LUTHERAN HILLSIDE VILLAGE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HILLSIDE VILLAGE INC (EIN 37-0818454)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-15
IRS object ID
201632289349302178
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)
Return2016-08-15T10:07:33-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370818454EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HILLSIDE VILLAGE INCBusinessNameLine1Txt
Business Name Line2C/O LUTHERAN SENIOR SERVICESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
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
Signature2016-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMANDA TINNEYPreparerPersonNm
PTINP01587658PTIN
Phone3149254300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

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$18,159,801GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LSSLIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers218TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$454,134PYContributionsGrantsAmt
CY Contributions Grants$532,778CYContributionsGrantsAmt
PY Program Service Revenue$15,135,044PYProgramServiceRevenueAmt
CY Program Service Revenue$16,133,630CYProgramServiceRevenueAmt
PY Investment Income$445,897PYInvestmentIncomeAmt
CY Investment Income$287,362CYInvestmentIncomeAmt
PY Other Revenue$305,304PYOtherRevenueAmt
CY Other Revenue$317,781CYOtherRevenueAmt
PY Total Revenue$16,340,379PYTotalRevenueAmt
CY Total Revenue$17,271,551CYTotalRevenueAmt
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$7,302,184PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,501,125CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,764,429PYOtherExpensesAmt
CY Other Expenses$10,061,885CYOtherExpensesAmt
PY Total Expenses$17,066,613PYTotalExpensesAmt
CY Total Expenses$17,563,010CYTotalExpensesAmt
PY Revenues Less Expenses-$726,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$291,459CYRevenuesLessExpensesAmt
Total Assets BOY$50,081,416TotalAssetsBOYAmt
Total Assets EOY$53,221,983TotalAssetsEOYAmt
Total Liabilities BOY$73,097,810TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,848,284TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$23,016,394NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$23,626,301NetAssetsOrFundBalancesEOYAmt
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$15,611,360ExpenseAmt
Revenue$16,133,630RevenueAmt
DescOPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY THAT OFFERS A CONTINUUM OF CARE THAT INCLUDES 126 INDEPENDENT LIVING APARTMENTS, 48 PATIO HOMES, 39 ASSISTED LIVING UNITS, 19 ASSISTED LIVING MEMORY CARE UNITS AND 83 SKILLED NURSING BEDS, WHICH INCLUDE 18 MEDICAID CERTIFIED BEDS. BENEVOLENT CARE ASSISTANCE IS ALSO PROVIDED, WHICH INCLUDES MEDICAID CONTRACTUAL ALLOWANCES. TOTAL BENEVOLENT CARE ASSISTANCE PROVIDED WAS $357,459, OF WHICH, $357,459 IS OFFSETTING PROGRAM SERVICE REVENUE.Desc
Total Program Service Expenses$15,611,360TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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
Employee0EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEAN HEINZMANN
CHAIRPERSON OF THE BOARD1.00Yes (X)Yes (X)$0$0$0
JEFFREY BAILEY
TREASURER1.00Yes (X)Yes (X)$0$0$0
REV JOHN BATES
BOARD MEMBER1.00Yes (X)$0$0$0
DR JAMES BAUER
BOARD MEMBER1.00Yes (X)$0$0$0
REV KARL ECKHOFF
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD MOORE
BOARD MEMBER1.00Yes (X)$0$0$0
AJ QUERCIAGROSSA
BOARD MEMBER1.00Yes (X)$0$0$0
TOM PILAT
BOARD MEMBER1.00Yes (X)$0$0$0
GARY SETTERLUND
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN KOTOVSKY
PRESIDENT AND CEO1.00Yes (X)Yes (X)$0$450,477$40,56940.00
KAREN LARSON
BOARD MEMBER/REGIONAL VICE PRESIDENT1.00Yes (X)$0$99,013$1,86640.00
DAN LOSBY
BOARD MEMBER1.00Yes (X)$0$0$00.20
PAUL J OGIER
CHIEF FINANCIAL OFFICER/TREASURER1.00Yes (X)$0$313,081$70,95940.00
DONALD BELL
CHIEF OPERATING OFFICER1.00Yes (X)$0$239,137$40,83340.00
DALE KREIENKAMP
VP OF HUMAN RESOURCES1.00Yes (X)$0$216,292$25,40040.00
MARK W SCHOEDEL
VP OF CONSTRUCTION AND IT1.00Yes (X)$0$221,022$39,23040.00
MIKE RASO
REGIONAL VICE PRESIDENT1.00Yes (X)$0$186,388$12,78940.00
CARLA BAUM
REGIONAL VICE PRESIDENT1.00Yes (X)$0$179,498$7,85240.00
ILLA DAVID
CHIEF INFORMATION OFFICER1.00Yes (X)$0$168,268$2,31240.00
GARY ANDERSON
VICE PRESIDENT CLINICAL EFFECTIVENESS1.00Yes (X)$0$164,800$5,99740.00
MARY LAZARE
VICE PRESIDENT OF HCBS1.00Yes (X)$0$145,234$6,50940.00
DAVE NEWTON
VICE PRESIDENT BUILDING & DINING SER1.00Yes (X)$0$35,532$3540.00
TERRY ETLING
EXECUTIVE DIRECTOR1.00$0$156,499$11,79540.00Yes (X)
VALERIE COOPER
EXECUTIVE DIRECTOR1.00$0$147,477$12,53640.00Yes (X)
WILLIAM KIRKWOOD
EXECUTIVE DIRECTOR1.00$0$144,273$15,37240.00Yes (X)
RITA VICARY
ADMIN OF MARKETING & SALES1.00$0$142,274$13,53440.00Yes (X)
DAVID LUETHY
SCN EXECUTIVE DIRECTOR1.00$0$142,382$7,88940.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,151,647TotReportableCompRltdOrgAmt
Total Other Compensation$315,477TotalOtherCompensationAmt
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
SM WILSON & CO
2185 HAMPTON AVEST LOUISMO63139CONSTRUCTION CONTRACTOR$4,128,047
ALLIANCE REHAB
1520 KENSINGTON ROAD STE 110OAKBROOKIL60523THERAPY & CONSULTANT$862,536
TECH ELECTRONICS INC
6437 MANCHESTER AVEST LOUISMO63139TELEPHONE SYSTEM PROVIDER$311,690
WIDMER & SONS
23460 2200 NORTH AVENUEPRINCETONIL61356CONSTRUCTION CONTRACTOR$251,164
PERKINS EASTMAN ARCHITECTS PC
115 FIFTH AVENUENEW YORKNY10003ARCHITECT$191,399
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$516,536RelatedOrganizationsAmt
All Other Contributions$16,242AllOtherContributionsAmt
Total Contributions$532,778TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICE FEES623000$15,607,174$15,607,174
AMORTIZATION OF ENTRANCE FEES623000$526,456$526,456
FieldValueIRS element (for citing)
Total Program Service Revenue$16,133,630TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$185,934TotalRevenueColumnAmt
Exclusion$185,934ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$986,278SecuritiesAmt
Other$3,400OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$888,250SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$98,028SecuritiesAmt
Other$3,400OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,428TotalRevenueColumnAmt
Exclusion$101,428ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEALS623000$99,976$99,976
REAL ESTATE TAX INCOME623000$78,292$78,292
BEAUTY & BARBER623000$60,924$60,924

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,589TotalRevenueColumnAmt
Exclusion$78,589ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$317,781OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,271,551TotalRevenueColumnAmt
Related Or Exempt Func Income$16,133,630RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$605,143ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,076,084TotalAmt
Program Services$5,895,331ProgramServicesAmt
Management And General$180,753ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$101,812TotalAmt
Program Services$98,783ProgramServicesAmt
Management And General$3,029ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$873,176TotalAmt
Program Services$847,200ProgramServicesAmt
Management And General$25,976ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$450,053TotalAmt
Program Services$436,665ProgramServicesAmt
Management And General$13,388ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,125,840TotalAmt
Management And General$1,125,840ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,430TotalAmt
Management And General$3,430ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,100TotalAmt
Management And General$7,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,594,926TotalAmt
Program Services$1,579,482ProgramServicesAmt
Management And General$15,444ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$73,693TotalAmt
Management And General$73,693ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$728,115TotalAmt
Program Services$580,116ProgramServicesAmt
Management And General$147,999ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$794,634TotalAmt
Program Services$764,657ProgramServicesAmt
Management And General$29,977ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,110TotalAmt
Program Services$34,439ProgramServicesAmt
Management And General$3,671ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$442TotalAmt
Management And General$442ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,693,660TotalAmt
Program Services$1,629,768ProgramServicesAmt
Management And General$63,892ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,798,870TotalAmt
Program Services$2,693,284ProgramServicesAmt
Management And General$105,586ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$134,385TotalAmt
Program Services$134,385ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD/DIETARY$749,567$749,567
MISCELLANEOUS EXPENSE$235,676$163,483$72,193
BAD DEBT EXPENSE$79,237$79,237
RESIDENT ACTIVITIES$4,200$4,200

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,563,010TotalAmt
Program Services$15,611,360ProgramServicesAmt
Management And General$1,951,650ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,034,278BOYAmt
EOY$322,534EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,016,757BOYAmt
EOY$873,304EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$558,116BOYAmt
EOY$185,671EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$52,346BOYAmt
EOY$43,715EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,949BOYAmt
EOY$34,844EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,854,716LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,194,642LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,248,262BOYAmt
EOY$45,660,074EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,061,507BOYAmt
EOY$6,012,640EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$89,201BOYAmt
EOY$89,201EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,081,416BOYAmt
EOY$53,221,983EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$859,359BOYAmt
EOY$2,802,493EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,257,040BOYAmt
EOY$4,334,433EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,023,762BOYAmt
EOY$39,226,626EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,957,649BOYAmt
EOY$30,484,732EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,097,810BOYAmt
EOY$76,848,284EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$23,283,630BOYAmt
EOY-$23,898,286EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$262,236BOYAmt
EOY$266,985EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$5,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$23,016,394BOYAmt
EOY-$23,626,301EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,081,416BOYAmt
EOY$53,221,983EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$291,459ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$318,448NetUnrlzdGainsLossesInvstAmt
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$354,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$401,655CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$426,808CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$454,134CurrentTaxYearMinus1YearAmt
Current Tax Year$532,778CurrentTaxYearAmt
Total$2,169,899TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,207,249CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,539,304CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,601,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,135,044CurrentTaxYearMinus1YearAmt
Current Tax Year$16,133,630CurrentTaxYearAmt
Total$74,616,357TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,561,773CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,940,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,027,938CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,589,178CurrentTaxYearMinus1YearAmt
Current Tax Year$16,666,408CurrentTaxYearAmt
Total$76,786,256TotalAmt

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$76,786,256PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$167,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,731CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$229,065CurrentTaxYearMinus1YearAmt
Current Tax Year$185,934CurrentTaxYearAmt
Total$963,015TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$167,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,731CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$229,065CurrentTaxYearMinus1YearAmt
Current Tax Year$185,934CurrentTaxYearAmt
Total$963,015TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$415,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$439,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$305,304CurrentTaxYearMinus1YearAmt
Current Tax Year$317,781CurrentTaxYearAmt
Total$1,940,760TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,155,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,571,429CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,669,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,123,547CurrentTaxYearMinus1YearAmt
Current Tax Year$17,170,123CurrentTaxYearAmt
Total$79,690,031TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96360PublicSupportCY509Pct
Public Support PY5090.96220PublicSupportPY509Pct
Investment Income CY0.01210InvestmentIncomeCYPct
Investment Income PY0.01190InvestmentIncomePYPct
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
ExplanationMISCELLANEOUS INCOME - 2011 AMOUNT: $ 415,384. 2012 AMOUNT: $ 281,956. 2013 AMOUNT: $ 23,491. 2014 AMOUNT: $ 14,925. 2015 AMOUNT: $ 13,260. BEAUTY BARBER - 2012 AMOUNT: $ 80,654. 2013 AMOUNT: $ 69,673. 2014 AMOUNT: $ 60,413. 2015 AMOUNT: $ 60,924. MEALS - 2012 AMOUNT: $ 71,591. 2013 AMOUNT: $ 87,474. 2014 AMOUNT: $ 87,139. 2015 AMOUNT: $ 99,976. TRANSPORTATION - 2012 AMOUNT: $ 10,696. 2013 AMOUNT: $ 10,459. 2014 AMOUNT: $ 15,992. 2015 AMOUNT: $ 15,564. GENERAL STORE - 2012 AMOUNT: $ 11,737. 2013 AMOUNT: $ 12,773. 2014 AMOUNT: $ 13,548. 2015 AMOUNT: $ 12,161. HOUSEKEEPING LAUNDRY - 2012 AMOUNT: $ 6,286. 2013 AMOUNT: $ 9,958. 2014 AMOUNT: $ 9,419. 2015 AMOUNT: $ 7,794. GUEST ROOM - 2013 AMOUNT: $ 24,015. 2014 AMOUNT: $ 27,320. 2015 AMOUNT: $ 29,810. REAL ESTATE TAX INCOME - 2013 AMOUNT: $ 201,528. 2014 AMOUNT: $ 76,548. 2015 AMOUNT: $ 78,292.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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,061,507BeginningYearBalanceAmt
Investment Earnings Or Losses-$48,867InvestmentEarningsOrLossesAmt
End Year Balance$6,012,640EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,846,165BeginningYearBalanceAmt
Investment Earnings Or Losses$215,342InvestmentEarningsOrLossesAmt
End Year Balance$6,061,507EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,269,951BeginningYearBalanceAmt
Investment Earnings Or Losses$576,214InvestmentEarningsOrLossesAmt
End Year Balance$5,846,165EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,849,115BeginningYearBalanceAmt
Investment Earnings Or Losses$420,836InvestmentEarningsOrLossesAmt
End Year Balance$5,269,951EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,786,297BeginningYearBalanceAmt
Investment Earnings Or Losses$62,818InvestmentEarningsOrLossesAmt
End Year Balance$4,849,115EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$369,068OtherCostOrOtherBasisAmt
Book Value$369,068BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,714,685OtherCostOrOtherBasisAmt
Depreciation$33,746,673DepreciationAmt
Book Value$35,968,012BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,579,561OtherCostOrOtherBasisAmt
Depreciation$3,447,969DepreciationAmt
Book Value$1,131,592BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,191,402OtherCostOrOtherBasisAmt
Book Value$8,191,402BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,660,074TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RESIDENT DEPOSITS$427,785
REFUNDABLE RESIDENCY FEES$25,511,100
DUE TO RELATED PARTY$4,545,847
FieldValueIRS element (for citing)
Total Liability$30,484,732TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FUND'S PRIMARY PURPOSE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE SERVICES AND ACTIVITIES OF LUTHERAN SENIOR SERVICES IN ITS WORK OF CARING FOR THE AGED AND INFIRMED PERSONS THROUGH THE BENEVOLENT CARE PROGRAM. IT ALSO FUNDS CLINICAL PASTORAL EDUCATION.
PART X, LINE 2:THE ORGANIZATION, EXCEPT FOR THE WHOLLY OWNED SUBSIDIARY, PROVIDENT GROUP, INC., AND THE WHOLLY OWNED LIMITED LIABILITY COMPANIES, MACKENZIE PLACE HTC MASTER TENANT, L.P., AND MACKENZIE PLACE LIHTC, L.P., QUALIFIES AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. PROVIDENT GROUP IS ORGANIZED AS A TAXABLE NON-PROFIT FOR FEDERAL AND STATE INCOME TAX PURPOSES. MANAGEMENT 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.

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 (15 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$315,000$0$0$0$135,477$0$20,677$0$19,892$0$491,046$0$26,913
PAUL J OGIER
CHIEF FINANCIAL OFFICER/TREASURER$0$286,525$0$0$0$26,556$0$51,428$0$19,531$0$384,040$0$25,545
DONALD BELL
CHIEF OPERATING OFFICER$0$235,562$0$3,331$0$244$0$31,330$0$9,503$0$279,970$0$0
DALE KREIENKAMP
VP OF HUMAN RESOURCES$0$186,344$0$2,436$0$27,512$0$18,807$0$6,593$0$241,692$0$26,869
MARK W SCHOEDEL
VP OF CONSTRUCTION AND IT$0$188,381$0$2,436$0$30,205$0$32,635$0$6,595$0$260,252$0$29,237
MIKE RASO
REGIONAL VICE PRESIDENT$0$172,615$0$1,244$0$12,529$0$8,308$0$4,481$0$199,177$0$0
CARLA BAUM
REGIONAL VICE PRESIDENT$0$168,447$0$1,244$0$9,807$0$3,375$0$4,477$0$187,350$0$0
ILLA DAVID
CHIEF INFORMATION OFFICER$0$166,904$0$0$0$1,364$0$2,011$0$301$0$170,580$0$0
GARY ANDERSON
VICE PRESIDENT CLINICAL EFFECTIVENES$0$161,846$0$2,436$0$518$0$0$0$5,997$0$170,797$0$0
MARY LAZARE
VICE PRESIDENT OF HCBS$0$142,153$0$2,436$0$645$0$0$0$6,509$0$151,743$0$0
TERRY ETLING
EXECUTIVE DIRECTOR$0$146,180$0$1,244$0$9,075$0$7,353$0$4,442$0$168,294$0$0
VALERIE COOPER
EXECUTIVE DIRECTOR$0$136,702$0$2,138$0$8,637$0$6,348$0$6,188$0$160,013$0$0
WILLIAM KIRKWOOD
EXECUTIVE DIRECTOR$0$132,970$0$3,331$0$7,972$0$6,063$0$9,309$0$159,645$0$0
RITA VICARY
ADMIN OF MARKETING & SALES$0$129,709$0$487$0$12,078$0$7,060$0$6,474$0$155,808$0$0
DAVID LUETHY
SCN EXECUTIVE DIRECTOR$0$121,843$0$0$0$20,539$0$7,108$0$781$0$150,271$0$19,272

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) - $20,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45200BE87CUSIPNum
Bond Issued2006-08-03BondIssuedDt
Issue Price$46,564,912IssuePriceAmt
PurposeTO REFINANCE THE SERIES 2001A AND 2001B BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,930,000RetiredAmt
Total Proceeds$46,564,912TotalProceedsAmt
In Reserve Fund$3,176,671InReserveFundAmt
Issuance Costs From Proceeds$807,882IssuanceCostsFromProceedsAmt
Credit Enhancement$141,981CreditEnhancementAmt
Working Capital Expenditures$45,468WorkingCapitalExpendituresAmt
Other Spent Proceeds$42,392,910OtherSpentProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00680PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00680TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2012
SCHEDULE K, PART II, LINE 11THE AMOUNT OF OTHER SPENT PROCEEDS REPRESENTS $45,459,758 OF PROCEEDS IN REFUNDING OR DEFEASANCE ESCROWS THAT ARE NO LONGER REPORTED, -56,112 WHICH REPRESENTS THE DIFFERENCE BETWEEN THE CURRENT MARKET VALUE OF THE DEBT RESERVE FUND AND THE INITIAL FUNDING AMOUNT, AND -3,010,736 FOR THE DEBT SERVICE RESERVE FUND THAT WAS NOT FUNDED WITH DEBT PROCEEDS SINCE THIS WAS A REFUNDING ISSUE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 NINE SENIOR LIVING COMMUNITIES SERVING OVER 3,000 OLDER ADULTS, NINE AFFORDABLE HOUSING COMMUNITIES SERVING OVER 570 OLDER ADULTS AND A VARIETY OF IN HOME SERVICES PROGRAMS SERVING OVER 5,000 OLDER ADULTS. IN 2015, LSS HAD TOTAL OPERATING INCOME OF APPROXIMATELY $187,000,000, PROVIDED APPROXIMATELY $7,200,000 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, OPERATION, AND BUDGETING TO LUTHERAN SENIOR SERVICES, THE PARENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BOARD MEMBERS ARE ELECTED BY THE SOLE MEMBER, LUTHERAN SENIOR SERVICES.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS NOT PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO BEING FILED. HOWEVER, REVIEW AND APPROVAL OF THE FORM 990 WAS DELEGATED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, PRIOR TO BEING FILED.
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 A REQUIREMENT, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS.
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 2 AND PART IX, LINES 7, 8, 9, AND 10THE ORGANIZATION'S PAYROLL IS PROCESSED WITH LUTHERAN SENIOR SERVICES, THE PARENT COMPANY. FORMS W-3 AND W-2 WERE NOT ISSUED BY LUTHERAN HILLSIDE VILLAGE, INC. AS OF DECEMBER 31, 2015. THE ORGANIZATION DID PAY THE SALARIES, EMPLOYMENT TAXES, AND EMPLOYEE BENEFITS FOR THE ORGANIZATION'S EMPLOYEES. AS OF DECEMBER 31, 2015 THE ORGANIZATION HAD 185 FULL-TIME EMPLOYEES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LUTHERAN SENIOR SERVICES
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144430654862SENIOR LIVINGMO501(C)(3)LINE 9N/A0
LUTHERAN HILLSIDE VILLAGE FOUNDATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144371371314SENIOR LIVINGIL501(C)(3)LINE 7N/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 OrgYes (1)TransferFromOtherOrgInd

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