FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-10-21
IRS object ID
202142949349300809
Schema version
2020v4.0
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)
Return2021-10-21T09:03:13-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431909489PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILSON TOELLNER CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12700 MATTHEW DRAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430799196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone6604632267PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1202 S WEST STAddressLine1Txt
CityCONCORDIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE DIECKHOFFPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6604632267PhoneNum
Signature2021-10-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDALEPersonFirstNm
Person LastDIECKHOFFPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA HEIMSOTH CPAPreparerPersonNm
PTINP01217681PTIN
Phone6608274990PhoneNum
Preparation2021-10-21PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDALE DIECKHOFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line129829 COUNTY LINE RDAddressLine1Txt
CityCONCORDIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,304,630GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE TO THE ELDERLYActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee151TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$93,708PYContributionsGrantsAmt
CY Contributions Grants$1,336,577CYContributionsGrantsAmt
PY Program Service Revenue$5,540,902PYProgramServiceRevenueAmt
CY Program Service Revenue$4,951,160CYProgramServiceRevenueAmt
PY Investment Income$18,005PYInvestmentIncomeAmt
CY Investment Income$16,893CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,652,615PYTotalRevenueAmt
CY Total Revenue$6,304,630CYTotalRevenueAmt
PY Grants And Similar Paid$37,754PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$36,035CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,679,796PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,595,889CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,976,988PYOtherExpensesAmt
CY Other Expenses$2,511,006CYOtherExpensesAmt
PY Total Expenses$5,694,538PYTotalExpensesAmt
CY Total Expenses$6,142,930CYTotalExpensesAmt
PY Revenues Less Expenses-$41,923PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$161,700CYRevenuesLessExpensesAmt
Total Assets BOY$2,669,392TotalAssetsBOYAmt
Total Assets EOY$2,315,141TotalAssetsEOYAmt
Total Liabilities BOY$1,158,014TotalLiabilitiesBOYAmt
Total Liabilities EOY$634,252TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,511,378NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,680,889NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,916,817ExpenseAmt
Grant$36,035GrantAmt
Revenue$4,951,160RevenueAmt
DescTHE ORGANIZATION OPERATES A 113 BED NURSING HOME.Desc
Total Program Service Expenses$4,916,817TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee151EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6604632267PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1202 S WEST STAddressLine1Txt
CityCONCORDIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DALE DIECKHOFF
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DALE POLLARD
VICE-PRESIDE2.00Yes (X)Yes (X)$0$0$0
LORI CONNELL
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PAULETTE OETTING
TREASURER2.00Yes (X)Yes (X)$0$0$0
DAVID MATTHEWS
MEMBER2.00Yes (X)$0$0$0
ORLYN HEIMSOTH
MEMBER2.00Yes (X)$0$0$0
CINDY TOLIAS
MEMBER2.00Yes (X)$0$0$0
MARILYN BORGSTADT
MEMBER2.00Yes (X)$0$0$0
EDDIE KAMMEYER
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY SERVICE$494,491
BKD LLP
PO BOX 1190SPRINGFIELDMO65801PROFESSIONAL SE$103,776
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,332,927GovernmentGrantsAmt
All Other Contributions$3,650AllOtherContributionsAmt
Total Contributions$1,336,577TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID$3,300,059$3,300,059
NURSING CARE$1,559,019$1,559,019
ROOM RESERVATION$37,188$37,188
MANAGEMENT CONTRACT$36,461$36,461
MISCELLANEOUS$10,951$10,951

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,482TotalRevenueColumnAmt
Related Or Exempt Func Income$7,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,951,160TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,893TotalRevenueColumnAmt
Exclusion$16,893ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,304,630TotalRevenueColumnAmt
Related Or Exempt Func Income$4,951,160RelatedOrExemptFuncIncomeAmt
Exclusion$16,893ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,035TotalAmt
Program Services$36,035ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$73,943TotalAmt
Program Services$29,577ProgramServicesAmt
Management And General$44,366ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,138,670TotalAmt
Program Services$2,986,243ProgramServicesAmt
Management And General$152,427ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,317TotalAmt
Program Services$992ProgramServicesAmt
Management And General$25,325ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$118,354TotalAmt
Management And General$118,354ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$238,605TotalAmt
Program Services$8,990ProgramServicesAmt
Management And General$229,615ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$112,912TotalAmt
Management And General$112,912ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,933TotalAmt
Management And General$4,933ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$544,972TotalAmt
Program Services$544,972ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,009TotalAmt
Program Services$2,505ProgramServicesAmt
Management And General$2,504ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,722TotalAmt
Management And General$19,722ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,571TotalAmt
Management And General$5,571ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,180TotalAmt
Program Services$64,575ProgramServicesAmt
Management And General$8,605ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$72,979TotalAmt
Program Services$64,398ProgramServicesAmt
Management And General$8,581ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,031,743$1,031,743
NURSING FACILITY REIMB$397,446$397,446
UTILITIES AND TELEPHONE$123,964$99,702$24,262
MAINTENANCE AND REPAIR$42,955$37,904$5,051

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$75,620TotalAmt
Program Services$9,181ProgramServicesAmt
Management And General$66,439ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,142,930TotalAmt
Program Services$4,916,817ProgramServicesAmt
Management And General$1,226,113ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$150BOYAmt
EOY$150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$914,792BOYAmt
EOY$383,879EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$528,948BOYAmt
EOY$393,373EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,524BOYAmt
EOY$18,436EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,073BOYAmt
EOY$39,579EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,100,648LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,506,830LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$625,810BOYAmt
EOY$593,818EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$502,742BOYAmt
EOY$821,603EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,353BOYAmt
EOY$64,303EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,669,392BOYAmt
EOY$2,315,141EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$333,567BOYAmt
EOY$634,252EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$322,975BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$501,472BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,158,014BOYAmt
EOY$634,252EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,511,378BOYAmt
EOY$1,680,889EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,511,378BOYAmt
EOY$1,680,889EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,669,392BOYAmt
EOY$2,315,141EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$161,700ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,811NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,774OtherCostOrOtherBasisAmt
Book Value$7,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,123,951OtherCostOrOtherBasisAmt
Depreciation$913,103DepreciationAmt
Book Value$210,848BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,875,963OtherCostOrOtherBasisAmt
Depreciation$1,525,207DepreciationAmt
Book Value$350,756BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,960OtherCostOrOtherBasisAmt
Depreciation$68,520DepreciationAmt
Book Value$24,440BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$593,818TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN GOOD SHEPHERD HOMEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1202 S WEST STAddressLine1Txt
CityCONCORDIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd
FieldValueIRS element (for citing)
Recipient EIN440652188RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$36,035CashGrantAmt
Valuation Method UsedCOSTValuationMethodUsedDesc
Purpose Of GrantINTEREST ON LOAN FORPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS MEMBERS
FORM 990, PAGE 6, PART VI, LINE 7ATHE MEMBERS HAVE THE POWER TO ELECT OR APPOINT MORE MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7BTHERE ARE GOVERNANCE DECISIONS MADE BY THE BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 11BMANAGEMENT REVIEWS FORM 990.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LUTHERAN GOOD SHEPHERD HOME
202 S WEST STCONCORDIAMO64020440652188AFFORDABLEMO501C310N/Afalse
GOOD SHEPHERD VILLAGE
202 S WEST STCONCORDIAMO64020237091759AFFORDABLEMO501C4N/Afalse
GOOD SHEPHERD VILLAGE II
202 S WEST STCONCORDIAMO64020431078623AFFORDABLEMO501C4N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN GOOD SHEPHERD HOME
O$353,568ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
P$693,420ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
B$36,035ACTUAL AMOUNT