FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-11-16
IRS object ID
202043219349308669
Schema version
2019v5.0
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)
Return2020-11-16T11:39:00-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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)
PersonPAULETTE OETTINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6604632267PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA HEIMSOTH CPAPreparerPersonNm
PTINP01217681PTIN
Phone6608274990PhoneNum
Preparation2020-11-16PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$5,652,615GrossReceiptsAmt
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 Employee159TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$102,769PYContributionsGrantsAmt
CY Contributions Grants$93,708CYContributionsGrantsAmt
PY Program Service Revenue$5,314,660PYProgramServiceRevenueAmt
CY Program Service Revenue$5,540,902CYProgramServiceRevenueAmt
PY Investment Income$18,052PYInvestmentIncomeAmt
CY Investment Income$18,005CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,435,481PYTotalRevenueAmt
CY Total Revenue$5,652,615CYTotalRevenueAmt
PY Grants And Similar Paid$43,602PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$37,754CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,483,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,679,796CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,791,150PYOtherExpensesAmt
CY Other Expenses$1,976,988CYOtherExpensesAmt
PY Total Expenses$5,317,886PYTotalExpensesAmt
CY Total Expenses$5,694,538CYTotalExpensesAmt
PY Revenues Less Expenses$117,595PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$41,923CYRevenuesLessExpensesAmt
Total Assets BOY$1,916,378TotalAssetsBOYAmt
Total Assets EOY$2,669,392TotalAssetsEOYAmt
Total Liabilities BOY$376,115TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,158,014TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,540,263NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,511,378NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,368,151ExpenseAmt
Grant$37,754GrantAmt
Revenue$5,540,902RevenueAmt
DescTHE ORGANIZATION OPERATES A 120 BED NURSING HOME.Desc
Total Program Service Expenses$4,368,151TotalProgramServiceExpensesAmt
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 Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee159EmployeeCnt
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
EDWARD NIERMAN
EXECUTIVE BO2.00Yes (X)$0$0$0
DAVID MATTHEWS
MEMBER2.00Yes (X)$0$0$0
KENNETH NIERMAN
MEMBER2.00Yes (X)$0$0$0
ORLYN HEIMSOTH
MEMBER2.00Yes (X)$0$0$0
CINDY TOLIAS
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$492,593
MEDLINE INDUSTRIES INC
PO BOX 121080DALLASTX75312$121,981
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$86,354GovernmentGrantsAmt
All Other Contributions$7,354AllOtherContributionsAmt
Total Contributions$93,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID$3,756,315$3,756,315
NURSING CARE$1,718,899$1,718,899
MANAGEMENT CONTRACT$32,424$32,424
ROOM RESERVATION$18,546$18,546
LAUNDRY$13,094$13,094

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,624TotalRevenueColumnAmt
Related Or Exempt Func Income$1,624RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,540,902TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,310TotalRevenueColumnAmt
Exclusion$16,310ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,695OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,695OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,695TotalRevenueColumnAmt
Related Or Exempt Func Income$1,695RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,652,615TotalRevenueColumnAmt
Related Or Exempt Func Income$5,542,597RelatedOrExemptFuncIncomeAmt
Exclusion$16,310ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$37,754TotalAmt
Program Services$37,754ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$67,510TotalAmt
Program Services$27,004ProgramServicesAmt
Management And General$40,506ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,211,647TotalAmt
Program Services$3,059,372ProgramServicesAmt
Management And General$152,275ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$28,085TotalAmt
Program Services$1,001ProgramServicesAmt
Management And General$27,084ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$128,814TotalAmt
Management And General$128,814ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$243,740TotalAmt
Program Services$8,686ProgramServicesAmt
Management And General$235,054ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$373TotalAmt
Management And General$373ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,239TotalAmt
Management And General$104,239ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,869TotalAmt
Management And General$4,869ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$525,509TotalAmt
Program Services$525,509ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,845TotalAmt
Program Services$1,923ProgramServicesAmt
Management And General$1,922ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,677TotalAmt
Management And General$20,677ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,405TotalAmt
Management And General$8,405ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,791TotalAmt
Program Services$62,467ProgramServicesAmt
Management And General$8,324ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,573TotalAmt
Program Services$54,333ProgramServicesAmt
Management And General$7,240ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$507,073$507,073
NURSING FACILITY REIMB$392,073$392,073
UTILITIES AND TELEPHONE$121,473$23,918$97,555
WORKERS COMP$66,533$2,371$64,162

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$89,555TotalAmt
Program Services$56,740ProgramServicesAmt
Management And General$32,815ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,694,538TotalAmt
Program Services$4,368,151ProgramServicesAmt
Management And General$1,326,387ManagementAndGeneralAmt
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$229,722BOYAmt
EOY$914,792EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$433,924BOYAmt
EOY$528,948EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,241BOYAmt
EOY$15,524EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,760BOYAmt
EOY$16,073EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,059,461LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,433,651LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$678,947BOYAmt
EOY$625,810EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$479,272BOYAmt
EOY$502,742EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,362BOYAmt
EOY$65,353EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,916,378BOYAmt
EOY$2,669,392EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$376,115BOYAmt
EOY$333,567EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$322,975EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$501,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$376,115BOYAmt
EOY$1,158,014EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,540,263BOYAmt
EOY$1,511,378EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,540,263BOYAmt
EOY$1,511,378EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,916,378BOYAmt
EOY$2,669,392EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$41,923ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,038NetUnrlzdGainsLossesInvstAmt
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$896,442DepreciationAmt
Book Value$227,509BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,834,776OtherCostOrOtherBasisAmt
Depreciation$1,470,754DepreciationAmt
Book Value$364,022BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,960OtherCostOrOtherBasisAmt
Depreciation$66,455DepreciationAmt
Book Value$26,505BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$625,810TotalBookValueLandBuildingsAmt

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$37,754CashGrantAmt
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$347,057ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
P$682,740ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
B$37,754ACTUAL AMOUNT