LEGACY SENIOR SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LEGACY SENIOR SERVICES (EIN 80-0015864)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-15
- IRS object ID
- 201432279349302008
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-08-15T09:58:05-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800015864 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEGACY SENIOR SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEGA | BusinessNameControlTxt |
| Phone | 7635375700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14416 SPRING LAKE ROAD | AddressLine1 |
| City | MINNETONKA | City |
| State | MN | State |
| ZIP Code | 55345 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC LUNDE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7635375700 | PhoneNum |
| Signature | 2014-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARAH VOGT CPA | PreparerPersonNm |
| PTIN | P00978242 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2014-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAUKESHA SPRINGS HEALTH & REHAB CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERIC LUNDE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14416 SPRING LAKE ROAD | AddressLine1 |
| City | MINNETONKA | City |
| State | MN | State |
| ZIP Code | 55345 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,620,698 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE SKILLED NURSING FACILITIES AND SENIOR HOUSING COMMUNITIES THAT PROVIDE FOR THE LONG-TERM CARE OF THE AGED, INFIRMED, INJURED AND SICK. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1218 | TotalEmployeeCnt |
| Total Volunteers | 596 | TotalVolunteersCnt |
| Total Gross UBI | $143,416 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $37,606 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $905,228 | PYContributionsGrantsAmt |
| CY Contributions Grants | $42,518 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,006,479 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,573,131 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,393 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,049 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $44,921,100 | PYTotalRevenueAmt |
| CY Total Revenue | $46,620,698 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,987 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $35,828 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,906,956 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,977,834 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $40,373 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $41,898 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $41,898 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,040,820 | PYOtherExpensesAmt |
| CY Other Expenses | $19,850,869 | CYOtherExpensesAmt |
| PY Total Expenses | $44,029,136 | PYTotalExpensesAmt |
| CY Total Expenses | $45,906,429 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $891,964 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $714,269 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,604,252 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,661,735 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,995,387 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,338,601 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,608,865 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,323,134 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LEGACY SENIOR SERVICES' MISSION IS TO CREATE COMMUNITIES OF DIGNITY, PASSION, AND RESPECT FOR ADULTS AND TO PARTNER WITH OTHER NOT FOR PROFIT ORGANIZATIONS ACROSS THE COUNTRY. THROUGH ITS EFFORTS, LEGACY SENIOR SERVICES SEEKS TO PROVIDE BROAD CONTINUUMS OF CARE TO PROMOTE HEALTH, MIND, AND SPIRIT OF THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,388,565 | ExpenseAmt |
| Grant | $35,828 | GrantAmt |
| Revenue | $46,573,131 | RevenueAmt |
| Desc | LEGACY SENIOR SERVICES IS A MINNESOTA CORPORATION THAT OPERATES A 170 BED SKILLED NURSING FACILITY IN WAUKESHA, WISCONSIN, CALLED WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER. WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER HAD AN AVERAGE DAILY CENSUS OF 127 RESIDENTS DURING 2013. LEGACY SENIOR SERVICES IS ORGANIZED TO OWN AND OPERATE FACILITIES WITH THE INTENT OF HOUSING ELDERLY AND OTHER VULNERABLE PERSONS AND MEETING THEIR HEALTHCARE, RESIDENTIAL, PHYSICAL AND SOCIAL NEEDS. LEGACY SENIOR SERVICES IS THE SOLE MEMBER OF SEVEN OTHER LIMITED LIABILITY COMPANIES WHICH OPERATE AS SKILLED NURSING, ASSISTED LIVING, AND/OR INDEPENDENT LIVING FACILITIES AS FOLLOWS: -LSS OF MADISON, LLC, A 90 BED SKILLED NURSING FACILITY LOCATED IN MADISON, WISCONSIN. LSS OF MADISON, LLC HAD AN AVERAGE DAILY CENSUS OF 81 DURING 2013.-LSS OF FRAZEE, LLC, A 74 BED SKILLED NURSING FACILITY AND A 19 UNIT ASSISTED LIVING FACILITY LOCATED IN FRAZEE, MINNESOTA AND A 15 UNIT ASSISTED LIVING FACILITY LOCATED IN VERGAS, MINNESOTA. LSS OF FRAZEE, LLC HAD AN AVERAGE DAILY CENSUS OF 100 DURING 2013.-LSS OF MARYCREST, LLC, A 138 UNIT ASSISTED LIVING FACILITY LOCATED IN DENVER, COLORADO. LSS OF MARYCREST, LLC HAD AN AVERAGE DAILY CENSUS OF 134 DURING 2013.-LSS OF SHEBOYGAN, LLC, A 140 BED SKILLED NURSING FACILITY LOCATED IN SHEBOYGAN, WISCONSIN. LSS OF SHEBOYGAN, LLC HAD AN AVERAGE DAILY CENSUS OF 109 DURING 2013.-LSS OF TRAVERSE, LLC, A 49 BED SKILLED NURSING FACILITY AND A 20 UNIT INDEPENDENT LIVING FACILITY LOCATED IN WHEATON, MINNESOTA. LSS OF TRAVERSE, LLC HAD AN AVERAGE DAILY CENSUS OF 64 DURING 2013.-LSS OF WADENA, LLC, A 75 BED SKILLED NURSING FACILITY AND A 32 UNIT INDEPENDENT LIVING FACILITY LOCATED IN WADENA, MINNESOTA. LSS OF WADENA, LLC HAD AN AVERAGE DAILY CENSUS OF 93 DURING 2013.-LSS HOME HEALTH AND HOSPICE, LLC, PROVIDES HOSPICE, HOME HEALTH AND NURSING SERVICES IN WADENA, MINNESOTA.ALL OF THE SKILLED NURSING FACILITIES ARE MEDICARE AND MEDICAID CERTIFIED. | Desc |
| Total Program Service Expenses | $38,388,565 | 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 | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1218 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH DIMENSIONS GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7635375700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4400 BAKER ROAD STE 100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55343 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ERIC LUNDE | ||||||
| PRESIDENT/TREASURER | 8.00 | Yes (X) | Yes (X) | $10,500 | $0 | $0 |
| ROGER GREEN | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $4,300 | $0 | $0 |
| CHAR SAMUELSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $4,300 | $0 | $0 | |
| ROBERT BECK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $2,800 | $0 | $0 | |
| JOEL JENSEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $2,800 | $0 | $0 | |
| MEGAN SIMPSON 913-1213 | ||||||
| ADMINISTRATOR - LSS OF MADISON | 40.00 | Yes (X) | $0 | $0 | $0 | |
| ED BRADY 113-913 ADMIN | ||||||
| LSS OF SHEBOYGAN & LSS OF MADISON | 40.00 | Yes (X) | $60,894 | $0 | $0 | |
| JENNIFER JOHNSON 113-513 | ||||||
| ADMINISTRATOR - LSS OF MADISON | 40.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREW HUHTA 213-1213 | ||||||
| ADMINISTRATOR - LSS OF FRAZEE | 40.00 | Yes (X) | $0 | $0 | $0 | |
| GRANT BRANDON 113-213 | ||||||
| ADMINISTRATOR - LSS OF FRAZEE | 40.00 | Yes (X) | $25,695 | $0 | $0 | |
| RICHARD BLANCHARD | ||||||
| ADMINISTRATOR - LSS OF WADENA | 40.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL PETERSON | ||||||
| ADMIN. - LSS HOME HEALTH & HOSPICE | 40.00 | Yes (X) | $0 | $0 | $0 | |
| JULIE CALLENDER | ||||||
| ADMINISTRATOR - LSS OF MARYCREST | 40.00 | Yes (X) | $0 | $0 | $0 | |
| CHELSY STATTELMAN | ||||||
| ADMINISTRATOR - LSS OF TRAVERSE | 40.00 | Yes (X) | $0 | $0 | $0 | |
| DENNIS VIDETIC 613-1213 | ||||||
| ADMINISTRATOR - LSS OF SHEBOYGAN | 40.00 | Yes (X) | $0 | $0 | $0 | |
| BARTON SMITH ADMINISTRATOR | ||||||
| WAUKESHA SPRINGS HEALTH & REHAB | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $111,289 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTH DIMENSIONS CONSULTING INC | |||||
| 4400 BAKER ROAD | MINNEAPOLIS | MN | 55343 | MGMT FEES, ADMIN. SALARIES, CONSULTING | $3,055,762 |
| HDG-WI LLC | |||||
| 4400 BAKER ROAD | MINNEAPOLIS | MN | 55343 | MANAGEMENT FEES | $1,735,831 |
| BSG MAINTENANCE INC | |||||
| PO BOX 165 | NEWBURG | WI | 53060 | LAUNDRY & HOUSEKEEPING SERVICES | $972,908 |
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FORT SMITH | AR | 72902 | THERAPY SERVICES | $748,516 |
| PRO REHAB | |||||
| 200 LEWIS AVE S 210 | WATERTOWN | MN | 55388 | THERAPY SERVICES | $641,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $42,518 | AllOtherContributionsAmt |
| Total Contributions | $42,518 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| RESIDENT SERVICE REVENUE | 623000 | $46,030,073 | $46,030,073 | |
| MISCELLANEOUS REVENUE | 900099 | $543,058 | $399,642 | $143,416 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,573,131 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,049 | TotalRevenueColumnAmt |
| Exclusion | $5,049 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,620,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,429,715 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $143,416 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,049 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,828 | TotalAmt |
| Program Services | $35,828 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,289 | TotalAmt |
| Management And General | $111,289 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,656,057 | TotalAmt |
| Program Services | $18,771,583 | ProgramServicesAmt |
| Management And General | $1,884,474 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,036 | TotalAmt |
| Program Services | $57,046 | ProgramServicesAmt |
| Management And General | $5,990 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,296,812 | TotalAmt |
| Program Services | $2,983,534 | ProgramServicesAmt |
| Management And General | $313,278 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,640 | TotalAmt |
| Program Services | $1,674,784 | ProgramServicesAmt |
| Management And General | $175,856 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,533,813 | TotalAmt |
| Management And General | $2,533,813 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,578 | TotalAmt |
| Management And General | $200,578 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,562 | TotalAmt |
| Management And General | $109,562 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,898 | TotalAmt |
| Fundraising | $41,898 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,072,038 | TotalAmt |
| Program Services | $1,854,550 | ProgramServicesAmt |
| Management And General | $217,488 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,673 | TotalAmt |
| Program Services | $14,358 | ProgramServicesAmt |
| Management And General | $174,315 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,901 | TotalAmt |
| Program Services | $1,230,311 | ProgramServicesAmt |
| Management And General | $280,590 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,753 | TotalAmt |
| Program Services | $23,061 | ProgramServicesAmt |
| Management And General | $229,692 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,737,475 | TotalAmt |
| Program Services | $3,667,618 | ProgramServicesAmt |
| Management And General | $69,857 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,047 | TotalAmt |
| Program Services | $77,965 | ProgramServicesAmt |
| Management And General | $19,082 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,886 | TotalAmt |
| Program Services | $15,969 | ProgramServicesAmt |
| Management And General | $98,917 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,185 | TotalAmt |
| Program Services | $540,185 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,663 | TotalAmt |
| Program Services | $917,663 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,730 | TotalAmt |
| Program Services | $20,474 | ProgramServicesAmt |
| Management And General | $630,256 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,082,965 | $3,082,965 | |
| FOOD | $1,538,722 | $1,538,722 | |
| MN DHS SURCHARGE/WI PRO | $1,373,370 | $1,373,370 | |
| BAD DEBT EXPENSE | $251,684 | $251,684 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,824 | TotalAmt |
| Program Services | $508,579 | ProgramServicesAmt |
| Management And General | $169,245 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,906,429 | TotalAmt |
| Program Services | $38,388,565 | ProgramServicesAmt |
| Management And General | $7,475,966 | ManagementAndGeneralAmt |
| Fundraising | $41,898 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,875,276 | BOYAmt |
| EOY | $1,996,048 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,200 | BOYAmt |
| EOY | $36,782 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,845 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,694,003 | BOYAmt |
| EOY | $4,567,226 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,426 | BOYAmt |
| EOY | $19,426 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,350 | BOYAmt |
| EOY | $485,073 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,007,639 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,697,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,544,768 | BOYAmt |
| EOY | $13,310,366 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $833 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,551 | BOYAmt |
| EOY | $245,814 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,604,252 | BOYAmt |
| EOY | $20,661,735 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,440,389 | BOYAmt |
| EOY | $5,212,800 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $193,140 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,078,934 | BOYAmt |
| EOY | $3,832,665 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,487 | BOYAmt |
| EOY | $166,034 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,829,471 | BOYAmt |
| EOY | $4,603,856 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,106 | BOYAmt |
| EOY | $330,106 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,995,387 | BOYAmt |
| EOY | $14,338,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,608,865 | BOYAmt |
| EOY | $6,323,134 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,608,865 | BOYAmt |
| EOY | $6,323,134 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,604,252 | BOYAmt |
| EOY | $20,661,735 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $714,269 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $14,754 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,914 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $905,228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,518 | CurrentTaxYearAmt |
| Total | $1,092,485 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,965,370 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,732,833 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,765,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,891,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,429,715 | CurrentTaxYearAmt |
| Total | $209,784,907 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,980,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,771,747 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,856,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $44,796,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,472,233 | CurrentTaxYearAmt |
| Total | $210,877,392 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $210,877,392 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,064 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,858 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,393 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,049 | CurrentTaxYearAmt |
| Total | $33,480 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,064 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,858 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,393 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,049 | CurrentTaxYearAmt |
| Total | $33,480 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,988,188 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,780,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,858,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $44,806,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,477,282 | CurrentTaxYearAmt |
| Total | $210,910,872 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99970 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,413,200 | OtherCostOrOtherBasisAmt |
| Book Value | $1,413,200 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,708,468 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,880,815 | DepreciationAmt |
| Book Value | $9,827,653 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $855,362 | OtherCostOrOtherBasisAmt |
| Book Value | $855,362 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,649,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,779,043 | DepreciationAmt |
| Book Value | $870,858 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,415 | DepreciationAmt |
| Book Value | $343,293 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,310,366 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $46,620,698 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $46,620,698 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $46,620,698 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,906,429 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $45,906,429 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,906,429 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION ACTS AS CUSTODIAN FOR THE FUNDS OF THE RESIDENTS OF THE NURSING FACILITIES AND HOLDS TENANT SECURITY DEPOSITS FOR TENANTS OF THE ASSISTED LIVING FACILITIES. |
| PART X, LINE 2: | LEGACY SENIOR SERVICES IS ORGANIZED AS A MINNESOTA NOT-FOR-PROFIT 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). EACH OF THE CONTROLLED LIMITED LIABILITY CORPORATIONS MAINTAINS EXEMPT STATUS UNDER LEGACY SENIOR SERVICES' EXEMPTION SINCE LEGACY SENIOR SERVICES IS THE SOLE MEMBER OF EACH ENTITY. THE ORGANIZATION IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ANNUALLY. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON ANY NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSE. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE 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. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MULLEN COMPANY LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4825 S AMMONS ST 127 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITING AND FUND SOLICITATION | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $36,595 | GrossReceiptsAmt |
| Retained By Contractor | $41,898 | RetainedByContractorAmt |
| Net To Organization | -$5,303 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $36,595 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $41,898 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$5,303 | TotalNetToOrganizationAmt |
| Licensed States | CO | LicensedStatesCd |
| Licensed States | MN | LicensedStatesCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 57 | RecipientCnt |
| Cash Grant | $35,828 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES FUNDS UNDER SCHOLARSHIP AND TUITION ASSISTANCE PROGRAMS FOR ITS EMPLOYEES. EMPLOYEES MUST MEET CERTAIN CRITERIA TO QUALIFY. THE ORGANIZATION EITHER REIMBURSES THE EMPLOYEE FOR EDUCATIONAL EXPENSES OR PAYS THE EDUCATIONAL INSTITUTION DIRECTLY. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF FRAZEE MN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005174 | BondIssuerEIN |
| Bond Issued | 2007-08-01 | BondIssuedDt |
| Issue Price | $4,850,000 | IssuePriceAmt |
| Purpose | HEALTH CARE FACILITY ACQUISITION IN FRAZEE, MN | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,017,335 | RetiredAmt |
| Total Proceeds | $4,882,400 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $133,384 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,749,016 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: CITY OF FRAZEE, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 09/11/2012 |
| SCHEDULE K SUPPLENTAL INFORMATION | THE AMOUNT REPORTED AS BONDS RETIRED FOR THE PRIVATELY PLACED TAX-EXEMPT REVENUE NOTES IS THE ORIGINAL ISSUE PRICE LESS THE OUTSTANDING PRINCIPAL BALANCE OF THE UNDERLYING BANK LOAN AS OF THE END OF THE SCHEDULE K REPORTING PERIOD. |
| SCHEDULE K, PART II, LINES 3 AND 10: | THESE AMOUNTS INCLUDE INTEREST EARNED DURING THE CONSTRUCTION PERIOD. |
| SCHEDULE K, PART III, LINE 9: | THE ORGANIZATION DOES NOT HAVE A FORMAL BOARD ADOPTED POLICY, BUT THE ORGANIZATION DOES ENSURE POST-ISSUANCE COMPLIANCE THROUGH THEIR MANAGEMENT PRACTICES AND PROCEDURES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | LEGACY SENIOR SERVICES HAS A MANAGEMENT AGREEMENT WITH HEALTH DIMENSIONS CONSULTING, INC. (DBA HEALTH DIMENSIONS GROUP) OR HDG-WI, LLC TO PROVIDE MANAGEMENT SERVICES TO LEGACY SENIOR SERVICES AND THE FOLLOWING WHOLLY OWNED SINGLE-MEMBER LLC'S: LSS OF MADISON, LLC; LSS OF SHEBOYGAN, LLC; LSS OF FRAZEE, LLC; LSS OF TRAVERSE, LLC, LSS OF MARYCREST, LLC; LSS OF WADENA, LLC, AND LSS HOME HEALTH AND HOSPICE, LLC. THE FOLLOWING INDIVIDUALS PROVIDED SERVICES AS ADMINISTRATORS OF THE FACILITIES THAT INCLUDED DAY TO DAY MANAGEMENT OF FUNCTIONAL OPERATIONS, MANAGEMENT OF FACILITY PERSONNEL, AND EXECUTION OF POLICIES GOVERNING FACILITY OPERATIONS. MEGAN SIMPSON (9/13-12/13) LSS OF MADISON, LLC $29,500 ED BRADY (6/13-9/13) LSS OF MADISON, LLC $25,164 JENNIFER JOHNSON (1/13-5/13) LSS OF MADISON, LLC $37,459 ANDREW HUHTA (2/13-12/13) LSS OF FRAZEE, LLC $59,043 GRANT BRANDON (1/13-2/13) LSS OF FRAZEE, LLC $25,695 RICHARD BLANCHARD LSS OF WADENA, LLC $75,128 DANIEL PETERSON LSS HOME HEALTH & HOSPICE, LLC $91,962 JULIE CALLENDER LSS OF MARYCREST, LLC $92,975 CHELSY STATTELMAN LSS OF TRAVERSE, LLC $64,374 DENNIS VIDETIC (6/13-12/13) LSS OF SHEBOYGAN, LLC $52,367 ED BRADY (1/13-5/13) LSS OF SHEBOYGAN, LLC $35,729 BARTON SMITH WAUKESHA SPRINGS HEALTH & REHAB $108,884 |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S BYLAWS WERE AMENDED TO INCREASE THE NUMBER OF BOARD MEMBERS AND ESTABLISH TERM PROCEDURES. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION HAS NO COMMITTEES. THE FULL BOARD HANDLES ALL MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE MANAGER OF FINANCIAL SERVICES AND THE VICE PRESIDENT OF FINANCIAL SERVICES OF THE MANAGEMENT COMPANY PRIOR TO FILING. THE 990 IS ALSO PROVIDED TO THE LEGACY SENIOR SERVICES BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY COVERS ALL BOARD DIRECTORS AND OFFICERS OF THE ORGANIZATION. INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OF DIRECTORS DETERMINES WHETHER OR NOT A CONFLICT EXISTS. IF THE INDIVIDUAL WITH A CONFLICT IS A BOARD MEMBER, THE REMAINING BOARD MEMBERS DETERMINE WHETHER A CONFLICT EXISTS. IF AN INDIVIDUAL HAS A CONFLICT OF INTEREST, THEY MUST LEAVE THE MEETING WHILE THE TRANSACTION OR AGREEMENT IS DISCUSSED AND VOTED UPON. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ADMINISTRATORS' COMPENSATION IS DETERMINED BY AN UNRELATED MANAGEMENT COMPANY, HEALTH DIMENSIONS GROUP. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| LSS OF MADISON LLC | |||||||||
| 110 BELMONT ROAD | MADISON | WI | 53714 | 201209404 | NURSING HOME | WI | $7,415,870 | $1,635,940 | LEGACY SENIOR SERVICES |
| LSS OF SHEBOYGAN LLC | |||||||||
| 3014 ERIE AVENUE | SHEBOYGAN | WI | 53081 | 208658381 | NURSING HOME | WI | $8,618,752 | $3,481,364 | LEGACY SENIOR SERVICES |
| LSS OF FRAZEE LLC | |||||||||
| 219 W MAPLE AVENUE | FRAZEE | MN | 56544 | 208729268 | NURSING HOME & ASSISTED LIVING | MN | $6,161,660 | $5,380,702 | LEGACY SENIOR SERVICES |
| LSS OF MARYCREST | |||||||||
| 2850 COLUMBINE ROAD | DENVER | CO | 80221 | 262181659 | ASSISTED LIVING | CO | $3,808,815 | $6,636,942 | LEGACY SENIOR SERVICES |
| LSS OF TRAVERSE LLC | |||||||||
| 303 7TH STREET SOUTH | WHEATON | MN | 56296 | 273274611 | NURSING HOME & INDEPENDENT LIVING | MN | $3,387,176 | $436,882 | LEGACY SENIOR SERVICES |
| LSS OF WADENA LLC | |||||||||
| 201 SHADY LANE DRIVE | WADENA | MN | 56482 | 454632615 | NURSING HOME & INDEPENDENT LIVING | MN | $5,435,507 | $1,879,141 | LEGACY SENIOR SERVICES |
| LSS HOME HEALTH & HOSPICE LLC | |||||||||
| 201 SHADY LANE DRIVE | WADENA | MN | 56482 | 454700887 | HOME HEALTH AND HOSPICE AGENCY | MN | $1,604,561 | $369,894 | LEGACY SENIOR SERVICES |