FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-08
IRS object ID
201633139349302403
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-08T15:19:29-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431909489PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILSON TOELLNER & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12700 MATTHEW DRAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

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 Line1THIRD AND WEST STREETSAddressLine1Txt
CityCONCORDIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULETTE OETTINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6604632267PhoneNum
Signature2016-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNORMA SCHLESSELMAN CPAPreparerPersonNm
PTINP01296910PTIN
Phone6608274990PhoneNum
Preparation2016-10-17PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDALE DIECKHOFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line129829 COUNTY LINE RDAddressLine1Txt
CityCONCORIDACityNm
State AbbreviationMOStateAbbreviationCd
ZIP64020ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,497,071GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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 Employee209TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$900PYContributionsGrantsAmt
CY Contributions Grants$10,286CYContributionsGrantsAmt
PY Program Service Revenue$5,648,078PYProgramServiceRevenueAmt
CY Program Service Revenue$5,459,086CYProgramServiceRevenueAmt
PY Investment Income$18,912PYInvestmentIncomeAmt
CY Investment Income$27,699CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,667,890PYTotalRevenueAmt
CY Total Revenue$5,497,071CYTotalRevenueAmt
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$3,371,250PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,576,600CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,898,314PYOtherExpensesAmt
CY Other Expenses$1,961,699CYOtherExpensesAmt
PY Total Expenses$5,269,564PYTotalExpensesAmt
CY Total Expenses$5,538,299CYTotalExpensesAmt
PY Revenues Less Expenses$398,326PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$41,228CYRevenuesLessExpensesAmt
Total Assets BOY$2,900,081TotalAssetsBOYAmt
Total Assets EOY$2,244,310TotalAssetsEOYAmt
Total Liabilities BOY$395,056TotalLiabilitiesBOYAmt
Total Liabilities EOY$345,113TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,505,025NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,899,197NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,513,777ExpenseAmt
Revenue$5,459,086RevenueAmt
Desc120 BED NURSING HOMEDesc
Total Program Service Expenses$5,513,777TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee209EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
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 Line1THIRD WEST STREETSAddressLine1Txt
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
CHARLOTTE NEHER
VICE-PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KENNETH NIERMAN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PAULETTE OETTING
TREASURER2.00Yes (X)Yes (X)$0$0$0
EDWARD NIERMAN
EXECUTIVE BOARD MEMBER2.00Yes (X)$0$0$0
FRED DROEGE
MEMBER2.00Yes (X)$0$0$0
LOIS MARTENS
MEMBER2.00Yes (X)$0$0$0
DAVID MATTHEWS
MEMBER2.00Yes (X)$0$0$0
SHARON OETTING
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHAB CARE GROUP INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63150ZIPCd
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$404,292CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$10,286AllOtherContributionsAmt
Total Contributions$10,286TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$3,054,405$3,054,405
NURSING CARE623000$2,313,249$2,313,249
ROOM RESERVATION623000$35,883$35,883
MANAGEMENT CONTRACT531310$27,577$27,577
LAUNDRY623000$17,469$17,469

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,503TotalRevenueColumnAmt
Related Or Exempt Func Income$10,503RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,459,086TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,699TotalRevenueColumnAmt
Exclusion$27,699ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,497,071TotalRevenueColumnAmt
Related Or Exempt Func Income$5,459,086RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$27,699ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,197,917TotalAmt
Program Services$3,197,917ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,067TotalAmt
Program Services$22,067ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$120,989TotalAmt
Program Services$120,989ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$235,627TotalAmt
Program Services$235,627ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,608TotalAmt
Program Services$2,608ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,531TotalAmt
Management And General$15,531ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,991TotalAmt
Management And General$8,991ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,961TotalAmt
Program Services$6,961ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,489TotalAmt
Program Services$37,489ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,997TotalAmt
Program Services$136,997ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,985TotalAmt
Program Services$10,985ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$74,754TotalAmt
Program Services$74,754ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$111,269TotalAmt
Program Services$111,269ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$492,482$492,482
NURSING FACILITY REIMB$446,838$446,838
CONTRACTED THERAPY$428,026$428,026
MEDICARE BILLING$66,571$66,571

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$122,197TotalAmt
Program Services$122,197ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,538,299TotalAmt
Program Services$5,513,777ProgramServicesAmt
Management And General$24,522ManagementAndGeneralAmt
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$977,061BOYAmt
EOY$277,858EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$370,749BOYAmt
EOY$357,191EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,349BOYAmt
EOY$5,963EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,684BOYAmt
EOY$9,876EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,952,974LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,160,721LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$754,674BOYAmt
EOY$792,253EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$712,909BOYAmt
EOY$739,514EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$61,505BOYAmt
EOY$61,505EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,900,081BOYAmt
EOY$2,244,310EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$395,056BOYAmt
EOY$345,113EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$395,056BOYAmt
EOY$345,113EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,505,025BOYAmt
EOY$1,899,197EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,505,025BOYAmt
EOY$1,899,197EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,900,081BOYAmt
EOY$2,244,310EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$41,228ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,759NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$578,359OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$2,185,738OtherCostOrOtherBasisAmt
Depreciation$1,654,140DepreciationAmt
Book Value$531,598BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$656,727OtherCostOrOtherBasisAmt
Depreciation$506,581DepreciationAmt
Book Value$150,146BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,735OtherCostOrOtherBasisAmt
Book Value$102,735BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$792,253TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT REVIEWS FORM 990.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CONTRIBUTIONS TO LUTHERAN GOOD SHEPERD HOME -578,359.
PT XII, LINE 2CBOARD OF DIRECTORS ASSUMES OVERSIGHT RESPONSIBILITY

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
LUTHERAN GOOD SHEPHERD HOME
THIRD WEST STREETSCONCORDIAMO64020440652188AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(3)LINE 90
GOOD SHEPHERD VILLAGE
THIRD WEST STREETSCONCORDIAMO64020237091759AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
GOOD SHEPHERD VILLAGE II
THIRD WEST STREETSCONCORDIAMO64020431078623AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN GOOD SHEPHERD HOME
B$578,359ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
O$325,785ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
P$622,786ACTUAL AMOUNT