2023-11-02T11:41:37-05:00 2022-12-31 351178661 BLUE & CO LLC 813 WEST SECOND STREET SEYMOUR IN 47274 990 2022-01-01 351133185 LUTHERAN COMMUNITY HOME INC LUTH 8125225927 111 WEST CHURCH AVENUE SEYMOUR IN 47274 KARYN FLEETWOOD ADMINISTRATOR 8125225927 2023-10-27 1 KARYN FLEETWOOD 999009999 1 KANDY L WISCHMEIER CPA P00118327 8125228416 2023-10-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KARYN FLEETWOOD 111 WEST CHURCH AVENUE SEYMOUR IN 47274 11675278 0 X WWW.LUTHERANCOMMHOME.ORG X 1959 IN TO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. 12 12 248 35 0 0 1413027 76980 12590804 11577258 216 21040 0 0 14004047 11675278 0 0 0 0 7021505 6665723 0 0 0 4290581 4993046 11312086 11658769 2691961 16509 23565619 23654664 9439486 9514892 14126133 14139772 TO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. 0 0 10667739 11577258 LUTHERAN COMMUNITY HOME, INC. PROVIDES LONG TERM CARE FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. WE HAVE 116 LICENSED BED NURSING UNIT THAT PROVIDES LONG TERM CARE AS WELL AS A LOCKED DEMENTIA UNIT. WE ALSO PROVIDE A REHAB-TO-HOME UNIT WITHIN THESE 116 BEDS. WE ALSO HAVE A LICENSED 33 BED ASSISTED LIVING UNIT THAT IS ATTACHED TO THE NURSING FACILITY. IN ADDITION TO THESE, WE OPERATE 28 INDEPENDENT LIVING APARTMENTS AND 22 INDEPENDENT LIVING GARDEN HOMES. WE ARE REGISTERED AS A CCRC IN THE STATE OF INDIANA. 10667739 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 248 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X THE ORGANIZATION 8125225927 111 WEST CHURCH AVENUE SEYMOUR IN 47274 GARY MEYER MEMBER 1.00 1.00 X 0 0 0 HENRY WISCHMEIER MEMBER 1.00 1.00 X 0 0 0 JOHN NOLTING MEMBER 1.00 1.00 X 0 0 0 PASTOR JUNG MEMBER 1.00 1.00 X 0 0 0 PAUL NAY MEMBER 1.00 1.00 X 0 0 0 PRISCILLA WISCHMEIER MEMBER 1.00 1.00 X 0 0 0 ROGER POLLERT MEMBER 1.00 1.00 X 0 0 0 ROGER WISCHMEIER MEMBER 1.00 1.00 X 0 0 0 LOUIS VOELKER PRESIDENT 1.00 1.00 X X 0 0 0 MAX POLLERT VICE PRESIDENT 1.00 1.00 X X 0 0 0 GALEN KRUMME TREASURER 1.00 1.00 X X 0 0 0 SUSAN SCHNITKER SECRETARY 1.00 1.00 X X 0 0 0 KARYN FLEETWOOD ADMINISTRATOR 40.00 X 163752 0 14887 ANITA CARTER CONTROLLER 40.00 X 134752 0 0 BRANDY CALVO NURSE 50.00 X 106500 0 11483 405004 0 26370 3 0 1 0 THERACARE 9957 ALLISONVILLE RD INDIANAPOLIS IN 46038 THERAPY SERVICES PROVIDER 615239 SIHO INSURANCE PO BOX 1308 MIDDLETOWN OH 45042 HEALTH INSURANCE 459248 GORDON FOOD SERVICE PO BOX 88029 CHICAGO IL 606801029 FOOD AND DINING SERVICES SUPPLIES 421275 NETWORKS CONNECT HEALTHCARE STAFFING 7930 CASTLEWAY DRIVE INDIANAPOLIS IL 46250 NURSING STAFFING AGENCY 274251 DUKE ENERGY PO BOX 1326 CHARLOTTE NC 28201 ELECTRIC 241155 5 58418 18562 76980 MANAGMENT SERVICES REVENUE 623000 10012006 10012006 LEASE REVENUE 623000 969888 969888 PATIENT & RESIDENT SERVICE REVENU 623000 562084 562084 OTHER SERVICE REVENUE 900099 33280 33280 11577258 21040 21040 11675278 11577258 0 21040 178639 163455 15184 5593009 5117701 475308 466562 426920 39642 427513 391174 36339 22919 20971 1948 409348 374560 34788 295403 270299 25104 1046236 957324 88912 248339 227234 21105 PURCHASED SERVICES 1774813 1623984 150829 FOOD AND SUPPLIES 844736 772948 71788 REPAIRS AND MAINTENANCE 235752 215717 20035 OTHER OPERATING EXPENSE 115500 105452 10048 11658769 10667739 991030 0 496243 1116371 1890212 1471903 33663301 14416203 20038111 19247098 904100 1621316 236953 197976 23565619 23654664 440303 460699 954702 1819701 7766004 6993287 278477 241205 9439486 9514892 X 14126133 14139772 14126133 14139772 23565619 23654664 16509 -2870 0 X X 0 1 X 1 0 X 14383 4218 1401 1413027 76980 1510009 8751673 9083874 12740616 12590804 11577258 54744225 8766056 9088092 12742017 14003831 11654238 56254234 0 0 0 56254234 122558 134019 2939 216 21040 280772 122558 134019 2939 216 21040 280772 8888614 9222111 12744956 14004047 11675278 56535006 0.99500 0.99310 0.00500 0.00690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45000 45000 27160028 9370396 17789632 6458273 5045807 1412466 19247098 ESTIMATED REFUNDABLE ADVANCE FEES 51424 DEFERRED COMPENSATION 189781 241205 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE-LIKELY-THAN-NOT TEST, NO TAX BENEFIT IS RECORDED. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. MANAGEMENT HAS CONCLUDED THAT THEY ARE UNAWARE OF ANY TAX BENEFITS OR LIABILITIES TO BE RECOGNIZED AT DECEMBER 31, 2022 AND 2021. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE ORGANIZATION HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2022 AND 2021. X X X 0 0 0 0 0 0 0 0 0 KARYN FLEETWOOD ADMINISTRATOR 163752 0 0 0 0 0 0 0 14887 0 178639 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ALL NOMINATIONS TO THE BOARD MUST BE APPROVED BY THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD PRESIDENT REVIEWS AND SIGNS THE 990. A COPY IS MADE AVAILABLE FOR THE REIVEW OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REVIEWS ANNUALLY USING IAHSA AND AAHSA DATA. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCEDURES THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR. LUTHERAN COMMUNITY HOME FOUNDATION 111 W CHURCH AVE SEYMOUR IN 47274 351510582 SUPPORTING FOUNDATION IN 501(C)(3) 11 B - TYPE II N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 LUTHERAN COMMUNITY HOME FOUNDATION C 58418