2022-05-11T13:14:56-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2020-07-01 362167897 ST PAUL'S HOUSE AND HEALTH CARE CENTER STPA 8477543610 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 JAMES BUCKMAN CFO 8473687365 2022-05-11 1 JAMES BUCKMAN 999009999 CHRIS MANDERFIELD P01238973 6305738600 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X SLOAN BENTLEY 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 148744 0 X WWW.LUTHERANLIFECOMMUNITIES.ORG X 1916 IL SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT. EMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS. 3 0 134 0 0 0 531 0 4433648 0 417536 143355 42956 4445 4894671 147800 0 0 0 0 4050058 135476 0 0 0 3248154 691340 7298212 826816 -2403541 -679016 7708495 7699282 2654684 2779800 5053811 4919482 EMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS. 0 0 223157 4445 THIS ORGANIZATION PREVIOUSLY OPERATED A SENIOR LIVING COMMUNITY COMPRISING ASSISTED LIVING AND SKILLED NURSING CARE FOR SENIORS. DURING THE YEAR ENDED JUNE 30, 2020 THE ORGANIZATION SOLD THIS COMMUNITY AS DISCLOSED IN SCHEDULE N OF FORM 990 FOR THE YEAR THEN ENDED. 223157 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 0 0 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 22 0 134 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 8473687365 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 SLOAN BENTLEY CHAIR/CEO (STARTED 9/14/20) 2.00 35.50 X X 0 134257 2843 JOHN COUTURE VICE CHAIR (STARTED 3/8/21) 2.00 35.50 X X 0 24615 0 JAMES BUCKMAN TREASURER/SECRETARY (STARTED 3/8/21) 2.00 35.50 X X 0 157274 18330 LORI J SMITH VICE CHAIR (UNTIL 2/5/21) 2.00 35.50 X X 0 349448 4898 MARIE D CARLSON-KYLLO TREASURER/SECRETARY (UNTIL 1/15/21) 2.00 35.50 X X 0 309181 27831 MICHAEL RENETZKY CHAIR/INTERIM CEO (UNTIL 9/14/20) 1.00 19.00 X X 0 0 0 0 974775 53902 0 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 THERAPY SERVICE 132015 1 144299 144299 944 -944 -944 -944 OTHER MISCELLANEOUS RE 623000 4445 4445 4445 147800 4445 0 143355 230217 230217 28074 28074 -122815 -122815 114797 114797 3630 3630 32019 32019 108 108 44124 44124 915 915 2069 2069 -4155 -4155 276853 276853 BAD DEBT EXPENSE 215211 215211 MEDICAL SUPPLIES 3946 3946 GROUND MAINTENCE & EQUI 1823 1823 826816 223157 603659 0 422452 258660 390147 2668565 2668565 7791 124086 805257 4103245 3959009 7708495 7699282 548754 568125 210316 184658 1895614 2027017 2654684 2779800 X 1553621 1419292 3500190 3500190 5053811 4919482 7708495 7699282 -679016 544687 0 X 0 0 0 X 66688 1179377 7009 531 0 1253605 13143316 12864737 12594770 4433648 0 43036471 13210004 14044114 12601779 4434179 44290076 0 0 0 44290076 7472 -484865 9557 8029 144299 -315508 7472 -484865 9557 8029 144299 -315508 117374 219464 96909 45395 4445 483587 13334850 13778713 12708245 4487603 148744 44458155 0.99620 0.94450 0.00000 0.04370 X 0 1 X 3500190 3500190 3500190 3500190 1.00000 0 0 0 ST INVESTMENTS - SPF 805257 C 805257 KNAPHURST ENDOWMENT FUND 3500190 FUNDS HELD IN TITLE RESERVE 458819 3959009 OTHER LONG TERM LIABILITIES 2786 DUE TO AFFILIATES 1894153 OTHER SHORT TERM LIABILITIES 130078 2027017 PART IV, LINE 2B: ESCROW AND CUSTODIAL LIABILITIES REPRESENT RESIDENT DEPOSITS AND RESIDENT TRUST FUND LIABILITIES. PART V, LINE 4: THE KNAPHURST ENDOWMENT IS TO BE USED FOR 1) THE RESIDENTS ASSISTANCE FUND, WHICH PROVIDES ASSISTANCE TO RESIDENTS WHO HAVE INSUFFICIENT FUNDS TO PAY FOR THEIR CARE, 2) TO MAINTAIN AND IMPROVE A HIGH LEVEL OF EXCELLENCE IN THE PROFESSIONAL NURSING STAFF AND 3) FOR BUILDING IMPROVEMENT AND MAINTENANCE. X X X X 0 0 0 0 0 0 0 0 0 JAMES BUCKMAN TREASURER/SECRETARY (STARTED 3/8/21) 0 157166 0 108 0 0 0 2942 0 15388 0 175604 0 0 LORI J SMITH VICE CHAIR (UNTIL 2/5/21) 0 314448 0 35000 0 0 0 4898 0 0 0 354346 0 0 MARIE D CARLSON-KYLLO TREASURER/SECRETARY (UNTIL 1/15/21) 0 289181 0 20000 0 0 0 5657 0 22174 0 337012 0 0 FORM 990, PART VI, SECTION A, LINE 6 LUTHERAN LIFE MINISTRIES IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD IS APPOINTED BY THE SOLE CORPORATE MEMBER, LUTHERAN LIFE MINISTRIES. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE CORPORATE MEMBER, LUTHERAN LIFE MINISTRIES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION REVIEWS THE TAX RETURN WITH THE AUDIT COMMITTEE OF ITS PARENT LUTHERAN LIFE MINISTRIES TO REPORT TO THE BOARD OF LUTHERAN LIFE MINISTRIES, WHICH PROVIDES FINAL APPROVAL OF THE TAX RETURNS OF ALL SUBSIDIARIES FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS, DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO DISCLOSE TO THE BOARD OF DIRECTORS WHEN A CONFLICT MAY EXIST. THE POLICY AND COMPLIANCE WITH THIS POLICY ARE REVIEWED ANNUALLY BY THE AUDIT COMMITTEE OF ITS PARENT LUTHERAN LIFE MINISTRIES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND THE COMPENSATION COMMITTEE OF THE BOARD OF ITS PARENT LUTHERAN LIFE MINISTRIES. ULTIMATE APPROVAL FOR THE COMPENSATION AMOUNT FOR THE CEO RESTS WITH THE BOARD OF LUTHERAN LIFE MINISTRIES. THE BOARD PROVIDES COUNSEL TO THE CEO FOR THE COMPENSATION OF ANY OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S TAX RETURN, FINANCIAL STATEMENTS AND POLICIES ARE AVAILABLE UPON REQUEST. LUTHERAN HOME FOR THE AGED INC 800 W OAKTON STREET ARLINGTON HEIGHTS IL 60004 362192824 HEALTH CARE AND HOUSING FOR SENIORS IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 LUTHERAN HOME AND SERVICES FOR THE AGED INC 800 W OAKTON STREET ARLINGTON HEIGHTS IL 60004 363375902 HOUSING AND SERVICES FOR SENIORS IL 501(C)(3) 509(A)(3) LUTHERAN LIFE MINISTRIES 0 LUTHERAN COMMUNITY SERVICES FOR THE AGED INC 800 W OAKTON STREET ARLINGTON HEIGHTS IL 60004 363365609 IMPROVE QUALITY OF LIFE FOR SENIORS IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 LUTHERAN FOUNDATION FOR THE AGED INC 800 W OAKTON STREET ARLINGTON HEIGHTS IL 60004 363365615 SUPPORTS THE WORK PROVIDED IN THE LUTHERAN HOME AND SERVICES SYSTEM IL 501(C)(3) 170(B)(1)(A)(VI) LUTHERAN LIFE MINISTRIES 0 LUTHER OAKS 601 LUTZ ROAD BLOOMINGTON IL 61704 202117469 HEALTH CARE AND HOUSING FOR SENIORS IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 WITTENBERG LUTHERAN VILLAGE INC 1200 E LUTHER DRIVE CROWN POINT IN 46307 351299499 LONG-TERM HEALTH CARE FACILITY IN 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 WITTENBERG LUTHERAN VILLAGE ENDOWMENT CORPORATION 1200 E LUTHER DRIVE CROWN POINT IN 46307 351472245 LONG-TERM HEALTH CARE FACILITY IN 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 LUTHERAN LIFE MINISTRIES 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 203426654 DEVELOP NEW SERVICES FOR SENIORS AND MANAGE SENIOR LIVING FACILITIES IL 501(C)(3) 509(A)(3) N/A 0 PLEASANT VIEW LUTHER HOME INC 505 COLLEGE AVENUE OTTAWA IL 61350 362167830 NURSING AND HEALTHCARE CENTER IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 LUTHERAN LIFE COMMUNITIES FOUNDATION 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 363861882 SUPPORTS THE RESIDENTS AND OPERATIONS OF EACH LUTHERAN LIFE COMMUNITY IL 501(C)(3) 509(A)(1) LUTHERAN LIFE MINISTRIES 0 LUTHERAN LIFE COMMUNITIES 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 208549333 MANAGEMENT SERVICES IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 THE ARLINGTON OF NAPLES 3150 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 262019353 HEALTH CARE AND HOUSING FOR SENIORS IL 501(C)(3) 509(A)(2) LUTHERAN LIFE MINISTRIES 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 LUTHERAN COMMUNITY SERVICES FOR THE AGED INC E 201694 LUTHERAN LIFE COMMUNITIES E 4658532 LUTHERAN LIFE COMMUNITIES FOUNDATION D 2960051