a case by case basis.
Form 990, Part XI, line 9:Transfer from Related Party 526,646. Net Change in Auxiliary Assets -1,837.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
St John Lutheran Home Foundation
201 S County Road 5SpringfieldMN56087363372067Support St. John Lutheran HomeMN501(c)(3)Line 7St John Lutheran HomeYes (1)
Cottonwood Ridge Apartments
712 E Cottonwood StSpringfieldMN560871167411889334Elderly HousingMN501(c)(3)Line 9St John Lutheran HomeYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1St John Lutheran Home FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$526,646InvolvedAmt
Method Of Amount DeterminationFair Market ValueMethodOfAmountDeterminationTxt