MERIDIAN VILLAGE ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MERIDIAN VILLAGE ASSOCIATION (EIN 37-1415588)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349309550
Schema version
2016v3.0
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)
Return2017-11-14T15:42:22-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371415588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERIDIAN VILLAGE ASSOCIATIONBusinessNameLine1Txt
Business Name Line2C/O LUTHERAN SENIOR SERVICESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMERIBusinessNameControlTxt
Phone3149689313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63144ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL J OGIERPersonNm
Person TitleCFOPersonTitleTxt
Phone3149689313PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMANDA TINNEYPreparerPersonNm
PTINP01587658PTIN
Phone3149254300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm12:38:52IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2FD9AEF635F49284691F87E9FE125090855B27ABAtSubmissionCreationDeviceId
At Submission Filing Device IdC894D73ADCBF37CE9CDF6310B0356D64C66D5018AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KOTOVSKYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63144ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,868,026GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LSSLIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionFAITH BASED ORGANIZATION WHICH PROVIDES A NETWORK OF SUPPORTIVE SERVICES FOR OLDER ADULTS. SEE BELOW FOR SUMMARY OF LSS CONSOLIDATED OPERATIONS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee329TotalEmployeeCnt
Total Volunteers534TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$168,412PYContributionsGrantsAmt
CY Contributions Grants$190,867CYContributionsGrantsAmt
PY Program Service Revenue$16,071,548PYProgramServiceRevenueAmt
CY Program Service Revenue$16,344,336CYProgramServiceRevenueAmt
PY Investment Income$10,484PYInvestmentIncomeAmt
CY Investment Income$11,703CYInvestmentIncomeAmt
PY Other Revenue$261,745PYOtherRevenueAmt
CY Other Revenue$321,120CYOtherRevenueAmt
PY Total Revenue$16,512,189PYTotalRevenueAmt
CY Total Revenue$16,868,026CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,247,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,234,429CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,574,209PYOtherExpensesAmt
CY Other Expenses$10,230,578CYOtherExpensesAmt
PY Total Expenses$16,822,173PYTotalExpensesAmt
CY Total Expenses$17,465,007CYTotalExpensesAmt
PY Revenues Less Expenses-$309,984PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$596,981CYRevenuesLessExpensesAmt
Total Assets BOY$31,712,968TotalAssetsBOYAmt
Total Assets EOY$32,318,168TotalAssetsEOYAmt
Total Liabilities BOY$47,478,033TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,680,214TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$15,765,065NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$16,362,046NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PRIMARY PURPOSE OF THE EXEMPT ORGANIZATION IS TO ADDRESS AND MEET THE NEEDS OF AGED PERSONS, INCLUDING HOUSING, HEALTHCARE, AND FINANCIAL SECURITY. THE CORPORATION'S RESIDENTIAL FACILITIES AND PROGRAMS ARE SPECIFICALLY DESIGNED TO MEET AND MAINTAIN ITS AGED RESIDENTS PHYSICAL AND EMOTIONAL WELL-BEING, AS WELL AS MEET THEIR RECREATIONAL, SOCIAL, AND RELIGIOUS NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,918,819ExpenseAmt
Revenue$16,344,336RevenueAmt
DescOPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY THAT OFFERS A CONTINUUM OF CARE THAT INCLUDES 129 INDEPENDENT LIVING APARTMENTS, 34 PATIO HOMES, 53 ASSISTED LIVING UNITS, 14 ASSISTED LIVING MEMORY CARE UNITS AND 70 SKILLED NURSING BEDS, WHICH INCLUDE 12 MEDICAID CERTIFIED BEDS. BENEVOLENT CARE ASSISTANCE IS ALSO PROVIDED, WHICH INCLUDES MEDICAID CONTRACTUAL ALLOWANCES. TOTAL BENEVOLENT CARE ASSISTANCE PROVIDED WAS $750,479, OF WHICH, $750,479 IS OFFSETTING PROGRAM SERVICE REVENUE.Desc
Total Program Service Expenses$14,918,819TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee329EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL OGIERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149689313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63144ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
REV WILLIAM T SIMMONS
CHAIRPERSON0.202.00Yes (X)Yes (X)$0$0$0
KATHLEEN T MUELLER
VICE CHAIRPERSON0.202.00Yes (X)Yes (X)$0$0$0
LEE H BODENDIECK
SECRETARY0.202.00Yes (X)Yes (X)$0$0$0
SCOTT M HARTWIG
ASSISTANT SECRETARY0.202.00Yes (X)Yes (X)$0$0$0
RICHARD J BAGY JR
BOARD MEMBER0.202.00Yes (X)$0$0$0
DIANE R DROLLINGER
BOARD MEMBER0.202.00Yes (X)$0$0$0
KARL A DUNAJCIK
BOARD MEMBER0.202.00Yes (X)$0$0$0
JEFFREY L DUNN
BOARD MEMBER0.202.00Yes (X)$0$0$0
JOHN A KOMLOS
BOARD MEMBER0.202.00Yes (X)$0$0$0
DR F MATTHEW KUHLMANN
BOARD MEMBER0.202.00Yes (X)$0$0$0
HARRY MUELLER
BOARD MEMBER0.202.00Yes (X)$0$0$0
GARY OLSON
BOARD MEMBER0.202.00Yes (X)$0$0$0
WILLIAM F ROTH
BOARD MEMBER0.202.00Yes (X)$0$0$0
REV DR SCOTT K SEIDLER
BOARD MEMBER0.202.00Yes (X)$0$0$0
SHERRI C STRAND
BOARD MEMBER0.202.00Yes (X)$0$0$0
JOHN KOTOVSKY
PRESIDENT AND CEO1.0040.00Yes (X)$0$458,825$26,486
PAUL J OGIER
CHIEF FINANCIAL OFFICER/TREASURER1.0040.00Yes (X)$0$310,846$30,684
MARK W SCHOEDEL
VP OF CONSTRUCTION AND IT1.0040.00Yes (X)$0$231,930$16,041
DALE KREIENKAMP
VP OF HUMAN RESOURCES1.0040.00Yes (X)$0$227,301$13,934
DONALD BELL
CHIEF OPERATING OFFICER1.0040.00Yes (X)$0$213,449$605
CARLA BAUM
REGIONAL VICE PRESIDENT1.0040.00Yes (X)$0$186,294$7,935
GARY ANDERSON
VICE PRESIDENT CLINICAL EFFECTIVENESS1.0040.00Yes (X)$0$186,608$13,111
ILLA DAVID
CHIEF INFORMATION OFFICER1.0040.00Yes (X)$0$180,156$255
KAREN LARSON
REGIONAL VICE PRESIDENT1.0040.00Yes (X)$0$181,432$7,457
MIKE RASO
REGIONAL VICE PRESIDENT1.0040.00Yes (X)$0$175,171$11,364
MARY LAZARE
VICE PRESIDENT OF HCBS1.0040.00Yes (X)$0$158,218$807
DAVE NEWTON
VP BUILDING & DINING SERVICES1.0040.00Yes (X)$0$106,875$527
LISA NORWINE
VP OF ADVANCEMENT1.0040.00Yes (X)$0$95,292$4,004
JOSH KING
CHIEF INFORMATION OFFICER1.0040.00Yes (X)$0$88,127$8,211
JOHN TURONGIAN
INTERIM CHIEF OPERATING OFFICER1.0040.00Yes (X)$0$140,909$9,708
COLLEEN BOTTENS
EXECUTIVE DIRECTOR40.000.00Yes (X)$0$117,860$8,537
RITA VICARY
ADMIN OF MARKETING & SALES1.0040.00$0$152,501$12,567Yes (X)
CHAD SNEED
CONTROLLER1.0040.00$0$147,158$10,131Yes (X)
TODD YOUNG
NETWORK DIRECTOR1.0040.00$0$133,973$11,996Yes (X)
CHARLES WHEELER
DIRECTOR CLINICAL COMPLIANCE1.0040.00$0$126,168$248Yes (X)
JEFF BROWN
SENIOR ARCHITECT1.0040.00$0$124,837$8,730Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,743,930TotReportableCompRltdOrgAmt
Total Other Compensation$203,338TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LUTHERAN SENIOR SERVICES
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144MANAGEMENT$1,192,206
ALLIANCE REHAB
1520 KENSINGTON ROAD SUITE 110OAK BROOKIL60523THERAPY & CONSULTANT$796,928
SIRIUS COMPUTER SOLUTIONS INC
101 SOUTH HANLEY ROAD STE 575ST LOUISMO63105TECHNOLOGY SERVICE$219,547
CS FLOORING
11632 FAIRGROVE INDUSTRIAL BLVDMARYLAND HEIGHTSMO63043CARPET INSTALLATION$164,427
HBD CONSTRUCTION
5517 MANCHESTER AVEST LOUISMO63110IMPROVEMENTS$128,538
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$170,884RelatedOrganizationsAmt
All Other Contributions$19,983AllOtherContributionsAmt
Total Contributions$190,867TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$16,344,336TotalRevenueColumnAmt
Related Or Exempt Func Income$16,344,336RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,344,336TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,703TotalRevenueColumnAmt
Exclusion$11,703ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
BARBER & BEAUTY623000$149,465$149,465
MEAL INCOME623000$87,099$87,099
MISCELLANEOUS INCOME900099$84,556$84,556
FieldValueIRS element (for citing)
Other Revenue Total$321,120OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,868,026TotalRevenueColumnAmt
Related Or Exempt Func Income$16,344,336RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$332,823ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$117,860TotalAmt
Management And General$117,860ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,677,080TotalAmt
Program Services$5,501,993ProgramServicesAmt
Management And General$175,087ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$81,566TotalAmt
Program Services$77,443ProgramServicesAmt
Management And General$4,123ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$934,846TotalAmt
Program Services$887,587ProgramServicesAmt
Management And General$47,259ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$423,077TotalAmt
Program Services$401,690ProgramServicesAmt
Management And General$21,387ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,192,206TotalAmt
Management And General$1,192,206ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$111,832TotalAmt
Management And General$111,832ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,300TotalAmt
Management And General$7,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,146,092TotalAmt
Program Services$1,984,735ProgramServicesAmt
Management And General$161,357ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,146TotalAmt
Management And General$67,146ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$510,823TotalAmt
Program Services$381,126ProgramServicesAmt
Management And General$129,697ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$31,177TotalAmt
Program Services$31,177ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,107,114TotalAmt
Program Services$1,103,430ProgramServicesAmt
Management And General$3,684ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,255TotalAmt
Program Services$33,457ProgramServicesAmt
Management And General$7,798ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,575TotalAmt
Management And General$9,575ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,536,419TotalAmt
Program Services$1,531,307ProgramServicesAmt
Management And General$5,112ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,965,734TotalAmt
Program Services$1,959,193ProgramServicesAmt
Management And General$6,541ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,091TotalAmt
Program Services$37,964ProgramServicesAmt
Management And General$127ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$712,215$712,215
BAD DEBT$360,920$360,920
MISCELLANEOUS EXPENSE$217,533$100,356$117,177
MEDICAL SUPPLIES$136,699$136,699

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,447TotalAmt
Program Services$38,447ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,465,007TotalAmt
Program Services$14,918,819ProgramServicesAmt
Management And General$2,546,188ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,118,739BOYAmt
EOY$2,012,183EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,040BOYAmt
EOY$48,822EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$45,816BOYAmt
EOY$90,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,879,594LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,736,935LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,481,857BOYAmt
EOY$30,142,659EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,016BOYAmt
EOY$23,016EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,712,968BOYAmt
EOY$32,318,168EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$553,880BOYAmt
EOY$905,951EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$952,627BOYAmt
EOY$954,673EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,287,743BOYAmt
EOY$37,222,139EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,683,783BOYAmt
EOY$9,597,451EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,478,033BOYAmt
EOY$48,680,214EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$15,796,111BOYAmt
EOY-$16,405,359EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,046BOYAmt
EOY$43,313EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$15,765,065BOYAmt
EOY-$16,362,046EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,712,968BOYAmt
EOY$32,318,168EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$596,981ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$179,928CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$265,361CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$244,046CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$168,412CurrentTaxYearMinus1YearAmt
Current Tax Year$190,867CurrentTaxYearAmt
Total$1,048,614TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,744,908CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,623,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,071,532CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,071,548CurrentTaxYearMinus1YearAmt
Current Tax Year$16,344,336CurrentTaxYearAmt
Total$75,856,040TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,924,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,889,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,315,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,239,960CurrentTaxYearMinus1YearAmt
Current Tax Year$16,535,203CurrentTaxYearAmt
Total$76,904,654TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$76,904,654PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,484CurrentTaxYearMinus1YearAmt
Current Tax Year$11,703CurrentTaxYearAmt
Total$42,748TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,484CurrentTaxYearMinus1YearAmt
Current Tax Year$11,703CurrentTaxYearAmt
Total$42,748TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$204,417CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,721CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$218,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$261,750CurrentTaxYearMinus1YearAmt
Current Tax Year$321,120CurrentTaxYearAmt
Total$1,200,389TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,129,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,093,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,545,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,512,194CurrentTaxYearMinus1YearAmt
Current Tax Year$16,868,026CurrentTaxYearAmt
Total$78,147,791TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98410PublicSupportCY509Pct
Public Support PY5090.98680PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationBARBER AND BEAUTY - 2012 AMOUNT: $ 82,878. 2013 AMOUNT: $ 106,617. 2014 AMOUNT: $ 114,947. 2015 AMOUNT: $ 136,090. 2016 AMOUNT: $ 149,465. MEAL INCOME - 2012 AMOUNT: $ 29,267. 2013 AMOUNT: $ 37,737. 2014 AMOUNT: $ 44,359. 2015 AMOUNT: $ 59,090. 2016 AMOUNT: $ 87,099. MISCELLANEOUS - 2012 AMOUNT: $ 92,272. 2013 AMOUNT: $ 50,367. 2014 AMOUNT: $ 59,075. 2015 AMOUNT: $ 66,570. 2016 AMOUNT: $ 84,556.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,541,449OtherCostOrOtherBasisAmt
Book Value$1,541,449BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,322,081OtherCostOrOtherBasisAmt
Depreciation$17,181,041DepreciationAmt
Book Value$27,141,040BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,016,064OtherCostOrOtherBasisAmt
Depreciation$2,555,894DepreciationAmt
Book Value$1,460,170BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,142,659TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
SECURITY DEPOSITS$322,433
ENTRANCE FEES$7,878,550
BANK OVERDRAFT$1,395,854
DUE TO AFFILIATES$614
FieldValueIRS element (for citing)
Total Liability$9,597,451TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN KOTOVSKY
PRESIDENT AND CEO$0$343,636$0$26,713$0$88,476$0$11,459$0$15,027$0$485,311$0$0
PAUL J OGIER
CHIEF FINANCIAL OFFICER/TREASURER$0$281,639$0$27,354$0$1,853$0$10,550$0$20,134$0$341,530$0$0
MARK W SCHOEDEL
VP OF CONSTRUCTION AND IT$0$194,782$0$29,171$0$7,977$0$9,079$0$6,962$0$247,971$0$3,410
DALE KREIENKAMP
VP OF HUMAN RESOURCES$0$191,790$0$27,554$0$7,957$0$7,182$0$6,752$0$241,235$0$3,410
DONALD BELL
CHIEF OPERATING OFFICER$0$213,449$0$0$0$0$0$0$0$605$0$214,054$0$0
CARLA BAUM
REGIONAL VICE PRESIDENT$0$176,631$0$4,518$0$5,145$0$3,603$0$4,332$0$194,229$0$1,705
GARY ANDERSON
VICE PRESIDENT CLINICAL EFFECTIVENES$0$167,180$0$12,000$0$7,428$0$6,425$0$6,686$0$199,719$0$3,410
ILLA DAVID
CHIEF INFORMATION OFFICER$0$180,156$0$0$0$0$0$0$0$255$0$180,411$0$0
KAREN LARSON
REGIONAL VICE PRESIDENT$0$168,212$0$9,194$0$4,026$0$3,126$0$4,331$0$188,889$0$1,705
MIKE RASO
REGIONAL VICE PRESIDENT$0$166,633$0$4,519$0$4,019$0$6,934$0$4,430$0$186,535$0$1,705
MARY LAZARE
VICE PRESIDENT OF HCBS$0$158,218$0$0$0$0$0$0$0$807$0$159,025$0$0
JOHN TURONGIAN
INTERIM CHIEF OPERATING OFFICER$0$139,590$0$0$0$1,319$0$5,663$0$4,045$0$150,617$0$341
RITA VICARY
ADMIN OF MARKETING & SALES$0$133,013$0$12,000$0$7,488$0$5,886$0$6,681$0$165,068$0$3,410
CHAD SNEED
CONTROLLER$0$143,579$0$0$0$3,579$0$5,804$0$4,327$0$157,289$0$1,705

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR.
PART I, LINE 4BJOHN KOTOVSKY SEC 457(F) PLAN $20,000 PAUL OGIER SEC 457(F) PLAN $20,000 MARK SCHOEDEL SEC 457(F) PLAN $20,000 DALE KREIENKAMP SEC 457(F) PLAN $20,000 DONALD BELL SEC 457(F) PLAN $20,000

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1LUTHERAN SENIOR SERVICES IS A LARGE COMPLEX ORGANIZATION THAT IS COMPRISED OF 19 SEPARATE LEGAL ENTITIES, EACH OF WHICH FILES ITS OWN TAX RETURN. DUE TO THE REQUIREMENTS FOR COMPLETING THESE 990'S (WHICH ARE FILED BY 16 OF THE 19 LSS ENTITIES), SOME OF THE INFORMATION CONTAINED WITHIN THE FORM, SUCH AS REVENUE AND EXPENSES, IS RELATED ONLY TO THAT PARTICULAR ENTITY. HOWEVER, SOME OF THE INFORMATION, SUCH AS EXECUTIVE COMPENSATION, RELATES TO THE ENTIRE ORGANIZATION. TO HELP MAKE THIS INFORMATION MORE MEANINGFUL, THE FOLLOWING PARAGRAPH PROVIDES A SUMMARY OF THE OVERALL OPERATIONS OF LSS. LUTHERAN SENIOR SERVICES IS A NOT FOR PROFIT ORGANIZATION OWNED BY 104 LUTHERAN CHURCHES AND WAS INITIALLY FOUNDED IN 1858. LUTHERAN SENIOR SERVICES OPERATES TEN SENIOR LIVING COMMUNITIES SERVING OVER 3,000 OLDER ADULTS, EIGHT AFFORDABLE HOUSING COMMUNITIES SERVING OVER 570 OLDER ADULTS AND A VARIETY OF IN HOME SERVICES PROGRAMS SERVING OVER 5,000 OLDER ADULTS. IN 2016, LSS HAD TOTAL OPERATING REVENUE OF APPROXIMATELY $209,000,000, PROVIDED APPROXIMATELY $11,850,000 IN BENEVOLENT CARE, HAD OVER 75,000 VOLUNTEER HOURS, AND EMPLOYED 18 CHAPLAINS.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO LUTHERAN SENIOR SERVICES, THE PARENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BOARD MEMBERS ARE ELECTED BY ASSOCIATED CHURCHES.
FORM 990, PART VI, SECTION B, LINE 11BTHE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING. APPROVAL OF THE FORM 990 IS DELEGATED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS AND EMPLOYEES WILL DISCLOSE A CONFLICT OF INTEREST ON THE "CONFLICT OF INTEREST FORM" IN THE FOLLOWING SITUATIONS AND IN OTHER CIRCUMSTANCES WHICH HE/SHE THINKS MIGHT CAUSE A CONFLICT BETWEEN HIS/HER PERSONAL INTERESTS AND HIS/HER FIDUCIARY DUTY: FINANCIAL INTERESTS, INSIDE INFORMATION, CONFLICTING INTEREST OTHER THAN FINANCIAL, GIFTS AND FAVORS. THE FOLLOWING LSS EMPLOYEES ARE REQUIRED TO SIGN A "CONFLICT OF INTEREST FORM" ANNUALLY: PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER/TREASURER, VICE PRESIDENT OF CONSTRUCTION AND IT, VICE PRESIDENT OF HUMAN RESOURCES, ALL DIRECTORS, ADMINISTRATORS AND ASSISTANT ADMINISTRATORS. THE CORPORATE COMPLIANCE OFFICER FOLLOWS UP WITH ANY CONFLICTS OF INTERESTS AND DOCUMENTS THE RESOLUTIONS OF THE CONFLICTS. THESE FORMS ARE KEPT BY THE CORPORATE COMPLIANCE OFFICE.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION DID NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. THE COMPENSATION PROCESS USED BY THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, IS AS FOLLOWS: THE BOARD OF DIRECTORS ESTABLISHED A SEPARATE COMPENSATION COMMITTEE CHARGED WITH PERFORMING AN ANNUAL PERFORMANCE REVIEW OF THE CEO AND REVIEWING THE CEO'S COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM TO: (1) DEVELOP AN ANNUAL CEO PERFORMANCE REVIEW PROCESS, INCLUDING A NEW EVALUATION FORM, AND (2) DEVELOP A COMPENSATION PACKAGE BASED ON ITS KNOWLEDGE OF SIMILARLY SIZED NON-PROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE COMPENSATION PAID TO THE CEO IS REASONABLE. ALL MEMBERS OF THE BOARD COMPLETE AN ANNUAL EVALUATION, WHICH THE COMPENSATION COMMITTEE SUMMARIZES AND REVIEWS. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR ANY COMPENSATION ADJUSTMENTS.
FORM 990, PART VI, SECTION C, LINE 19ALTHOUGH NOT REQUIRED, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, FINANCIAL STATEMENTS AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 595,308. MANAGEMENT AND GENERAL EXPENSES 161,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 756,665. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,389,427. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,389,427.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEARS.
FORM 990, PART V, LINE 2ATHE ORGANIZATION'S PAYROLL IS PROCESSED WITH LUTHERAN SENIOR SERVICES, THE PARENT COMPANY. FORMS W-3 AND W-2 WERE NOT ISSUED BY MERIDIAN VILLAGE ASSOCIATION III AS OF DECEMBER 31, 2016. THE ORGANIZATION DID PAY THE SALARIES, EMPLOYMENT TAXES, AND EMPLOYEE BENEFITS FOR THE ORGANIZATION'S EMPLOYEES. MERIDIAN VILLAGE ASSOCIATION HAD 329 FULL-TIME EMPLOYEES DEDICATED TO ITS OPERATIONS ON DECEMBER 31, 2016.
FORM 990, PART X, PAGE 11, LINE 20 - LIABILITIES / TAX EXEMPT BONDSTHE PARENT COMPANY, LUTHERAN SENIOR SERVICES, HAS ALLOCATED A PORTION OF THE TAX EXEMPT BONDS THAT WERE ISSUED TO THE PARENT COMPANY. THE DETAILS OF THE TAX EXEMPT BONDS ISSUED TO LUTHERAN SENIOR SERVICES ARE CONTAINED ON THE SCHEDULE K THAT IS FILED WITH THE FORM 990 FOR THE PARENT COMPANY (FEIN 43-0654862). THERE IS NO SCHEDULE K FOR THIS TAX RETURN. THIS TREATMENT IS CONSISTENT WITH PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LUTHERAN SENIOR SERVICES
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144430654862SENIOR LIVINGMO501(C)(3)LINE 10N/A0
LUTHERAN SENIOR SERVICES ENDOWMENT FUND
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431818832SENIOR LIVINGMO501(C)(3)LINE 12A, I0LUTHERAN SENIOR SERVICES
HALLS FERRY MANOR
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431660879LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
DUNN ROAD MANOR INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431874215LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
ROSE HILL HOUSE INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431736720LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
ROSE HILL HOUSE II INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144201889216LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
HILLTOP MANOR ASSOCIATION INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144020667342LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
WESTFIELD MANOR ASSOCIATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144020568032LOW INCOME HOUSING FOR THE ELDERLYIL501(C)(3)LINE 10N/A0
MACKENZIE PLACE 202 - II
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144454000626LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
MACKENZIE PLACE 202
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144273777863LOW INCOME HOUSING FOR THE ELDERLYMO501(C)(3)LINE 10N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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