ST LUKE LUTHERAN HOME FOR THE AGING: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST LUKE LUTHERAN HOME FOR THE AGING (EIN 34-0777664)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201543179349306414
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-13T13:42:05-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341411715PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DA BAGNOLA & COMPANY INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14800 MUNSON STREET NWAddressLine1Txt
CityNORTH CANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44718ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340777664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE LUTHERAN HOME FOR THE AGINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone3304992486PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1Txt
CityNORTH CANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP447201610ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD DERRY CFOPersonNm
Person TitleOFFICERPersonTitleTxt
Phone3304992486PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP01205115PTIN
Phone3304992486PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRONALD E DERRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1Txt
CityNORTH CANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP447201610ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,645,193GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STLUKELUTHERANCOMMUNITY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionST LUKE LUTHERAN HOME PROVIDES FAITH-BASED SERVICES TO ENRICH THE LIVES OF OLDER ADULTS. LONG TERM NURSING CARE FOR THE AGING.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee404TotalEmployeeCnt
Total Volunteers44TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,262PYContributionsGrantsAmt
CY Contributions Grants$11,256CYContributionsGrantsAmt
PY Program Service Revenue$15,637,951PYProgramServiceRevenueAmt
CY Program Service Revenue$15,014,880CYProgramServiceRevenueAmt
PY Investment Income$25,516PYInvestmentIncomeAmt
CY Investment Income$95,556CYInvestmentIncomeAmt
PY Other Revenue$108,269PYOtherRevenueAmt
CY Other Revenue$34,924CYOtherRevenueAmt
PY Total Revenue$15,789,998PYTotalRevenueAmt
CY Total Revenue$15,156,616CYTotalRevenueAmt
PY Grants And Similar Paid$98,712PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,010,087PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,099,361CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,207,574PYOtherExpensesAmt
CY Other Expenses$5,281,263CYOtherExpensesAmt
PY Total Expenses$14,316,373PYTotalExpensesAmt
CY Total Expenses$14,404,624CYTotalExpensesAmt
PY Revenues Less Expenses$1,473,625PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$751,992CYRevenuesLessExpensesAmt
Total Assets BOY$18,002,738TotalAssetsBOYAmt
Total Assets EOY$19,260,317TotalAssetsEOYAmt
Total Liabilities BOY$9,725,878TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,246,873TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,276,860NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,013,444NetAssetsOrFundBalancesEOYAmt
MissionST LUKE LUTHERAN HOME PROVIDES FAITH-BASED SERVICES TO ENRICH THE LIVES OF OLDER ADULTS. LONG TERM NURSING CARE FOR THE AGING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,404,624ExpenseAmt
Revenue$15,049,804RevenueAmt
DescPROGRAM SERVICE - LONG TERM NURSING CARE FOR THE AGINGDesc
Total Program Service Expenses$14,404,624TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee404EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RONALD E DERRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3304998341PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1Txt
CityNORTH CANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44720ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANDREW MCNULTY
PRESIDENT0.00Yes (X)Yes (X)$0$0$0
CAROL BROWER
VICE PRESIDENT0.00Yes (X)Yes (X)$0$0$0
DIANE DIEHL
SECRETARY/TREASURER0.00Yes (X)Yes (X)$0$0$0
ROBERT HESSEL
TRUSTEE0.00Yes (X)$0$0$0
JOHN SPIELER
EXECUTIVE DIRECTOR40.00Yes (X)$256,556$0$10,248
FieldValueIRS element (for citing)
Total Reportable Comp From Org$256,556TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,248TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PREMIER THERAPY
701 SHARON ROADBEAVERPA15009PURCHASED SERVICE-THERAPY$1,041,224
MCKESSON MEDICAL SUPPLY INC
PO BOX 630693CINCINNATIOH45274SUPPLIES - MEDICAL$253,558
OMNICARE INC
PO BOX 78000DETROITMI48278SUPPLIES - MEDICAL$206,952
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$11,256AllOtherContributionsAmt
Total Contributions$11,256TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS$9,287,854$9,287,854
RESIDENT SERVICE REVENUE$5,727,026$5,727,026
FieldValueIRS element (for citing)
Total Program Service Revenue$15,014,880TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,239TotalRevenueColumnAmt
Exclusion$75,239ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$508,144SecuritiesAmt
Other$750OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$488,577SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$19,567SecuritiesAmt
Other$750OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,317TotalRevenueColumnAmt
Exclusion$20,317ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WORKERS' COMPENSATION REFUND$36,556$36,556
OHIO AGING SERVICES NETWORK LLC (-$1,632-$1,632
FieldValueIRS element (for citing)
Other Revenue Total$34,924OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,156,616TotalRevenueColumnAmt
Related Or Exempt Func Income$15,049,804RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$95,556ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Program Services$24,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$256,556TotalAmt
Program Services$256,556ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,001,288TotalAmt
Program Services$7,001,288ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$78,479TotalAmt
Program Services$78,479ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,218,029TotalAmt
Program Services$1,218,029ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$545,009TotalAmt
Program Services$545,009ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$40,314TotalAmt
Program Services$40,314ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,500TotalAmt
Program Services$47,500ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$46,353TotalAmt
Program Services$46,353ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,724TotalAmt
Program Services$17,724ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$157,351TotalAmt
Program Services$157,351ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$107,375TotalAmt
Program Services$107,375ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$565,028TotalAmt
Program Services$565,028ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,355TotalAmt
Program Services$6,355ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,518TotalAmt
Program Services$1,518ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$204,311TotalAmt
Program Services$204,311ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$575,335TotalAmt
Program Services$575,335ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$142,531TotalAmt
Program Services$142,531ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PURCHASED SERVICE - THE$1,043,996$1,043,996
BED FRANCHISE FEE$889,024$889,024
SUPPLIES - MEDICAL$603,809$603,809
FOOD COSTS$553,116$553,116

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$279,623TotalAmt
Program Services$279,623ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,404,624TotalAmt
Program Services$14,404,624ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$635BOYAmt
EOY$635EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,294,860BOYAmt
EOY$6,714,106EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,997,424BOYAmt
EOY$2,606,688EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$800,000BOYAmt
EOY$650,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$90,181BOYAmt
EOY$100,688EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$99,295BOYAmt
EOY$111,305EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,731,005LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,379,753LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,950,776BOYAmt
EOY$6,351,252EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,151,439BOYAmt
EOY$1,196,247EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,618,128BOYAmt
EOY$1,529,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,002,738BOYAmt
EOY$19,260,317EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$697,125BOYAmt
EOY$1,015,720EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,830,630BOYAmt
EOY$8,050,126EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,198,123BOYAmt
EOY$1,181,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,725,878BOYAmt
EOY$10,246,873EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,276,860BOYAmt
EOY$9,013,444EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,276,860BOYAmt
EOY$9,013,444EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,002,738BOYAmt
EOY$19,260,317EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$751,992ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$15,408NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$18,679CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,262CurrentTaxYearMinus1YearAmt
Current Tax Year$11,256CurrentTaxYearAmt
Total$92,697TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,051,304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,219,639CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,791,906CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,746,220CurrentTaxYearMinus1YearAmt
Current Tax Year$15,049,804CurrentTaxYearAmt
Total$76,858,873TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,069,983CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,239,827CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,816,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,764,482CurrentTaxYearMinus1YearAmt
Current Tax Year$15,061,060CurrentTaxYearAmt
Total$76,951,570TotalAmt

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$76,951,570PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,894CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,516CurrentTaxYearMinus1YearAmt
Current Tax Year$75,239CurrentTaxYearAmt
Total$126,422TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,894CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,516CurrentTaxYearMinus1YearAmt
Current Tax Year$75,239CurrentTaxYearAmt
Total$126,422TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,078,015CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,249,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,824,112CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,789,998CurrentTaxYearMinus1YearAmt
Current Tax Year$15,136,299CurrentTaxYearAmt
Total$77,077,992TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99840PublicSupportCY509Pct
Public Support PY5090.99920PublicSupportPY509Pct
Investment Income CY0.00160InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$509,683InvestmentCostOrOtherBasisAmt
Book Value$509,683BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$11,260,000InvestmentCostOrOtherBasisAmt
Depreciation$7,609,199DepreciationAmt
Book Value$3,650,801BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,618,730InvestmentCostOrOtherBasisAmt
Depreciation$3,770,554DepreciationAmt
Book Value$848,176BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,342,592InvestmentCostOrOtherBasisAmt
Book Value$1,342,592BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,351,252TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED & WITHHELD TAXES$197,699
ACCRUED VACATION$350,301
ACCRUED PAYROLL$380,177
GOVERNMENT MANDATED FEES$224,452
OTHER$28,398
FieldValueIRS element (for citing)
Total Liability$1,181,027TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,188,262TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$31,646DonatedServicesAndUseFcltsAmt
Revenue Not Reported$31,646RevenueNotReportedAmt
Revenue Subtotal$15,156,616RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,156,616TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,451,678TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$31,646DonatedServicesUseFcltsAmt
Other Expenses Included$15,408OtherExpensesIncludedAmt
Expenses Not Reported$47,054ExpensesNotReportedAmt
Expenses Subtotal$14,404,624ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,404,624TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationNET UNREALIZED LOSSES ON INVESTMENTSExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SLLC-MINERVABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1Txt
CityNORTH CANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44720ZIPCd
FieldValueIRS element (for citing)
Recipient EIN263108193RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$24,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantLONG-TERM CAREPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTO ASSIST ST. LUKE LUTHERAN COMMUNITY - MINERVA AND PROVIDE SUPPORT TO LONG-TERM CARE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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

FieldValueIRS element (for citing)
PersonJOHN SPIELERPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$254,180BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$2,376OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,862DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$6,386NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$266,804TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF NORTH CANTON OHIO
A3460020372012-08-22$8,278,150HEALTHCARE FACILITIES REVENUE BONDS000
CITY OF NORTH CANTON OHIO
B3460020372014-09-01$7,500,000HEALTHCARE FACILITIES REVENUE BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$8,278,150$8,188,798$89,3522012Yes (1)0Yes (1)Yes (1)
B$7,500,000$117,2332015000Yes (1)$437,903$6,944,864

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0000Yes (1)0000
B0000Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE RETURN IS PROVIDED FIRST TO MANAGEMENT AND THEN TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST STATEMENTS ARE COMPLETED AND SIGNED BY EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE. ALL KNOWN POTENTIAL CONFLICTS ARE LISTED AND SHARED WITH THE BOARD OF DIRECTORS. SHOULD A DECISION COME TO THE BOARD INVOLVING ONE OF THE STATED CONFLICTS, THE INDIVIDUAL WILL FOLLOW THE WRITTEN CONFLICT OF INTEREST POLICY AND DISCLOSE HIS OR HER CONFLICT, PROVIDE ANY INFORMATION DESIRED BY THE BOARD, AND RECUSE HIM OR HERSELF FROM THE MEETING FOR THE DELIBERATIONS AND THE VOTE ON THE MATTER INVOLVING THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A SURVEY IS CONDUCTED OF REGIONAL LONG-TERM CARE POSITIONS. SALARIES ARE BASED ON COMPARATIVE POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
THE WATERFORD AT ST LUKE
201 HOLL ROADNORTH CANTONOH44720341719940INDEPENDENT LIVINGOH501(C)(3)9N/A0
ST LUKE FOUNDATION
220 APPLEGROVE STREET NENORTH CANTONOH44720341407996LONG-TERM CAREOH501(C)(3)9N/A0
ST LUKE LUTHERAN COMMUNITY
220 APPLEGROVE STREET NENORTH CANTONOH44720030483120LONG-TERM CAREOH501(C)(3)9N/A0
ST LUKE LUTHERAN COMMUNITY - BELDEN VILLAGE
220 APPLEGROVE STREET NENORTH CANTONOH44720200970588LONG-TERM CAREOH501(C)(3)9N/A0
ST LUKE LUTHERAN COMMUNITY - MASSILLON
220 APPLEGROVE STREET NENORTH CANTONOH44720030483116LONG-TERM CAREOH501(C)(3)9N/A0
ST LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
220 APPLEGROVE STREET NENORTH CANTONOH44720030483122LONG-TERM CAREOH501(C)(3)9N/A0
ST LUKE LUTHERAN COMMUNITY - MINERVA
220 APPLEGROVE STREET NENORTH CANTONOH44720263108193LONG-TERM CAREOH501(C)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE LUTHERAN COMMUNITY - MINERVABusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$24,000InvolvedAmt

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