STRATEGY STUDIO / PUBLIC DATA EXPLORER

CEDAR FALLS LUTHERAN HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CEDAR FALLS LUTHERAN HOME (EIN 42-0794364)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349302132
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)
Timestamp2011-11-14T09:32:22-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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 Receipts16992072GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CFLH.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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees477TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year129142ContributionsGrantsPriorYear
Contributions Grants Current Year267166ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11910174ProgramServiceRevenuePriorYear
Program Service Revenue CY13229147ProgramServiceRevenueCY
Investment Income Prior Year-305959InvestmentIncomePriorYear
Investment Income Current Year654171InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11733357TotalRevenuePriorYear
Total Revenue Current Year14150484TotalRevenueCurrentYear
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 Year7693901SalariesEtcPriorYear
Salaries Etc Current Year7909895SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4005129OtherExpensePriorYear
Other Expenses Current Year4695815OtherExpensesCurrentYear
Total Expenses Prior Year11699030TotalExpensesPriorYear
Total Expenses Current Year12605710TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34327RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1544774RevenuesLessExpensesCY
Total Assets BOY15949652TotalAssetsBOY
Total Assets EOY20815550TotalAssetsEOY
Total Liabilities BOY9201281TotalLiabilitiesBOY
Total Liabilities EOY13057709TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6748371NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7757841NetAssetsOrFundBalancesEOY
Mission DescriptionENHANCING LIVES THROUGH A COMMITMENT TO INDIVIDUALIZED, CHRISTIAN CARE IN A HOME EMPOWERED BY GOD'S LOVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11765143Expense
Grants0Grants
Revenue13229147Revenue
DescriptionWE OFFER CHRISTIAN CARING THROUGHOUT OUR 135-BED NURSING FACILITY, 42-UNIT ASSISTED LIVING FACILITY AND 105 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.Description
Total Program Service Expense11765143TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 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 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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees477NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KATHY DUKE
PRESIDENT3.00XX000
LARRY GREGORY
TREASURER2.00XX000
BETTY BERGMAN
SECRETARY2.00XX000
ALLEN SCHNEIDER
VICE PRESIDENT1.00XX000
DENNIS ESLICK
MEMBER1.00X000
DEON SENCHINA
MEMBER1.00X000
ART LUPKES
MEMBER1.00X000
RICHARD HANFT
MEMBER1.00X000
LARRY SORENSEN
MEMBER1.00X000
BOB NELSON
MEMBER1.00X000
MARCIA MICHAELSEN
MEMBER1.00X000
AMY HOYER
MEMBER1.00X000
LARRY CLARK
MEMBER1.00X000
MILLISA TIERNEY
CHIEF EXECUTIVE OFFICER40.00X117323013614
DAWN BENGEN
CHIEF FINANCIAL OFFICER40.00X8021909189
FieldValueIRS element (for citing)
Total Reportable Comp From Org197542TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22803TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AGILITY THERAPY
PO BOX 77000DETROITMN48277THERAPY SERVICES683095
REHAB WORKS LLC
PO BOX 503534ST LOUISMO63150THERAPY SERVICES126436
ARAMARK UNIFORM SERVICES
600 LINDEN AVE PO BOX 1510WATERLOOIA50701LAUNDRY SERVICES122976
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions267166AllOtherContributions
Total Contributions267166TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING FACILITY6230001065019610650196
ASSISTED LIVING62300011805861180586
APARTMENT REVENUE623000998792998792
ENTRANCE FEES623000357660357660
MEALS & ACTIVITIES6239904191341913
FieldValueIRS element (for citing)
Total Program Service Revenue13229147TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column89625TotalRevenueColumn
Exclusion$89,625ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3341486Securities
Other64648Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2767951Securities
Other73637Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities573535Securities
Other-8989Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column564546TotalRevenueColumn
Exclusion$564,546ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14150484TotalRevenueColumn
Related Or Exempt Function Income13229147RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$654,171ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total220345Total
Program Services50616ProgramServices
Management And General169729ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6458640Total
Program Services6454681ProgramServices
Management And General3959ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total197382Total
Program Services197265ProgramServices
Management And General117ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total513337Total
Program Services513018ProgramServices
Management And General319ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total520191Total
Program Services519882ProgramServices
Management And General309ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36358Total
Management And General36358ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41097Total
Management And General41097ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total16521Total
Management And General16521ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total954985Total
Program Services760185ProgramServices
Management And General194800ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total392403Total
Program Services389868ProgramServices
Management And General2535ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13198Total
Program Services1984ProgramServices
Management And General11214ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total295196Total
Program Services293289ProgramServices
Management And General1907ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total563969Total
Program Services560326ProgramServices
Management And General3643ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total141188Total
Program Services141188ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
THERAPY SERVICES836562836562
FOOD522788522788
PROGRAM SERVICES493724493724
MISCELLANEOUS2100976646203451
LOSS ON REFINANCING OF133567133567

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44162Total
Program Services23121ProgramServices
Management And General21041ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12605710Total
Program Services11765143ProgramServices
Management And General840567ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY581241BOY
EOY1027971EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY420000BOY
EOY453301EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY106739BOY
EOY75168EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY749360BOY
EOY865435EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY103431BOY
EOY67146EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19670089LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7990815LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10929731BOY
EOY11679274EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2729437BOY
EOY2779261EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY226560BOY
EOY397098EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY103153BOY
EOY3470896EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15949652BOY
EOY20815550EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1011327BOY
EOY1541474EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1059236BOY
EOY2921986EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4530000BOY
EOY8202007EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2314770BOY
EOY122028EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY285948BOY
EOY270214EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9201281BOY
EOY13057709EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3821800BOY
EOY4614012EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY419016BOY
EOY631718EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2507555BOY
EOY2512111EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6748371BOY
EOY7757841EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15949652BOY
EOY20815550EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1544774ReconcilationRevenueExpenses
Reconcilation Other Changes-535304ReconcilationOtherChanges
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 Years397129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years288845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years381924CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129142CurrentTaxYearMinus1Year
Current Tax Year267133CurrentTaxYear
Total1464173Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9887001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10294742CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10741057CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11910174CurrentTaxYearMinus1Year
Current Tax Year13229147CurrentTaxYear
Total56062121Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10284130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10583587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11122981CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12039316CurrentTaxYearMinus1Year
Current Tax Year13496280CurrentTaxYear
Total57526294Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13167CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12500CurrentTaxYearMinus1Year
Current Tax Year9000CurrentTaxYear
Total44667Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13167CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12500CurrentTaxYearMinus1Year
Current Tax Year9000CurrentTaxYear
Total44667Total
FieldValueIRS element (for citing)
Public Support Total50957481627PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years149870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years245084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years165135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87311CurrentTaxYearMinus1Year
Current Tax Year89625CurrentTaxYear
Total737025Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years149870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years245084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years165135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87311CurrentTaxYearMinus1Year
Current Tax Year89625CurrentTaxYear
Total737025Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10434000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10828671CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11288116CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12126627CurrentTaxYearMinus1Year
Current Tax Year13585905CurrentTaxYear
Total58263319Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98660PublicSupportPercentage509
Prior Year Support Percentage0.98390PriorYearSupportPercentage
Investment Income Percentage0.01260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01510PriorYrInvestIncomePercentage
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 Enforcement115ExpensesIncurredForEnforcement
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2471131BeginningOfYearBalance
Contributions31090Contributions
End Of Year Balance2502221EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
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 Basis16337033OtherCostOrOtherBasis
Depreciation6167400Depreciation
Book Value10169633BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2213449OtherCostOrOtherBasis
Depreciation1823415Depreciation
Book Value390034BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis910645OtherCostOrOtherBasis
Book Value910645BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11679274TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENTS AND SECURITY DEPOSITS11143
BOND FUNDS3446019
INTEREST RECEIVABLE13734
FieldValueIRS element (for citing)
Total Book Value Other Assets3470896TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ANNUITY INTEREST PAYABLE$6,818
ASSET RETIREMENT OBLIGATION$85,534
FAIR VALUE OF DERIVATIVE INSTRUMENT$177,862
FieldValueIRS element (for citing)
Total Of Amounts270214TotalOfAmounts
Total Revenue14150484TotalRevenue
Total Expenses12605710TotalExpenses
Excess Or Deficit For Year1544774ExcessOrDeficitForYear
Net Unrealized GL On Investments-535660NetUnrealizedGLOnInvestments
Other$356OtherAmount
Total Adjustments-535304TotalAdjustments
Excess Or Deficit Per FS1009470ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13229147TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13229147RevenueSubtotal
Other Revenues Not Included921337OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt921337RevenueNotRptdOnFinStmt
Total Revenue Per Form99014150484TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12470438TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12470438ExpensesSubtotal
Other Expenses Not Included135272OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt135272ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012605710TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN PRESENT VALUE OF ANNUITIES 356.
PART XII, LINE 4B - OTHER ADJUSTMENTS:UNRESTRICTED CONTRIBUTIONS 35,527. LOSS ON DISPOSAL OF ASSETS -8,989. INVESTMENT LOSS 616,216. GAIN ON DERIVATIVE INSTRUMENT 46,944. RESTRICTED CONTRIBUTIONS 231,639.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ASSET RETIREMENT OBLIGATION EXPENSE 1,705. LOSS ON REFINANCING OF DEBT 133,567.
INCOME TAXES: 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 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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 Price8265000IssuePrice
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)
Amount Retired62993AmountRetired
Total Proceeds8265000TotalProceeds
Amount In Reserve Fund648356AmountInReserveFund
Refunding Escrow4530346RefundingEscrow
Issuance Costs From Proceeds164024IssuanceCostsFromProceeds
Capital Expenditures2858493CapitalExpenditures
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
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
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE SEVEN MEMBERS WE HAVE ARE OUR SEVEN SPONSORING LUTHERAN CHURCHES. EACH MEMBER AND THE CEDAR FALLS LUTHERAN HOME 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 2,00O 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 CEDAR FALLS LUTHERAN HOME 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 ORGANIZATIN'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.
THE 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 12C
THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD'S PERSONNEL COMMITTEE MEETS WITH THE HUMAN RESOURCE AND FINANCE DIRECTORS TO REVIEW WAGE SURVEYS FROM THE IOWA ASSOCIATION OF HOME AND SERVICES FOR THE AGING (IAHSA) AND THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA). 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 THE IOWA ASSOCIATION OF HOME AND SERVICES FOR THE AGING (IAHSA) AND THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA). 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 B, LINE 15A
THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -535,660. CHANGE IN PRESENT VALUE OF ANNUITIES 356. TOTAL TO FORM 990, PART XI, LINE 5: -535,304.FORM 990, PART XI, LINE 5:

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 Income5426TotalIncome
EOY Assets1231EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA