EBEN EZER LUTHERAN CARE CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: EBEN EZER LUTHERAN CARE CENTER (EIN 84-0194430)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-06-10
IRS object ID: 202041629349300449
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-10T13:06:17-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	370 INTERLOCKEN BLVD SUITE 500	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840194430	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EBEN EZER LUTHERAN CARE CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EBEN	BusinessNameControlTxt
Phone	9708422861	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1Txt
City	BRUSH	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80723	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHELLY GRIFFITH	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9708422861	PhoneNum
Signature	2020-06-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFF PARKER	PreparerPersonNm
PTIN	P00970069	PTIN
Phone	3034668822	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-03	IPDt
IP Tm	12:07:12	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8ECECD2934116A1446D5A984C58DA1E2D1128512	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C3CDDAE7A3392DF59B0A9C885E7F58AEC89CE1F4	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SHELLY GRIFFITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1Txt
City	BRUSH	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80723	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$14,213,589	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.EBENEZER-CARES.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	THE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE AND HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	337	TotalEmployeeCnt
Total Volunteers	246	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,525,403	PYContributionsGrantsAmt
CY Contributions Grants	$910,504	CYContributionsGrantsAmt
PY Program Service Revenue	$12,491,457	PYProgramServiceRevenueAmt
CY Program Service Revenue	$13,133,364	CYProgramServiceRevenueAmt
PY Investment Income	-$511,180	PYInvestmentIncomeAmt
CY Investment Income	-$251,894	CYInvestmentIncomeAmt
PY Other Revenue	$225,285	PYOtherRevenueAmt
CY Other Revenue	$129,730	CYOtherRevenueAmt
PY Total Revenue	$13,730,965	PYTotalRevenueAmt
CY Total Revenue	$13,921,704	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,069,271	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,939	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$8,969,533	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,090,396	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$42,851	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,517,287	PYOtherExpensesAmt
CY Other Expenses	$5,389,345	CYOtherExpensesAmt
PY Total Expenses	$18,556,091	PYTotalExpensesAmt
CY Total Expenses	$14,484,680	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,825,126	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$562,976	CYRevenuesLessExpensesAmt
Total Assets BOY	$31,970,037	TotalAssetsBOYAmt
Total Assets EOY	$38,525,819	TotalAssetsEOYAmt
Total Liabilities BOY	$21,788,376	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,864,900	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,181,661	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,660,919	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE EBEN EZER LUTHERAN CARE CENTER (THE CARE CENTER) WAS ESTABLISHED TO PROVIDE SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE AND HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE ELDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER IS CERTIFIED FOR MEDICARE AND MEDICAID AND IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$13,248,048	ExpenseAmt
Grant	$4,939	GrantAmt
Revenue	$13,133,364	RevenueAmt
Desc	PROVIDING SKILLED NURSING CARE, RESPITE CARE, ASSISTED LIVING, INDEPENDENT LIVING, PERSONAL CARE, HOMEMAKING AND LIFELINE EMERGENCY RESPONSE SERVICES TO THE EDERLY AND PERSONS WITH SPECIAL NEEDS. THE CARE CENTER PROVIDED SERVICE TO MORE THAN 400 PERSONS FOR PERSONAL AND HOMEMAKING CARE AND RESIDENTIAL SERVICES TO OVER 300 PERSONS.	Desc
Total Program Service Expenses	$13,248,048	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	23	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	337	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LESLIE MASON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9708422861	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	122 HOSPITAL ROAD	AddressLine1Txt
City	BRUSH	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80723	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
CURT FREED PHD
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
SONYA BASS
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
MARK FRASIER
VICE-CHAIR/TREASURER	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
GEORGE DIKEOU
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
PR WENDY KALAN
DIRECTOR	1.00		Yes (X)	$0	$0	$0
DR DAVID COBB
DIRECTOR	1.00		Yes (X)	$0	$0	$0
ALAN DAHMS PHD
SECRETARY	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
CATHY LINDELL
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JACK DARNELL
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
MICHAEL BERRYHILL
CHAIRMAN	1.00		Yes (X)	$0	$0	$0	Yes (X)
MARK TORMOHLEN
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
SHELLY GRIFFITH
CEO	40.00			$157,810	$0	$10,463	Yes (X)
LESLIE MASON
CFO	40.00			$113,581	$0	$9,565	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$271,391	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$20,028	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FRANSEN PITTMAN GENERAL CONTRACT
9563 S KINGSTON COURT	ENGLEWOOD	CO	80112	CONSTRUCTION	$7,513,049
PREMERE REHAB
25117 SW PARKWAY SUITE D	WILSONVILLE	OR	97070	THERAPY SERVICES	$329,612
GERTGE TECHNOLOGY
109 CLAYTON STREET	BRUSH	CO	80723	IT	$193,872
STANLEY HEALTHCARE SOLUTIONS
4600 VINE STREET	LINCOLN	NE	68504	IT	$124,837
ARCH CONSULTANTS LTD
250 PARKWAY DRIVE SUITE 350	LINCOLNSHIRE	IL	60069	CONSULTANT	$119,507

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$910,504	RelatedOrganizationsAmt
Total Contributions	$910,504	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$13,133,364	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,133,364	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$13,133,364	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,991	TotalRevenueColumnAmt
Exclusion	$39,991	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$291,885	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$291,885	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$291,885	TotalRevenueColumnAmt
Exclusion	-$291,885	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MEAL TICKETS / GUEST MEALS / CATE	623000	$47,967	$47,967
MISCELLANEOUS	623000	$35,258	$35,258
TELEPHONE	623000	$16,802	$16,802

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,703	TotalRevenueColumnAmt
Exclusion	$29,703	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$129,730	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,921,704	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,133,364	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$122,164	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,939	TotalAmt
Program Services	$4,939	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$291,419	TotalAmt
Management And General	$257,667	ManagementAndGeneralAmt
Fundraising	$33,752	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,213,251	TotalAmt
Program Services	$6,882,430	ProgramServicesAmt
Management And General	$330,821	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$75,056	TotalAmt
Program Services	$65,692	ProgramServicesAmt
Management And General	$8,689	ManagementAndGeneralAmt
Fundraising	$675	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$968,293	TotalAmt
Program Services	$942,842	ProgramServicesAmt
Management And General	$23,095	ManagementAndGeneralAmt
Fundraising	$2,356	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$542,377	TotalAmt
Program Services	$505,451	ProgramServicesAmt
Management And General	$30,858	ManagementAndGeneralAmt
Fundraising	$6,068	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,342	TotalAmt
Management And General	$2,342	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$55,748	TotalAmt
Management And General	$55,748	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$749,279	TotalAmt
Program Services	$731,321	ProgramServicesAmt
Management And General	$17,958	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,861	TotalAmt
Program Services	$23,861	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$386,929	TotalAmt
Program Services	$369,731	ProgramServicesAmt
Management And General	$17,198	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$30,310	TotalAmt
Program Services	$27,396	ProgramServicesAmt
Management And General	$2,914	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$704,519	TotalAmt
Program Services	$530,329	ProgramServicesAmt
Management And General	$174,190	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,729,535	TotalAmt
Program Services	$1,729,535	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$238,913	TotalAmt
Program Services	$124,152	ProgramServicesAmt
Management And General	$114,761	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$577,963	$519,710	$58,253
FOOD	$517,787	$517,787
MAINTENANCE AND REPAIR	$173,312	$125,167	$48,145
MISCELLANEOUS	$38,674	$38,674

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$160,173	TotalAmt
Program Services	$109,031	ProgramServicesAmt
Management And General	$51,142	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,484,680	TotalAmt
Program Services	$13,248,048	ProgramServicesAmt
Management And General	$1,193,781	ManagementAndGeneralAmt
Fundraising	$42,851	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$600	BOYAmt
EOY	$600	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,046,333	BOYAmt
EOY	$4,063,507	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,164,266	BOYAmt
EOY	$1,336,440	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$65,307	BOYAmt
EOY	$69,859	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$90,146	BOYAmt
EOY	$107,853	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$42,572,376	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,315,146	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,321,886	BOYAmt
EOY	$31,257,230	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$227,259	BOYAmt
EOY	$247,229	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,054,240	BOYAmt
EOY	$1,443,101	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,970,037	BOYAmt
EOY	$38,525,819	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,105,670	BOYAmt
EOY	$1,516,029	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,896	BOYAmt
EOY	$2,544	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$31,995	BOYAmt
EOY	$44,859	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$19,298,849	BOYAmt
EOY	$27,062,757	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$349,966	BOYAmt
EOY	$238,711	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,788,376	BOYAmt
EOY	$28,864,900	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,181,661	BOYAmt
EOY	$9,660,919	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,181,661	BOYAmt
EOY	$9,660,919	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,970,037	BOYAmt
EOY	$38,525,819	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$562,976	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$42,234	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$422,556	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$322,557	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,247,752	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,525,403	CurrentTaxYearMinus1YearAmt
Current Tax Year	$910,504	CurrentTaxYearAmt
Total	$4,428,772	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,199,319	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,559,238	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,259,391	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,491,457	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,133,364	CurrentTaxYearAmt
Total	$63,642,769	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,621,875	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,881,795	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,507,143	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,016,860	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,043,868	CurrentTaxYearAmt
Total	$68,071,541	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$68,071,541	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$110,054	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$145,435	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$109,484	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,565	CurrentTaxYearMinus1YearAmt
Current Tax Year	$39,991	CurrentTaxYearAmt
Total	$472,529	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$110,054	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$145,435	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$109,484	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,565	CurrentTaxYearMinus1YearAmt
Current Tax Year	$39,991	CurrentTaxYearAmt
Total	$472,529	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$145,790	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$131,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$157,974	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$225,285	CurrentTaxYearMinus1YearAmt
Current Tax Year	$129,730	CurrentTaxYearAmt
Total	$790,199	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,877,719	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,158,650	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,774,601	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,309,710	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,213,589	CurrentTaxYearAmt
Total	$69,334,269	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.98180	PublicSupportCY509Pct
Public Support PY509	0.97920	PublicSupportPY509Pct
Investment Income CY	0.00680	InvestmentIncomeCYPct
Investment Income PY	0.00880	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS - BEAUTY SHOP MEALS TRANSPORTATION ETC - MEAL TICKETS / GUEST MEALS - 2015 AMOUNT: $ 72,914. 2016 AMOUNT: $ 70,916. 2017 AMOUNT: $ 58,517. 2018 AMOUNT: $ 64,452. 2019 AMOUNT: $ 47,967. BEAUTY SHOP - 2015 AMOUNT: $ 22,878. 2016 AMOUNT: $ 20,804. 2017 AMOUNT: $ 22,631. 2018 AMOUNT: $ 19,993. 2019 AMOUNT: $ 15,589. TELEPHONE - 2015 AMOUNT: $ 15,070. 2016 AMOUNT: $ 14,377. 2017 AMOUNT: $ 16,361. 2018 AMOUNT: $ 16,052. 2019 AMOUNT: $ 16,802. MISCELLANEOUS - 2015 AMOUNT: $ 34,928. 2016 AMOUNT: $ 25,323. 2017 AMOUNT: $ 60,465. 2018 AMOUNT: $ 116,130. 2019 AMOUNT: $ 35,258. TRANSPORTATION - 2018 AMOUNT: $ 8,658. 2019 AMOUNT: $ 14,114.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$405,086	BeginningYearBalanceAmt
Investment Earnings Or Losses	$123,801	InvestmentEarningsOrLossesAmt
Other Expenditures	$80,637	OtherExpendituresAmt
End Year Balance	$448,250	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$448,250	BeginningYearBalanceAmt
Other Expenditures	$43,164	OtherExpendituresAmt
End Year Balance	$405,086	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$447,512	BeginningYearBalanceAmt
Investment Earnings Or Losses	$79,981	InvestmentEarningsOrLossesAmt
Other Expenditures	$79,243	OtherExpendituresAmt
End Year Balance	$448,250	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$448,250	BeginningYearBalanceAmt
Other Expenditures	$738	OtherExpendituresAmt
End Year Balance	$447,512	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$448,250	BeginningYearBalanceAmt
End Year Balance	$448,250	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,372	OtherCostOrOtherBasisAmt
Book Value	$66,372	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,984,820	OtherCostOrOtherBasisAmt
Depreciation	$7,472,153	DepreciationAmt
Book Value	$27,512,667	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,376,312	OtherCostOrOtherBasisAmt
Depreciation	$3,842,993	DepreciationAmt
Book Value	$2,533,319	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,144,872	OtherCostOrOtherBasisAmt
Book Value	$1,144,872	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$31,257,230	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SECURITY DEPOSITS	$4,399
ASSET RETIREMENT OBLIGATION	$234,312

Field	Value	IRS element (for citing)
Total Liability	$238,711	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$13,966,473	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$42,234	NetUnrealizedGainsInvstAmt
Other Revenue	$2,535	OtherRevenueAmt
Revenue Not Reported	$44,769	RevenueNotReportedAmt
Revenue Subtotal	$13,921,704	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,921,704	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$14,487,215	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,535	OtherExpensesIncludedAmt
Expenses Not Reported	$2,535	ExpensesNotReportedAmt
Expenses Subtotal	$14,484,680	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$14,484,680	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	THE CARE CENTER IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS IN THE SKILLED NURSING FACILITY.
PART V, LINE 4:	ENDOWMENTS ARE HELD BY EBEN EZER LUTHERAN CARE CENTER FOUNDATION, A RELATED ORGANIZATION. THE ENDOWMENT CONSISTS OF THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION.
PART X, LINE 2:	THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AS OF DECEMBER 31, 2019 AND 2018, THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	MISC. EXPENSES 2,535.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	MISC. EXPENSES 2,535.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	SHELLY GRIFFITH	PersonNm
Title	CEO	TitleTxt
Base Compensation Filing Org	$132,810	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$25,000	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$10,463	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$168,273	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN SHALL NOT BE IN CONFLICT WITH THE POLICIES, OR ANY PRIOR ACTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD. IT SHALL CONSIDER ALL MATTERS REFERRED TO IT BY THE BOARD AND SHALL ACT FOR THE BOARD IN EMERGENCIES. THE EXECUTIVE COMMITTEE SHALL NOT ACT WITHOUT BOARD APPROVAL IN THE FOLLOWING MATTERS: (I) ANY SALE OR PURCHASE OF LAND OR BUILDINGS, (II) ANY FUNDING FOR CAPITAL IMPROVEMENTS THROUGH EITHER MORTGAGE FUNDING OR A FUND CAMPAIGN, (III) ANY ESTABLISHMENT OF ADMINISTRATIVE POSITIONS, INCLUDING POSITION DESCRIPTIONS AND FILLING OF SAID POSITIONS.
FORM 990, PART VI, SECTION A, LINE 2	SHELLY GRIFFITH, CEO, AND SONYA BASS, DIRECTOR, ARE SISTER-IN-LAWS.
FORM 990, PART VI, SECTION B, LINE 11B	THE AUDIT COMMITTEE REVIEWS THE FORM 990 IN DETAIL BEFORE IT IS FILED AND APPROVES THE FILING OF THE RETURN. THE BOARD OF DIRECTORS THEN IS PROVIDED WITH A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. AT EVERY BOARD MEETING, THE MEMBERS ARE ASKED IF THERE HAS BEEN A CHANGE IN THEIR INDEPENDENCE WITH THE ORGANIZATION. THIS INFORMATION IS DOCUMENTED WITHIN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A - THE BOARD REVIEWS SURVEYS FROM OTHER SIMILAR ORGANIZATIONS ON COMPENSATION LEVELS. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO BASED ON COMPARABLE COMPENSATION. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF HOW THE COMPENSATION IS SET. LINE 15B - THE CEO REVIEWS SURVEYS FROM OTHER SIMILAR ORGANIZATIONS ON COMPENSATION LEVELS. THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR THE CFO BASED ON COMPARABLE COMPENSATION. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF HOW THE COMPENSATION IS SET.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND / OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 12, PART XII, LINE 2C - SELECTION OF INDEPENDENT ACCOUNTANT	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
EBEN EZER LUTHERAN CARE CENTER FOUNDATION
122 HOSPITAL ROAD	BRUSH	CO	80723	742480396	SUPPORT	CO	501(C)(3)	LINE 12A, I	EBEN EZER LUTHERAN CARE CENTER	Yes (1)
EBEN EZER LUTHERAN HOUSING CENTER
1900 EDISON STREET	BRUSH	CO	80723	840884015	HOUSING	CO	501(C)(3)	LINE 10	EBEN EZER LUTHERAN CARE CENTER	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	EBEN EZER LUTHERAN CARE CENTER FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$910,504	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt