2015-10-27T09:21:24-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2014-01-01 430654862 LUTHERAN SENIOR SERVICES LUTH 3149689313 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 PAUL OGIER CFO 3149689313 2015-10-22 1 AMANDA TINNEY P00028482 3149254300 2014 2016-02-25 16:41:14Z JOHN KOTOVSKY 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 227676206 0 X WWW.LSSLIVING.ORG X 1863 MO FAITH BASED ORGANIZATION WHICH PROVIDES A NETWORK OF SUPPORTIVE SERVICES FOR OLDER ADULTS. SEE BELOW FOR SUMMARY OF LSS CONSOLIDATED OPERATIONS. 15 15 4004 3382 0 0 1892923 1857695 123541647 132437938 6475984 7841419 0 2817887 131910554 144954939 0 17403 0 0 67058469 72865764 0 0 0 59889239 66173218 126947708 139056385 4962846 5898554 419139706 471496720 365281920 416908450 53857786 54588270 TO PROVIDE A NETWORK OF SUPPORTIVE SERVICES THAT MEET THE NEEDS OF OLDER ADULTS AT ALL INCOME LEVELS IN ORDER TO LIVE OUT OUR MISSION OF "OLDER ADULTS LIVING LIFE TO THE FULLEST". 0 0 115205396 17403 129920598 OPERATIONS FOR FIVE CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) THAT OFFER A CONTINUUM OF CARE THAT INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AND SKILLED NURSING, THE MAJORITY OF WHICH ARE MEDICARE/MEDICAID CERTIFIED. IN ADDITION, OPERATIONS OF ONE ASSISTED LIVING AND ONE SKILLED NURSING FACILITY NOT ASSOCIATED WITH A CCRC. A TOTAL OF 3,312 UNITS ARE OFFERED WITH A SUSTAINED OCCUPANCY RATE EXCEEDING 92%. MORE THAN 3,300 CLIENTS ARE SERVED ANNUALLY. 7306813 A VARIETY OF HOME COMMUNITY BASED SERVICES FOR OLDER ADULTS WHO REMAIN IN THEIR OWN HOMES, INCLUDING MEDICARE CERTIFIED HOME HEALTH, PRIVATE DUTY HOME HEALTH SERVICES, HOSPICE SERVICES AND THREE PROGRAMS IN PARTNERSHIP WITH THE UNITED WAY: OUTREACH SOCIAL SERVICES, THE GOOD NEIGHBOR PROGRAM, AND VOLUNTEER MONEY MANAGEMENT. -4789473 A BENEVOLENT CARE FUND EXISTS TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS OR CLIENTS WHO OUTLIVE THEIR ABILITY TO PAY.TOTAL BENEVOLENT CARE ASSISTANCE PROVIDED WAS $4,789,473, OF WHICH, $4,789,473, IS OFFSETTING PROGRAM SERVICE REVENUE. THERE WAS ADDITIONAL BENEVOLENT CARE ASSISTANCE PROVIDED BY OTHER ENTITIES WITHIN THE LUTHERAN SENIOR SERVICES AFFILIATED GROUP BRINING THE TOTAL TO APPROXIMATELY $7,000,000. 115205396 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 615 0 4004 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X PAUL OGIER 3149689313 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 MR JAMES R DANKENBRING BOARD MEMBER 0.20 2.00 X 0 0 0 REV WILLIAM T SIMMONS CHAIRPERSON OF THE BOARD 0.20 2.00 X X 0 0 0 MR LEE H BODENDIECK SECRETARY 0.20 2.00 X X 0 0 0 MR SCOTT M HARTWIG ASSISTANT SECRETARY 0.20 2.00 X X 0 0 0 MR RICHARD J BAGY JR BOARD MEMBER 0.20 2.00 X 0 0 0 MS NORMA J BARR BOARD MEMBER 0.20 2.00 X 0 0 0 REV JOEL T CHRISTIANSEN BOARD MEMBER 0.20 2.00 X 0 0 0 MR KARL A DUNAJCIK BOARD MEMBER 0.20 2.00 X 0 0 0 MS KATHLEEN T MUELLER ASST CHAIRPERSON OF THE BOARD 0.20 2.00 X X 0 0 0 MS CARLA S ROBINSON-RAINEY BOARD MEMBER 0.20 2.00 X 0 0 0 MR WILLIAM F ROTH BOARD MEMBER 0.20 2.00 X 0 0 0 DR H DOUGLAS WALDEN BOARD MEMBER 0.20 2.00 X 0 0 0 MR JOHN A KOMLOS BOARD MEMBER 0.20 2.00 X 0 0 0 MR WILLIAM E LUCAS BOARD MEMBER 0.20 2.00 X 0 0 0 MS DIANE R DROLLINGER BOARD MEMBER 0.20 2.00 X 0 0 0 MR JOHN R KOTOVSKY PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 5.00 X 471462 0 53017 MR PAUL OGIER CHIEF FINANCIAL OFFICER/TREASURER 40.00 5.00 X 317666 0 55084 MR MARK SCHOEDEL VP OF CONSTRUCTION AND IT 40.00 5.00 X 225454 0 36012 MR DALE KREIENKAMP VP OF HUMAN RESOURCES 40.00 5.00 X 220571 0 34746 MR MIKE RASO REGIONAL VICE PRESIDENT 40.00 5.00 X 168241 0 8538 MS CARLA BAUM REGIONAL VICE PRESIDENT 40.00 5.00 X 168235 0 9023 MR DONALD BELL CHIEF OPERATING OFFICER 40.00 5.00 X 247495 0 49110 MR KIRK MATTES ADMINISTRATOR OF STEWARDSHIP 40.00 5.00 X 132567 0 12296 MS VALERIE COOPER EXECUTIVE DIRECTOR 40.00 5.00 X 142965 0 9624 MS TERRY ETLING EXECUTIVE DIRECTOR 40.00 5.00 X 149484 0 12734 MS RITA VICARY ADMIN OF MARKETING & SALES 40.00 5.00 X 139480 0 13711 MR CHADWICK SNEED CONTROLLER 40.00 5.00 X 128662 0 12220 2512282 0 306115 36 0 1 0 PARIC CORPORATION PO BOX 790100 ST LOUIS MO 63179 CONSTRUCTION CONTRACTOR 13308857 ALLIANCE REHAB 1520 KENSINGTON RD SUITE 110 OAK BROOK IL 60523 THERAPY SERVICES 6461553 HBD CONSTRUCTION INC 5517 MANCHESTER AVE ST LOUIS MO 63110 CONSTRUCTION CONTRACTOR 3671389 MUCCIGROSSO CONSTRUCTION INC 6633 OLIVE BLVD ST LOUIS MO 63130 CONSTRUCTION CONTRACTOR 2402800 LAWN GROOMERS INC 1909 GRAVOIS RD HIGH RIDGE MO 63049 LAWN & LANDSCAPING 510256 34 1541994 315701 1857695 CONTINUING CARE RETIREMENT COMMUN 623000 114793321 114793321 MANAGEMENT FEES 623000 12552023 12552023 IN HOME SERVICES REVENUE 623000 7306813 7306813 AMORTIZATION OF ENTRANCE FEES 623000 2575254 2575254 BENEVOLENT CARE FUND 623000 -4789473 -4789473 132437938 3862768 3862768 249973 59073 190900 190900 190900 86631978 8867 82662194 0 3969784 8867 3978651 3978651 LAUNDRY 623000 745869 745869 BARBER AND BEAUTY 623000 625076 625076 MEAL INCOME 623000 534556 534556 721486 721486 2626987 144954939 132437938 0 10659306 17403 17403 2064655 2064655 57004464 45476314 11528150 1264069 1008433 255636 8377257 6683104 1694153 4155319 3314979 840340 8191144 8191144 274652 274652 152307 152307 34800 34800 62561 62561 4742174 4401994 340180 663362 663362 7558538 6394847 1163691 514214 514214 4537901 4212374 325527 569497 350785 218712 80748 80748 8592837 7976429 616408 15173398 14084934 1088464 1064432 1064432 ANCILLARY EXPENSES 6936649 6936649 DIETARY 5836317 5836317 MISC 484266 484266 BAD DEBT EXPENSE 383731 383731 319690 319690 139056385 115205396 23850989 0 942602 196566 282000 297000 4856386 6087130 4750928 5560334 331018 313383 656552 964111 397212276 138486244 242763191 258726032 159016947 193303636 4426131 4879950 1113951 1168578 419139706 471496720 21307785 21801227 9212179 10367075 190515101 228071120 9000000 135246855 156669028 365281920 416908450 X 53372337 54221239 485449 367031 53857786 54588270 419139706 471496720 X 5898554 -2692361 41 -2475750 X X 0 1 X 1 0 X 385355 407295 1841541 1892923 1989444 6516558 100896490 108838559 113233286 123541647 132378822 578888804 101281845 109245854 115074827 125434570 134368266 585405362 0 130914 130914 130914 130914 585274448 3148743 3495604 4112265 2819393 4112741 17688746 3148743 3495604 4112265 2819393 4112741 17688746 2626987 2626987 104430588 112741458 119187092 128253963 141107994 605721095 0.96620 0.96790 0.02920 0.03210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL INCOME - 2014 AMOUNT: $ 534,556. TRANSPORTATION - 2014 AMOUNT: $ 90,651. TELEPHONE - 2014 AMOUNT: $ 12,547. MISCELLANEOUS - 2014 AMOUNT: $ 148,485. GIFT SHOP - 2014 AMOUNT: $ 21,461. MAINTENANCE - 2014 AMOUNT: $ 13,299. LAUNDRY - 2014 AMOUNT: $ 745,869. HOUSEKEEPING - 2014 AMOUNT: $ 17,728. GUEST ROOM - 2014 AMOUNT: $ 65,516. GARAGE FEES - 2014 AMOUNT: $ 61,950. DEVELOPMENT FEES - 2014 AMOUNT: $ 241,597. CHAPEL - 2014 AMOUNT: $ 23,584. BARBER AND BEAUTY - 2014 AMOUNT: $ 625,076. ACTIVITIES - 2014 AMOUNT: $ 24,668. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 34800 0 0 34800 0 13334773 13334773 325080888 112395748 212685140 16181377 8605215 7576162 27567022 17485281 10081741 15048216 15048216 258726032 REFUNDABLE ADMISSION FEES 123369599 RESIDENT DEPOSITS 3752284 INTEREST RATE SWAP AGREEMENT 861748 INTERCOMPANY PAYABLE 28685397 156669028 X PART X, LINE 2: THE ORGANIZATIONS, 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., QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATIONS ARE CLASSIFIED AS PUBLICLY-SUPPORTED CHARITABLE ORGANIZATIONS UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATIONS 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. THE ORGANIZATIONS ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS 2011 TO 2014 ARE SUBJECT TO REVIEW AND EXAMINATION BY THE IRS. 1 NURSING SCHOLARSHIP 7 17403 PART I, LINE 2: THE ORGANIZATION HAS SET CRITERIA THAT EMPLOYEES MUST MEET IN ORDER TO QUALIFY FOR ASSISTANCE. ONCE THE CRITERIA HAS BEEN MET, THE EMPLOYEE'S SUPERVISOR MUST RECOMMEND THEM. THEN THE DIRECTOR OF NURSING RECOMMENDS THEM AND THE CC ADMINISTRATOR APPROVES ALONG WITH THE EXECUTIVE DIRECTOR'S APPROVAL AND THE VP OF HR'S APPROVAL. AFTER ALL OF THE APPROVALS, THE ORGANIZATION TAKES A LOOK AT THE EXPENSES THE INDIVIDUAL SUBMITTED AND ISSUES THE APPROPRIATE AMOUNT OF ASSISTANCE. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MR JOHN R KOTOVSKY PRESIDENT/CHIEF EXECUTIVE OFFICER 324000 0 0 0 147462 0 33459 0 19558 0 524479 0 27366 0 MR PAUL OGIER CHIEF FINANCIAL OFFICER/TREASURER 261873 0 0 0 55793 0 34110 0 20974 0 372750 0 30673 0 MR MARK SCHOEDEL VP OF CONSTRUCTION AND IT 180997 0 0 0 44457 0 29165 0 6847 0 261466 0 29337 0 MR DALE KREIENKAMP VP OF HUMAN RESOURCES 179313 0 0 0 41258 0 27903 0 6843 0 255317 0 26162 0 MR MIKE RASO REGIONAL VICE PRESIDENT 167461 0 0 0 780 0 8025 0 513 0 176779 0 0 0 MS CARLA BAUM REGIONAL VICE PRESIDENT 167284 0 0 0 951 0 3167 0 5856 0 177258 0 0 0 MR DONALD BELL CHIEF OPERATING OFFICER 227423 0 0 0 20072 0 34110 0 15000 0 296605 0 0 0 MS VALERIE COOPER EXECUTIVE DIRECTOR 141731 0 0 0 1234 0 2686 0 6938 0 152589 0 0 0 MS TERRY ETLING EXECUTIVE DIRECTOR 147493 0 0 0 1991 0 6914 0 5820 0 162218 0 0 0 MS RITA VICARY ADMIN OF MARKETING & SALES 121110 0 0 0 18370 0 6974 0 6737 0 153191 0 0 0 PART I, LINE 1A JOHN R. KOTOVSKY HAS A HOUSING ALLOWANCE RELATED TO HIS PASTORAL DUTIES THAT IS INCLUDED IN HIS OTHER REPORTABLE COMPENSATION. PART I, LINE 4B JOHN KOTOVSKY SEC 457(F) PLAN $20,000 PAUL OGIER SEC 457(F) PLAN $20,000 MARK SCHOEDEL SEC 457(F) PLAN $20,000 DALE KREIENKAMP SEC 457(F) PLAN $20,000 DONALD BELL SEC 457(F) PLAN $20,000 SCHEDULE J PART II LUTHERAN 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 10 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 2014, LSS HAD TOTAL ASSETS OF $727,886,111, PROVIDED APPROXIMATELY $7,000,000 IN BENEVOLENT CARE, HAD OVER 73,000 VOLUNTEER HOURS, AND EMPLOYED 18 CHAPLAINS. A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI 431178966 60635HC49 2007-02-08 61166776 REFUNDING OF 1997 BONDS AND CAPITAL IMPROVEMENTS TO MERIDIAN VILLAGE 0 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI 431178966 60635HYM5 2005-08-31 30848043 FINANCE PURCHASE AND CONSTRUCTION IMPROVEMENTS OF LSS AND MERIDIAN VILLAGE 0 0 0 C HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI 431178966 60635HZA0 2005-11-03 22311871 REFUNDING PRIOR BOND ISSUANCE FROM SERIES 1996A, FUND DEBT SERVICE RESERVE 0 0 0 D HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI 431178966 60635HK40 2010-10-14 38277316 CAP IMPROVEMENTS TO LSS, HEISINGER LUTHERAN HOME, LRCA AND MVIII 0 0 0 A 10285000 61395133 4300454 829916 151835 9724889 46388039 2007 1 1 1 1 B 31112255 1581434 473211 202207 28855403 2007 0 0 1 1 C 3225000 22311871 1717780 300327 18321 20275443 2007 1 0 1 1 D 38434289 3777233 915404 631973 613723 31055171 1440785 2011 0 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00000 0.00000 0 0 1 D 0 1 1 1 0 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 1 JPMORGAN (ORIGINALLY TMG 30.300000000000 1 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOU DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2013 ISSUER NAME: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOU DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2013 ISSUER NAME: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOU DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2013 SCHEDULE K, ENTITY 1, PAGE 1, PART I, LINE (D), COLUMN (F) THE CAPITAL IMPROVEMENTS BENEFITTED LUTHERAN SENIOR SERVICES, HEISINGER LUTHERAN HOME, LUTHERAN RETIREMENT CENTER ASSOCIATION, AND MERIDIAN VILLAGE ASSOCIATION III. SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE (A), COLUMN (B) THE 2007 SERIES A BONDS FUNDED PROJECTS AT THE FOLLOWING FACILITIES: MERIDIAN VILLAGE RETIREMENT COMMUNITY IN GLEN CARBON, IL, ST. JOSEPH'S HOME IN JEFFERSON CITY, MO, LUTHERAN CONVALESCENT HOME IN WEBSTER GROVES, MO, BREEZE PARK RETIREMENT COMMUNITY IN ST. CHARLES, MO, LENOIR WOODS IN COLUMBIA, MO, AND HIDDEN LAKE RETIREMENT COMMUNITY IN SPANISH LAKE, MO. THE 2007 SERIES B BONDS FUNDED PROJECTS AT MERIDIAN VILLAGE ASSOCIATION IN GLEN CARBON, IL. THE 2007 SERIES C BONDS FUNDED PROJECTS AT MERIDIAN VILLAGE ASSOCIATION II IN GLEN CARBON, IL. SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN A PROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/14 OF $228,357. SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN B PROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/14 OF $264,212. SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN D PROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/14 OF $156,973. SCHEDULE K, PAGE 1, ENTITY 2, PART II, LINE 3, COLUMN A PROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/14 OF $264,740. SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE 4, COLUMN (B) - RESERVE FUNDS THE GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/14 EQUALS $1,602,494. THIS AMOUNT IS REDUCED BY $21,060, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT. SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE 4, COLUMN (D) - RESERVE FUNDS THE TOTAL AMOUNT OF GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/14 EQUALS $3,794,232. THIS AMOUNT IS REDUCED BY $16,999, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT. SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE 4, COLUMN (A)-RESERVE FUNDS THE TOTAL AMOUNT OF GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/14 EQUALS $4,508,470. THIS AMOUNT IS DECREASED BY $208,016, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT. SCHEDULE K, ENTITY 2, PAGE 1, PART II, LINE 4, COLUMN (A) - RESERVE FUNDS THE TOTAL AMOUNT OF GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/14 EQUALS $3,558,535. THIS AMOUNT IS REDUCED BY $37,250, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT. SCHEDULE K 2008 BONDS ON JUNE 5,2014 LUTHERAN SENIOR SERVICES COMMITTED TO $50,000,000 VARIABLE RATE DEMAND HEALTH FACILITIES REVENUE BONDS (LUTHERAN SENIOR SERVICES) SERIES 2014B UNDER THE HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (HEFA) OF THE STATE OF MISSOURI. THE PROCEEDS WERE USED TO COMPLETE A REFUNDING OF THE SERIES 2008 BONDS. AS OF 12/31/14, THE 2008 BONDS WERE NO LONGER OUTSTANDING AND AS A RESULT HAVE BEEN REMOVED FROM SCHEDULE K. SCHEDULE K, ENTITY 2, PAGE 1, PART II, LINE 4, COLUMN (B) - RESERVE FUNDS THE TOTAL AMOUNT OF GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/14 EQUALS $5,647,315. THIS AMOUNT IS REDUCED BY $1,606,185, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT. SCHEDULE K, PAGE 1, ENTITY 2, PART II, LINE 3, COLUMN B PROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME AND PURCHASED INTEREST INCOME THROUGH 12/31/14. PROCEEDS HAVE BEEN REDUCED BY $85,772 AS A RESULT. A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI 431178966 60635HM55 2011-09-29 47187481 CAPITAL IMPROVEMENTS TO LUTHERAN SENIOR SERVICES 0 0 0 B HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI SERIES 2014A 431178966 60635HS26 2014-06-04 84146040 REFUNDING OF 2004 BONDS AND CAPITAL IMPROVEMENTS 0 0 0 C HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI SERIES 2014B 431178966 2014-06-04 50000000 REFUNDING OF 2008 BONDS 0 0 0 A 47452221 3521285 751862 59112 40192253 2720893 2013 0 0 1 1 B 84060268 4041130 36331 284416 34001657 19798894 25897840 2016 1 0 0 0 C 50000000 50000000 1 0 0 0 A 0 1 1 1 0 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 1 PNC BANK NATIONAL ASSOCIATION 1.583333300000 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PAGE 1, PART I CONTINUATION LUTHERAN 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 10 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 2014, LSS HAD TOTAL OPERATING INCOME OF APPROXIMATELY $183,000,000, PROVIDED APPROXIMATELY $7,000,000 IN BENEVOLENT CARE, HAD OVER 73,000 VOLUNTEER HOURS, AND EMPLOYED 18 CHAPLAINS. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BOARD MEMBERS ARE ELECTED BY ASSOCIATED CHURCHES. FORM 990, PART VI, SECTION B, LINE 11 THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING. APPROVAL OF THE FORM 990 IS DELEGATED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL 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 15A 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 19 ALTHOUGH NOT A REQUIREMENT, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THE ITEMS. FORM 990, PART XI, LINE 9: NET PERIODIC PENSION COST -136,969. CHANGE IN VALUE OF INTEREST RATE SWAP 815,144. OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS -951,574. EQUITY TRANSFER -1,119,487. LOSS ON ADVANCE REFUNDING -1,082,864. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEARS. FORM 990, PAGE 10, PART IX, LINE 11A THE MANAGEMENT FEE EXPENSE REPRESENTS ONLY INTERCOMPANY CHARGES THAT ARE OFFSET BY MANAGEMENT FEE REVENUES INCLUDED IN PROGRAM SERVICE REVENUES ON PAGE 9. LUTHERAN SENIOR SERVICES ENDOWMENT FUND 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431818832 SENIOR LIVING MO 501(C)(3) LINE 11B, II LUTHERAN SENIOR SERVICES 1 HALLS FERRY MANOR 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431660879 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 DUNN ROAD MANOR INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431874215 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 ROSE HILL HOUSE INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431736720 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 ROSE HILL HOUSE II INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 201889216 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 HILLTOP MANOR ASSOCIATION INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 020667342 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 WESTFIELD MANOR ASSOCIATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 020568032 SENIOR LIVING IL 501(C)(3) LINE 9 N/A 0 MERIDIAN VILLAGE ASSOCIATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 371415588 SENIOR LIVING IL 501(C)(3) LINE 9 N/A 0 COLE COUNTY LUTHERAN HOME ASSOCIATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431147326 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 HEISINGER HOPE FOUNDATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 431905378 SENIOR LIVING MO 501(C)(3) LINE 11A, I N/A 0 LUTHERAN RETIREMENT CENTER ASSOCIATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 371199021 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 LUTHERAN HILLSIDE VILLAGE INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 370818454 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 LUTHERAN HILLSIDE VILLAGE FOUNDATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 371371314 SENIOR LIVING MO 501(C)(3) LINE 7 N/A 0 MACKENZIE PLACE 202 - II - 45-4000626 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 454000626 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 MACKENZIE PLACE 202 - 27-3777863 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 273777863 SENIOR LIVING MO 501(C)(3) LINE 9 N/A 0 PROVIDENT GROUP INC 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 300134496 DEVELOPMENT & MANAGEMENT OF ASSISTED LIVING FACILITIES MO LUTHERAN SENIOR SERVICES C 1270000 6615 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 LUTHERAN SENIOR SERVICES ENDOWMENT FUND C 1541994 G/L DETAIL