STRATEGY STUDIO / PUBLIC DATA EXPLORER

CEDAR FALLS LUTHERAN HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CEDAR FALLS LUTHERAN HOME (EIN 42-0794364)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201343169349303189
Schema version
2012v2.1
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)
Timestamp2013-11-12T10:08:38-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420794364EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CEDAR FALLS LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCEDANameControl
Phone3192680401Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17511 UNIVERSITY AVENUEAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAWN BENGENName
TitleCFOTitle
Phone3192680401Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF VRIEZEName
PTINP01273590PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NEWALDAYA LIFESCAPESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHY DUKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17511 UNIVERSITY AVENUEAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15050489GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NEWALDAYA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionENHANCING THE LIVES OF SENIORS THROUGH A COMMITMENT TO INDIVIDUALIZED, CHRISTIAN CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees459TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year451908ContributionsGrantsPriorYear
Contributions Grants Current Year259377ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14242606ProgramServiceRevenuePriorYear
Program Service Revenue CY14482945ProgramServiceRevenueCY
Investment Income Prior Year-383325InvestmentIncomePriorYear
Investment Income Current Year158695InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14311189TotalRevenuePriorYear
Total Revenue Current Year14901017TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year199GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4650GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8703456SalariesEtcPriorYear
Salaries Etc Current Year8863196SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5129TotalFundrsngExpCurrentYear
Other Expense Prior Year5379992OtherExpensePriorYear
Other Expenses Current Year5820715OtherExpensesCurrentYear
Total Expenses Prior Year14083647TotalExpensesPriorYear
Total Expenses Current Year14688561TotalExpensesCurrentYear
Revenues Less Expenses Prior Year227542RevenuesLessExpensesPriorYear
Revenues Less Expenses CY212456RevenuesLessExpensesCY
Total Assets BOY21360438TotalAssetsBOY
Total Assets EOY21809172TotalAssetsEOY
Total Liabilities BOY12866374TotalLiabilitiesBOY
Total Liabilities EOY13001835TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8494064NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8807337NetAssetsOrFundBalancesEOY
Mission DescriptionCHRISTIAN CARING - ENHANCING LIVES THROUGH A COMMITMENT TO INDIVIDUALIZED CARE IN A HOME EMPOWERED BY GOD'S LOVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13802752Expense
Grants4650Grants
Revenue14482945Revenue
DescriptionWE OFFER CHRISTIAN CARING THROUGHOUT OUR 135-BED NURSING FACILITY, 42-UNIT ASSISTED LIVING FACILITY AND 106 INDEPENDENT LIVING UNITS. WE ARE COMMITTED TO QUALITY FIRST, A PHILOSOPHY OF QUALITY AND A FRAMEWORK FOR EARNING PUBLIC TRUST IN AGING SERVICES. WE CONTINUE OUR JOURNEY TO PROMOTE RESIDENT-CENTERED, CONSUMER DRIVEN SERVICE. WE OFFER WELLNESS PROGRAMMING THAT INCLUDES MUSIC, ART AND HORTICULTURE THERAPIES. THE CORPORATION IS ALSO THE SOLE OWNER OF HOME CONNECTIONS, LLC, A HOME HEALTH AGENCY, OPERATING IN CEDAR FALLS, IOWA.Description
Total Program Service Expense13802752TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees459NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAWN BENGENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3192680401TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17511 UNIVERSITY AVENUEAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KATHY DUKE
PRESIDENT3.00XX000
ALLEN SCHNEIDER
VICE PRESIDENT2.00XX000
DEON SENCHINA
TREASURER - BEGIN MAY 20122.00XX000
LARRY GREGORY
TREASURER - END MAY 20122.00XX000
DAVE DEAVER
SECRETARY - BEGIN MAY 20123.00XX000
BETTY BERGMAN
SECRETARY - END MAY 20123.00XX000
LARRY CLARK
MEMBER1.00X000
LAVERYL DLOGHY
MEMBER1.00X000
DEAN DREYER
MEMBER1.00X000
DUANE HAMILTON
MEMBER1.00X000
RICHARD HANFT
MEMBER1.00X000
TOM HOAG
MEMBER1.00X000
AMY HOYER
MEMBER1.00X000
JAN KRAUSE
MEMBER1.00X000
ARTHUR LUPKES
MEMBER1.00X000
MARCIA MICHAELSEN
MEMBER1.00X000
LISA NELSON
MEMBER1.00X000
ROBERT NELSON
MEMBER1.00X000
MILLISA TIERNEY
CHIEF EXECUTIVE OFFICER40.00X118387021473
DAWN BENGEN
CHIEF FINANCIAL OFFICER40.00X89798010664
FieldValueIRS element (for citing)
Total Reportable Comp From Org208185TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation32137TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AGILITY HEALTH
PO BOX 77000DETROITMI48277THERAPY SERVICES1091506
ARAMARK UNIFORM SERVICES
600 LINDEN AVENUEWATERLOOIA50703LAUNDRY SERVICES140070
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants61000GovernmentGrants
All Other Contributions198377AllOtherContributions
Total Contributions259377TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING FACILITY6230001134917811349178
ASSISTED LIVING62300015061131506113
APARTMENT REVENUE62300010733951073395
ENTRANCE FEES623000396366396366
MEALS & ACTIVITIES623990157893157893
FieldValueIRS element (for citing)
Total Program Service Revenue14482945TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column110479TotalRevenueColumn
Exclusion$110,479ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities197688Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities142827Securities
Other6645Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities54861Securities
Other-6645Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column48216TotalRevenueColumn
Exclusion$48,216ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14901017TotalRevenueColumn
Related Or Exempt Function Income14482945RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$158,695ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4650Total
Program Services4650ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total240322Total
Program Services55057ProgramServices
Management And General185265ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7132415Total
Program Services7128032ProgramServices
Management And General4383ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total248049Total
Program Services247901ProgramServices
Management And General148ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total635430Total
Program Services635031ProgramServices
Management And General399ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total606980Total
Program Services606617ProgramServices
Management And General363ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total64876Total
Management And General64876ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42373Total
Management And General42373ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1610764Total
Program Services1505878ProgramServices
Management And General104886ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total140960Total
Management And General140960ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total383115Total
Program Services312853ProgramServices
Management And General70262ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total392445Total
Program Services389910ProgramServices
Management And General2535ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46963Total
Program Services3213ProgramServices
Management And General43750ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total555322Total
Program Services551735ProgramServices
Management And General3587ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total784921Total
Program Services779851ProgramServices
Management And General5070ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total133066Total
Program Services133066ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES879902879902
FOOD543716543716
BAD DEBTS112769112769
MISCELLANEOUS1013222430977013

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total28201Total
Program Services1031ProgramServices
Management And General22041ManagementAndGeneral
Fundraising5129Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14688561Total
Program Services13802752ProgramServices
Management And General880680ManagementAndGeneral
Fundraising5129Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1374814BOY
EOY2009984EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY371414BOY
EOY337597EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY65453BOY
EOY43843EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1257973BOY
EOY1219949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76054BOY
EOY63234EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23280798LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9134103LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14036301BOY
EOY14146695EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2631154BOY
EOY2710627EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY365639BOY
EOY313368EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1181636BOY
EOY963875EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21360438BOY
EOY21809172EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1358202BOY
EOY1613717EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2835693BOY
EOY2894082EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8204370BOY
EOY8061732EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY139092BOY
EOY136614EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY329017BOY
EOY295690EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12866374BOY
EOY13001835EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5963354BOY
EOY6266717EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14102BOY
EOY18662EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2516608BOY
EOY2521958EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8494064BOY
EOY8807337EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21360438BOY
EOY21809172EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses212456ReconcilationRevenueExpenses
Reconciliation Unrealized Invest100817ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years381924CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129142CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years267166CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year451908CurrentTaxYearMinus1Year
Current Tax Year259377CurrentTaxYear
Total1489517Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10741057CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11910174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13229147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14242606CurrentTaxYearMinus1Year
Current Tax Year14482945CurrentTaxYear
Total64605929Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11122981CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12039316CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13496313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14694514CurrentTaxYearMinus1Year
Current Tax Year14742322CurrentTaxYear
Total66095446Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28911CurrentTaxYearMinus1Year
Current Tax Year11796CurrentTaxYear
Total72207Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28911CurrentTaxYearMinus1Year
Current Tax Year11796CurrentTaxYear
Total72207Total
FieldValueIRS element (for citing)
Public Support Total50966023239PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109120CurrentTaxYearMinus1Year
Current Tax Year110479CurrentTaxYear
Total561670Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109120CurrentTaxYearMinus1Year
Current Tax Year110479CurrentTaxYear
Total561670Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11288116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12126627CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13585938CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14803634CurrentTaxYearMinus1Year
Current Tax Year14852801CurrentTaxYear
Total66657116Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99050PublicSupportPercentage509
Prior Year Support Percentage0.98790PriorYearSupportPercentage
Investment Income Percentage0.00840InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Preservation For Public UseXPreservationForPublicUse
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Preservation Of Open SpaceXPreservationOfOpenSpace
Total Number Of Easements1TotalNumberOfEasements
Total Acreage0.33TotalAcreage
Nmbr Hist Struct Easements0NmbrHistStructEasements
Nmbr Hist Struct Easements After0NmbrHistStructEasementsAfter
Nmbr Easements Modified0NmbrEasementsModified
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring
Staff Hours Spent On Enforcement5.00StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement120ExpensesIncurredForEnforcement
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2516608BeginningOfYearBalance
Contributions5350Contributions
End Of Year Balance2521958EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2512111BeginningOfYearBalance
Contributions4497Contributions
End Of Year Balance2516608EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2507555BeginningOfYearBalance
Contributions4556Contributions
End Of Year Balance2512111EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2502221BeginningOfYearBalance
Contributions5334Contributions
End Of Year Balance2507555EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2471131BeginningOfYearBalance
Contributions31090Contributions
End Of Year Balance2502221EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis208962OtherCostOrOtherBasis
Book Value208962BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20449745OtherCostOrOtherBasis
Depreciation7267793Depreciation
Book Value13181952BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2622091OtherCostOrOtherBasis
Depreciation1866310Depreciation
Book Value755781BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14146695TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ANNUITY INTEREST PAYABLE$7,212
ASSET RETIREMENT OBLIGATION$99,016
FAIR VALUE OF DERIVATIVE INSTRUMENT$166,981
CAPITAL LEASE$22,481
FieldValueIRS element (for citing)
Total Of Amounts295690TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS:PART II, LINE 9:LISTED UNDER MAINTENANCE DEPARTMENT; VERY SMALL AND DOESN'T REQUIRE MUCH MAINTENANCE.
PART IV, LINE 2B:CONTRACT ARRANGEMENTS BETWEEN THE CORPORATION AND CERTAIN OF ITS RESIDENTS REQUIRE PAYMENTS UPON OCCUPANCY. THE TERMS OF THE CONTRACTS PROVIDE FOR A PARTIAL REFUND OF DEFERRED ENTRANCE FEES ON A PRO RATA BASIS IF THE RESIDENT DIES OR VOLUNTARILY VACATES THE UNIT WITHIN A SPECIFIED TIME PERIOD - IN ALL CASES TEN YEARS OR LESS. THE REFUNDS ARE PAID WITH RE-OCCUPANCY PROCEEDS FROM RESALE OF THE UNITS. THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT AND SECURITY DEPOSITS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN A SEPARATE BANK ACCOUNT, CONSISTING OF CASH AND CASH EQUIVALENTS.
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INTEREST EARNED IN THE ENDOWMENT FUND IS TO BE USED TO OFFSET OPERATING EXPENSES AND KEEP RATES LOW FOR NURSING FACILITY RESIDENTS. IT ALSO WAS SET UP TO HELP MAKE UP THE LOSS INCURRED WITH TITLE XIX(MEDICAID) RESIDENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CORPORTION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE CORPORATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF EVANSDALE IOWABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN426006424IssuerEIN
CUSIP Number299218AQ0CUSIPNumber
Date Issued2010-08-12DateIssued
Issue Price8201220IssuePrice
Description Of PurposeBUILDING IMPROVEMENTS, EXPANSIONS, AND REFINANCING 2005 BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds8265000TotalProceeds
Amount In Reserve Fund648356AmountInReserveFund
Refunding Escrow4530346RefundingEscrow
Issuance Costs From Proceeds164024IssuanceCostsFromProceeds
Capital Expenditures2858494CapitalExpenditures
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.07100PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.07100TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1WACHOVIA BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART IIIdentifier
ExplanationTHE SUM OF THE LINES 4-12 DO NOT EQUAL THE BOND PROCEEDS INCLUDED IN LINE 3. THIS AMOUNT IS EQUAL TO THE BOND DISCOUNT OF THE ORIGINAL ISSUE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS MADE UP OF THE PRESIDENT, VICE PRESIDENT, TREASURER AND SECRETARY. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS TO MAKE DECISIONS WHEN THE TIMING IS SUCH THAT A DECISION CANNOT WAIT UNTIL THE NEXT BOARD MEETING. THEY ALSO APPROVE COMPENSATION FOR THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION A, LINE 6THE SEVEN MEMBERS WE HAVE ARE OUR SEVEN SPONSORING LUTHERAN CHURCHES. EACH MEMBER AND THE NEWALDAYA LIFESCAPES RESIDENTS EACH PRESENT ONE OF ITS PASTORS TO BE A VOTING DELEGATE AT THE CORPORATION'S ANNUAL MEETING. IN ADDITION, ANY MEMBER WITH A CONGREGATION MEMBERSHIP LARGER THAN 2,000 BAPTIZED MEMBERS MAY PRESENT ONE ADDITIONAL DELEGATE FOR EACH 1,000 MEMBERS IN EXCESS OF 2,000 MEMBERS AS OF JANUARY FIRST OF THE YEAR IN WHICH THE ANNUAL MEETING IS TO BE HELD. THE NEWALDAYA LIFESCAPES RESIDENTS SELECT TWO VOTING DELEGATES FROM THEIR MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE ORGANIZATION ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION A, LINE 7BANY CHANGE TO THE ORGANIZATION'S NAME OR AMENDMENTS TO THE ORGANIZATION'S BYLAWS REQUIRES THE APPROVAL OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS WITH THE CFO BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING AND ALL BOARD MEMBERS SIGN TO INDICATE THEY UNDERSTAND THE POLICY. BOARD MEMBERS ARE TO IMMEDIATELY REPORT ANY ACTIVITY THAT COULD APPEAR TO BE A CONFLICT OF INTEREST. IF THERE IS A CONFLICT OF INTEREST, THEY ARE TO PUBLICLY DISCLOSE IT TO THE COMMITTEE AND/OR BOARD, AND REFRAIN FROM DISCUSSING OR TAKING ANY OFFICIAL ACTION THAT WOULD AFFECT THE DECISION MAKING PROCESS.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD'S PERSONNEL COMMITTEE MEETS WITH THE HUMAN RESOURCE DIRECTOR AND CHIEF FINANCIAL OFFICER TO REVIEW WAGE SURVEYS FROM LEADINGAGE IOWA AND LEADINGAGE. THE PERSONNEL CHAIRPERSON AND THE EXECUTIVE COMMITTEE MEET TO DETERMINE THE FINAL COMPENSATION PACKAGE. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IS DETERMINED BY THE EXECUTIVE DIRECTOR. THE CFO REPORTS TO THE CEO AND PERFORMANCE EVALUATIONS ARE COMPLETED BY THE CEO. THE CEO MEETS WITH THE HUMAN RESOURCE DIRECTOR TO REVIEW WAGE SURVEYS FROM LEADINGAGE IOWA AND LEADINGAGE. THE CEO MEETS WITH CFO TO DISCUSS GOALS, PERFORMANCE, AND WAGE SURVEYS. FINAL COMPENSATION IS THEN FORWARDED TO THE PAYROLL SPECIALIST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GTHERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,237,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,237,929. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 267,949. MANAGEMENT AND GENERAL EXPENSES 104,886. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,835.OTHER FEES

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOME CONNECTIONS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17517 UNIVERSITY AVEAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode
FieldValueIRS element (for citing)
EIN205472733EIN
Primary ActivitiesIN-HOME SERVICESPrimaryActivities
Legal Domicile StateIALegalDomicileState
Total Income4298TotalIncome
EOY Assets1960EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CEDAR FALLS LUTHERAN HOMEBusinessNameLine1