LUTHERAN RETIREMENT HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN RETIREMENT HOME INC (EIN 42-0807185)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-06-08
IRS object ID
201611609349300116
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)
Return2016-06-08T10:10:30-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421377056PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILLIAMS & COMPANY CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11009 IOWA AVEAddressLine1Txt
CityONAWACityNm
State AbbreviationIAStateAbbreviationCd
ZIP51040ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420807185EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN RETIREMENT HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone6413241712PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 9TH STREET NORTHAddressLine1Txt
CityNORTHWOODCityNm
State AbbreviationIAStateAbbreviationCd
ZIP504590108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT HALBACHPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone6413241712PhoneNum
Signature2016-04-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID D RADKE CPAPreparerPersonNm
PTINP00112027PTIN
Phone7124232616PhoneNum
Preparation2016-05-27PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT HALBACHPrincipalOfficerNm
Gross Receipts$3,949,598GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNORTHWOODLRH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionLUTHERAN RETIREMENT HOME IS A CHRISTIAN BASED CONTINUUM OF SERVICE ENRICHING LIVES BY PROVIDING CARE AND COMPASSION TO OUR RESIDENTS AND OUR COMMUNITIESActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee98TotalEmployeeCnt
Total Volunteers204TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,653PYContributionsGrantsAmt
CY Contributions Grants$6,244CYContributionsGrantsAmt
PY Program Service Revenue$4,177,865PYProgramServiceRevenueAmt
CY Program Service Revenue$4,070,672CYProgramServiceRevenueAmt
PY Investment Income$227,384PYInvestmentIncomeAmt
CY Investment Income$146,171CYInvestmentIncomeAmt
PY Other Revenue$69,876PYOtherRevenueAmt
CY Other Revenue-$273,489CYOtherRevenueAmt
PY Total Revenue$4,478,778PYTotalRevenueAmt
CY Total Revenue$3,949,598CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,620,995PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,613,785CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,669,888PYOtherExpensesAmt
CY Other Expenses$1,751,004CYOtherExpensesAmt
PY Total Expenses$4,290,883PYTotalExpensesAmt
CY Total Expenses$4,364,789CYTotalExpensesAmt
PY Revenues Less Expenses$187,895PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$415,191CYRevenuesLessExpensesAmt
Total Assets BOY$11,383,008TotalAssetsBOYAmt
Total Assets EOY$10,941,543TotalAssetsEOYAmt
Total Liabilities BOY$2,573,111TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,542,587TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,809,897NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,398,956NetAssetsOrFundBalancesEOYAmt
MissionLUTHERAN RETIREMENT HOME IS A CHRISTIAN BASED CONTINUUM OF SERVICE ENRICHING LIVES BY PROVIDING CARE AND COMPASSION TO OUR RESIDENTS AND OUR COMMUNITIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,026,537ExpenseAmt
Revenue$4,070,672RevenueAmt
DescLUTHERAN RETIREMENT HOME PROVIDES SKILLED, INTERMEDIATE LEVELS OF CARE, AND ASSISTED LIVING FOR THE ELDERLY AND DISABLED PEOPLE IN THE NURSING HOME AND LEASE APARTMENTS TO THE ELDERLYDesc
Total Program Service Expenses$4,026,537TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee98EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTT HALBACHPersonNm
Phone6413241712PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 9TH STREET NORTH PO BOX 108AddressLine1Txt
CityNORTHWOODCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50459ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JERRY BRUNSVOLD
BOARD PRESID1.00Yes (X)Yes (X)$0$0$0
MIKE KENNEDY
DIRECTOR1.00Yes (X)$0$0$0
ALLAN WOGEN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LYNN DAVIS
TREASURER1.00Yes (X)Yes (X)$0$0$0
SCOTT HALBACH
ADMINISTRATO40.00Yes (X)$96,571$0$25
JAN THOMPSON
DIRECTOR1.00Yes (X)$0$0$0
TAMMY BORCHARDT
DIRECTOR1.00Yes (X)$0$0$0
HORACE HENDRICKSON
DIRECTOR1.00Yes (X)$0$0$0
MYRON LUPKES
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
DONNA MARTIN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$96,571TotalReportableCompFromOrgAmt
Total Other Compensation$25TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTHERN IOWA THERAPY
1810 4TH ST SWSUITE 103WAVERLYIA50677THERAPY SERVICE$170,712
THOMPSON BUILDERS INC
1216 440TH STNORTHWOODIA50459CONTRACTOR$134,720
NURSEFINDERS
4150 WESTOWN PARKWAYSUITE 106WEST DES MOINESIA50266CONTRACT NURSIN$104,898
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,244AllOtherContributionsAmt
Total Contributions$6,244TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT AND RESIDENT REVENUE623000$4,070,176$4,070,176
MEALS623000$496$496
FieldValueIRS element (for citing)
Total Program Service Revenue$4,070,672TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,171TotalRevenueColumnAmt
Exclusion$146,171ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE623000$24,952$24,952
SHARING AGREEMENT INCOME623000$14,400$14,400
REALIZED LOSS623000-$41,045-$41,045

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$271,796TotalRevenueColumnAmt
Related Or Exempt Func Income-$271,796RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$273,489OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,949,598TotalRevenueColumnAmt
Related Or Exempt Func Income$3,797,183RelatedOrExemptFuncIncomeAmt
Exclusion$146,171ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$96,596TotalAmt
Management And General$96,596ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,051,742TotalAmt
Program Services$1,983,251ProgramServicesAmt
Management And General$68,491ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,010TotalAmt
Program Services$26,109ProgramServicesAmt
Management And General$4,901ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$272,604TotalAmt
Program Services$234,765ProgramServicesAmt
Management And General$37,839ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$161,833TotalAmt
Program Services$149,995ProgramServicesAmt
Management And General$11,838ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,156TotalAmt
Program Services$3,100ProgramServicesAmt
Management And General$39,056ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,536TotalAmt
Management And General$44,536ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,522TotalAmt
Program Services$11,522ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,544TotalAmt
Management And General$34,544ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,228TotalAmt
Program Services$1,228ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$129,022TotalAmt
Program Services$129,022ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$233,376TotalAmt
Program Services$233,376ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD$184,416$184,416
CONTRACTED NURSING FEES$174,744$174,744
UTILITIES$145,154$145,154
MEDICARE PART A AND B EXP$112,879$112,879

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$637,427TotalAmt
Program Services$636,976ProgramServicesAmt
Management And General$451ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,364,789TotalAmt
Program Services$4,026,537ProgramServicesAmt
Management And General$338,252ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$239,986BOYAmt
EOY$190,814EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$866,979BOYAmt
EOY$793,348EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$201,376BOYAmt
EOY$206,816EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,613BOYAmt
EOY$10,067EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,745,953LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,526,426LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,202,643BOYAmt
EOY$5,219,527EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,823,891BOYAmt
EOY$4,500,429EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,520BOYAmt
EOY$20,542EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,383,008BOYAmt
EOY$10,941,543EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$101,860BOYAmt
EOY$94,950EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,200,000BOYAmt
EOY$2,100,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,513BOYAmt
EOY$64,846EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$267,738BOYAmt
EOY$282,791EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,573,111BOYAmt
EOY$2,542,587EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,809,897BOYAmt
EOY$8,394,706EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$4,250EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,809,897BOYAmt
EOY$8,398,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,383,008BOYAmt
EOY$10,941,543EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$415,191ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,250OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,605OtherCostOrOtherBasisAmt
Book Value$37,605BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,062,761OtherCostOrOtherBasisAmt
Depreciation$3,223,023DepreciationAmt
Book Value$4,839,738BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,477,525OtherCostOrOtherBasisAmt
Depreciation$1,225,263DepreciationAmt
Book Value$252,262BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$168,062OtherCostOrOtherBasisAmt
Depreciation$78,140DepreciationAmt
Book Value$89,922BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,219,527TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED SALARIES AND WAGES$122,959
ACCRUED VACATION$113,626
ACCRUED REAL ESTATE TAXES$33,206
APARTMENT DEPOSITS$13,000
FieldValueIRS element (for citing)
Total Liability$282,791TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,949,598TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$3,949,598RevenueSubtotalAmt
Total Revenue Per Form990$3,949,598TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,364,789TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,364,789ExpensesSubtotalAmt
Total Expenses Per Form990$4,364,789TotalExpensesPerForm990Amt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1REVENUE BONDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN426005048BondIssuerEIN
Bond Issued2007-07-01BondIssuedDt
Issue Price$2,800,000IssuePriceAmt
PurposeCONSTRUCTION OF ASSISTED LIVING FACILITY AND REFINANCING OF EXESTING DEBTPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$432,040RetiredAmt
Total Proceeds$2,367,960TotalProceedsAmt
Capitalized Interest$262,952CapitalizedInterestAmt
Issuance Costs From Proceeds$48,853IssuanceCostsFromProceedsAmt
Working Capital Expenditures$69,055WorkingCapitalExpendituresAmt
Capital Expenditures$2,419,140CapitalExpendituresAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BBOARD REVIEWS FORM 990 AT BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 12CLUTHERAN RETIREMENT HOME MONITORS THEIR EMPLOYEES' COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL REVIEWS AND THROUGH INVESTIGATIONS OF ANY ALLEGATIONS OF POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE ADMINISTRATOR BY DOING AN AREA MARKET SURVEY OF OTHER NURSING HOMES IN THE AREA. THEY COMPARE SALARIES, BENEFITS AND EXPERIENCE OF THE OTHER ADMINISTRATORS AND FROM THIS SURVEY AND DISCUSSIONS THEY DETERMINE AND SET THE ADMINISTRATOR'S SALARY FOR LUTHERAN RETIREMENT HOME.
FORM 990, PAGE 6, PART VI, LINE 19LUTHERAN RETIREMENT HOME MAKES ALL OF THEIR GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS AND FORM 990 TAX RETURN AVAILABLE AT ANY TIME TO THE PUBLIC IN THE ADMINISTRATIVE OFFICES LOCATED AT 701 9TH STREET NORTH, NORTHWOOD, IA 50459
FORM 990, PART IX, LINE 24EGENERAL INSURANCE 92,450 0 0 QUALITY ASSURANCE 91,627 0 0 MEDS, DRUGS AND SUPPLIES 73,652 0 0 OUTPATIENT THERAPY EXP 70,694 0 0 WORKERS COMP 60,375 451 0 REPAIRS AND SUPPLIES 39,846 0 0 SUPPLIES AND OTHER EXP 38,469 0 0 REAL ESTATE TAXES 32,619 0 0 BAD DEBT EXP 23,773 0 0 HOUSEKEEPING SUPPLIES 19,982 0 0 LAUNDRY AND LINEN SUPPLIE 18,661 0 0 CONSULTING FEES 17,872 0 0 RESIDENT SERVICE AND FLOW 14,261 0 0 EMPLOYEE RECOGNITION 10,835 0 0 PERSONNEL DEVELOPMENT 8,894 0 0 TELEPHONE 8,519 0 0 LICENSES, DUES AND SUBS 6,746 0 0 HIRING EXPENSE 6,701 0 0 SCHOLARSHIP EXPENSE 1,000 0 0
FORM 990, PART XI, LINE 9TEMPORARILY RESTRICTED 4,250 TOTAL 4,250

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