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LUTHERAN CARE CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN CARE CENTER (EIN 41-0876706)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-27
IRS object ID
201200879349300730
Schema version
2010v3.4
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)
Timestamp2012-03-27T13:27:03-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410876706EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone3206329211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NORTHEASTAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMERLIN KOESTERName
TitleCHAIRMANTitle
Phone6513790303Phone
Date Signed2012-03-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PEDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14400 BAKER RD 100AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55343ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4838742GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANCARECENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF LONG TERM CARE SERVICES TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees149TotalNbrEmployees
Total Nbr Volunteers39TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1451ContributionsGrantsPriorYear
Contributions Grants Current Year53ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4881867ProgramServiceRevenuePriorYear
Program Service Revenue CY4838445ProgramServiceRevenueCY
Investment Income Prior Year261InvestmentIncomePriorYear
Investment Income Current Year244InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4883579TotalRevenuePriorYear
Total Revenue Current Year4838742TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2013314SalariesEtcPriorYear
Salaries Etc Current Year2149115SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2613761OtherExpensePriorYear
Other Expenses Current Year2716992OtherExpensesCurrentYear
Total Expenses Prior Year4627075TotalExpensesPriorYear
Total Expenses Current Year4866107TotalExpensesCurrentYear
Revenues Less Expenses Prior Year256504RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-27365RevenuesLessExpensesCY
Total Assets BOY4625883TotalAssetsBOY
Total Assets EOY4269169TotalAssetsEOY
Total Liabilities BOY6214757TotalLiabilitiesBOY
Total Liabilities EOY5885408TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1588874NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1616239NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY CARE AND SERVICES TO OUR RESIDENTS EMPHASIZING THE WHOLE PERSON: MEDICALLY, SPIRITUALLY AND SOCIALLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4241818Expense
Revenue4838445Revenue
DescriptionLUTHERAN CARE CENTER, INC. OPERATES A 65-BED NURSING FACILITY AND A 42-BED CONGREGATE HOUSING AND ASSISTED LIVING FACILITY FOR THE ELDERLY OF THE LITTLE FALLS, MINNESOTA AREA. THE ORGANIZATION ALSO PROVIDES SERVICES DESIGNATED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS.Description
Total Program Service Expense4241818TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Bonds0TaxExemptBonds
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees149NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTH DIMENSION GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7635375700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14400 BAKER ROAD SUITE 100AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55343ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MERLIN KOESTER
CHAIRMAN1.00XX000
HERMAN JOHANNES
VICE CHAIRMAN0.80XX000
CAROLYN ILGEN
SECRETARY0.50XX000
HARRY MILLER
DIRECTOR0.30X000
ELAINE ASMUS
DIRECTOR0.30X000
GENE BLIESE
DIRECTOR0.30X000
NADINE DREVLOW
DIRECTOR0.30X000
TERRI HOLMGREN
DIRECTOR0.30X000
ROBERT HOLZ
DIRECTOR0.30X000
SUSAN KROLL
DIRECTOR0.30X000
KEITH SCHUMANN
DIRECTOR0.30X000
PATRICIA ANDERSON
DIRECTOR0.30X000
SCOT ALLEN
ADMINISTRATOR40.00XX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH DIMENSIONS GROUP
4400 BAKER RD SUITE 100MINNEAPOLISMN55343MANAGEMENT SERVICES418477
STEELWORKERS HEALTH AND WELFARE FUND
60 BLVD OF THE ALLIES 5TH FLOORPITTSBURGPA15222EMPLOYEES HEALTH, DENTAL, ST DISABILITY296597
SYSCO
PO BOX 49730BLAINEMN55449FOOD SUPPLIER225151
AEGIS THERAPIES
PO BOX 8103FORT SMITHAR72902THERAPY SERVICES113875
REHABCARE GROUP
7733 FORSYTH BLVD SUITE 2300ST LOUISMO63105THERAPY SERVICES109221
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions53AllOtherContributions
Total Contributions53TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUES62300048349444834944
OTHER INCOME62300035013501
FieldValueIRS element (for citing)
Total Program Service Revenue4838445TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column244TotalRevenueColumn
Exclusion$244ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4838742TotalRevenueColumn
Related Or Exempt Function Income4838445RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$244ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1608300Total
Program Services1603090ProgramServices
Management And General5210ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total54962Total
Program Services54773ProgramServices
Management And General189ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total353004Total
Program Services351833ProgramServices
Management And General1171ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total132849Total
Program Services132418ProgramServices
Management And General431ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total418477Total
Program Services100955ProgramServices
Management And General317522ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total183103Total
Management And General183103ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total286829Total
Program Services260900ProgramServices
Management And General25929ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1918Total
Management And General1918ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total692380Total
Program Services666179ProgramServices
Management And General26201ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total96797Total
Program Services87974ProgramServices
Management And General8823ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5640Total
Management And General5640ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total444509Total
Program Services425670ProgramServices
Management And General18839ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total186583Total
Program Services178675ProgramServices
Management And General7908ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total39287Total
Program Services37622ProgramServices
Management And General1665ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES & SURCHARGES237202236963239
FOOD8827488274
PRE-ADMISSION SCREENING1649216492
PROVISION FOR BAD DEBTS1200012000
MISCELLANEOUS EXPENSES48604860

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2641Total
Management And General2641ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4866107Total
Program Services4241818ProgramServices
Management And General624289ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY161044BOY
EOY130220EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY435200BOY
EOY300760EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36610BOY
EOY25447EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6398319LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3007984LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3543442BOY
EOY3390335EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY144344BOY
EOY138906EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY305243BOY
EOY283501EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4625883BOY
EOY4269169EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1132620BOY
EOY832662EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3040115BOY
EOY3041531EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY24401BOY
EOY27521EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2007675BOY
EOY1973251EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9946BOY
EOY10443EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6214757BOY
EOY5885408EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1588874BOY
EOY-1616239EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1588874BOY
EOY-1616239EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4625883BOY
EOY4269169EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-27365ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1451CurrentTaxYearMinus1Year
Current Tax Year53CurrentTaxYear
Total47680Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4463648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4037227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4653275CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4881867CurrentTaxYearMinus1Year
Current Tax Year4838445CurrentTaxYear
Total22874462Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4464153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4082648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4653525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4883318CurrentTaxYearMinus1Year
Current Tax Year4838498CurrentTaxYear
Total22922142Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years220373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years196038CurrentTaxYearMinus2Years
Current Tax Year32758CurrentTaxYear
Total449169Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years220373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years196038CurrentTaxYearMinus2Years
Current Tax Year32758CurrentTaxYear
Total449169Total
FieldValueIRS element (for citing)
Public Support Total50922472973PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1237CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year261CurrentTaxYearMinus1Year
Current Tax Year244CurrentTaxYear
Total22566Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1237CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year261CurrentTaxYearMinus1Year
Current Tax Year244CurrentTaxYear
Total22566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4473773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4093852CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4654762CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4883579CurrentTaxYearMinus1Year
Current Tax Year4838742CurrentTaxYear
Total22944708Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97940PublicSupportPercentage509
Prior Year Support Percentage0.99710PriorYearSupportPercentage
Investment Income Percentage0.00100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis125863OtherCostOrOtherBasis
Book Value125863BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5302207OtherCostOrOtherBasis
Depreciation2198944Depreciation
Book Value3103263BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis80587OtherCostOrOtherBasis
Depreciation68113Depreciation
Book Value12474BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis889662OtherCostOrOtherBasis
Depreciation740927Depreciation
Book Value148735BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3390335TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST FUNDS27521
REPAIR & REPLACEMENT FUND41875
BOND FUND81205
RESERVE FUND132900
FieldValueIRS element (for citing)
Total Book Value Other Assets283501TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENT OBLIGATIONDescription
Amount$10,443Amount
FieldValueIRS element (for citing)
Total Of Amounts10443TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE CARE CENTER'S RESIDENTS AND HOLDS SECURITY DEPOSITS OF BRIDGEWAY TENANTS.
PART X:THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES OR MAY JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE FISCAL YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR AND THE SECRETARY. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE EVALUATION OF THE PERFORMANCE OF THE BOARD OF DIRECTOR AND MANAGEMENT. IT FUNCTIONS AS THE BOARD BETWEEN MEETING OF THE BOARD FOR MATTERS NOT PREVIOUSLY RESERVED TO THE FULL BOARD OR DELEGATED TO ANOTHER COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 3HEALTH DIMENSIONS GROUP PROVIDED MANAGEMENT, ADMINISTRATION, ACCOUNTING, MDS CLINICAL, AND NURSE MANAGEMENT SERVICES TO LUTHERAN CARE CENTER.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD CHAIR, THE MANAGEMENT COMPANY, AND THE ON-SITE ADMINISTRATOR; A COPY OF THE 990 WAS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
LUTHERAN CARE CENTER'S CONFLICT OF INTEREST POLICY COVERS THE COMPANY BOARD OF DIRECTORS, COMMITTEE MEMBERS AND FAMILY MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY DIRECTOR MUST IMMEDIATELY DISCLOSE IN WRITING TO THE CHAIRPERSON OF THE COMPANY BOARD OF DIRECTORS AND TO THE MEMBERS OF THE COMMITTEE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. AFTER DISCLOSURE OF ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE DIRECTOR, THE REMAINING DIRECTORS DISCUSS, AND DETERMINE BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS.FORM 990, PART VI, SECTION B, LINE 12C
FORM 990, PART VI, LINE 15: THE ORGANIZATION HAS NO COMPENSATED BOARD MEMBERS, OFFICERS OR KEY EMPLOYEES. MANAGEMENT SERVICES ARE PROVIDED BY HEALTH DIMENSIONS GROUP.
LUTHERAN CARE CENTER'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IT'S CONFLICT OF INTEREST POLICY IS NOT OPEN TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BRIDGEWAY ESTATES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 1ST AVENUE NEAddressLine1
CityLITTLE FALLSCity
StateMNState
ZIP Code56345ZIPCode
FieldValueIRS element (for citing)
EIN275375167EIN
Primary ActivitiesASSISTED LIVING & CONGREGATE HOUSINGPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income872526TotalIncome
EOY Assets2585050EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA