ST LUKE LUTHERAN HOME FOR THE AGING: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST LUKE LUTHERAN HOME FOR THE AGING (EIN 34-0777664)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201403169349303455
Schema version
2013v3.0
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)
Return2014-11-12T13:34:23-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341411715PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DA BAGNOLA & COMPANY INCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14800 MUNSON STREET NWAddressLine1
CityNORTH CANTONCity
StateOHState
ZIP Code44718ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340777664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE LUTHERAN HOME FOR THE AGINGBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone3304992486PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1
CityNORTH CANTONCity
StateOHState
ZIP Code447201610ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD DERRY CFOPersonNm
Person TitleCFOPersonTitleTxt
Phone3304992486PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP01205115PTIN
Phone3304992486PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRONALD E DERRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1
CityNORTH CANTONCity
StateOHState
ZIP Code447201610ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$15,789,998GrossReceiptsAmt
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 Employee420TotalEmployeeCnt
Total Volunteers63TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,312PYContributionsGrantsAmt
CY Contributions Grants$18,262CYContributionsGrantsAmt
PY Program Service Revenue$14,791,906PYProgramServiceRevenueAmt
CY Program Service Revenue$15,637,951CYProgramServiceRevenueAmt
PY Investment Income$7,894PYInvestmentIncomeAmt
CY Investment Income$25,516CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$108,269CYOtherRevenueAmt
PY Total Revenue$14,824,112PYTotalRevenueAmt
CY Total Revenue$15,789,998CYTotalRevenueAmt
PY Grants And Similar Paid$155,164PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$98,712CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,741,491PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,010,087CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,012,404PYOtherExpensesAmt
CY Other Expenses$5,207,574CYOtherExpensesAmt
PY Total Expenses$13,909,059PYTotalExpensesAmt
CY Total Expenses$14,316,373CYTotalExpensesAmt
PY Revenues Less Expenses$915,053PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,473,625CYRevenuesLessExpensesAmt
Total Assets BOY$16,595,376TotalAssetsBOYAmt
Total Assets EOY$18,002,738TotalAssetsEOYAmt
Total Liabilities BOY$9,806,418TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,725,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,788,958NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,276,860NetAssetsOrFundBalancesEOYAmt
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$14,316,373ExpenseAmt
Revenue$15,746,220RevenueAmt
DescPROGRAM SERVICE - LONG TERM NURSING CARE FOR THE AGINGDesc
Total Program Service Expenses$14,316,373TotalProgramServiceExpensesAmt
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 Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee420EmployeeCnt
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
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 DERRYBusinessNameLine1
FieldValueIRS element (for citing)
Phone3304998341PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1
CityNORTH CANTONCity
StateOHState
ZIP Code44720ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
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 DIRECTOR40.00$238,133$0$9,397Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$238,133TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,397TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PREMIER THERAPY
701 SHARON ROADBEAVERPA15009PURCHASED SERVICE-THERAPY$1,109,855
MCKESSON MEDICAL SUPPLY INC
PO BOX 630693CINCINNATIOH45274SUPPLIES - MEDICAL$245,725
OMNICARE INC
PO BOX 715268COLUMBUSOH43271SUPPLIES - MEDICAL$196,920
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$18,262AllOtherContributionsAmt
Total Contributions$18,262TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS$9,794,420$9,794,420
RESIDENT SERVICE REVENUE$5,843,531$5,843,531
FieldValueIRS element (for citing)
Total Program Service Revenue$15,637,951TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,516TotalRevenueColumnAmt
Exclusion$25,516ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescWORKERS' COMPENSATION REFUNDDesc
Total Revenue Column$108,269TotalRevenueColumnAmt
Related Or Exempt Func Income$108,269RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$108,269OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,789,998TotalRevenueColumnAmt
Related Or Exempt Func Income$15,746,220RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$25,516ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$98,712TotalAmt
Program Services$98,712ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$238,133TotalAmt
Program Services$238,133ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,046,043TotalAmt
Program Services$7,046,043ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$78,598TotalAmt
Program Services$78,598ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,107,229TotalAmt
Program Services$1,107,229ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$540,084TotalAmt
Program Services$540,084ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,210TotalAmt
Program Services$31,210ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,500TotalAmt
Program Services$45,500ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$108,241TotalAmt
Program Services$108,241ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,918TotalAmt
Program Services$11,918ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$149,496TotalAmt
Program Services$149,496ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$82,280TotalAmt
Program Services$82,280ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$573,639TotalAmt
Program Services$573,639ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,237TotalAmt
Program Services$23,237ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,215TotalAmt
Program Services$2,215ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$216,341TotalAmt
Program Services$216,341ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$551,611TotalAmt
Program Services$551,611ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$139,229TotalAmt
Program Services$139,229ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PURCHASED SERVICE - THE$1,082,050$1,082,050
BED FRANCHISE FEE$875,526$875,526
SUPPLIES - MEDICAL$547,698$547,698
FOOD COSTS$511,348$511,348

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$256,035TotalAmt
Program Services$256,035ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,316,373TotalAmt
Program Services$14,316,373ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,580BOYAmt
EOY$635EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,744,589BOYAmt
EOY$5,294,860EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,927,929BOYAmt
EOY$3,997,424EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$91,269BOYAmt
EOY$90,181EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$115,812BOYAmt
EOY$99,295EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,863,953LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,913,177LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,999,494BOYAmt
EOY$4,950,776EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,151,439EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,706,860BOYAmt
EOY$1,618,128EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,843BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,595,376BOYAmt
EOY$18,002,738EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$598,849BOYAmt
EOY$697,125EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,166,270BOYAmt
EOY$7,830,630EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,041,299BOYAmt
EOY$1,198,123EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,806,418BOYAmt
EOY$9,725,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,788,958BOYAmt
EOY$8,276,860EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,788,958BOYAmt
EOY$8,276,860EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,595,376BOYAmt
EOY$18,002,738EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,473,625ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,277NetUnrlzdGainsLossesInvstAmt
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$38,528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,679CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,312CurrentTaxYearMinus1YearAmt
Current Tax Year$18,262CurrentTaxYearAmt
Total$119,969TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,876,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,051,304CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,219,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,791,906CurrentTaxYearMinus1YearAmt
Current Tax Year$15,746,220CurrentTaxYearAmt
Total$77,685,709TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,915,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,069,983CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,239,827CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,816,218CurrentTaxYearMinus1YearAmt
Current Tax Year$15,764,482CurrentTaxYearAmt
Total$77,805,678TotalAmt

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$77,805,678PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,999CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,032CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,894CurrentTaxYearMinus1YearAmt
Current Tax Year$25,516CurrentTaxYearAmt
Total$59,182TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,999CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,032CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,894CurrentTaxYearMinus1YearAmt
Current Tax Year$25,516CurrentTaxYearAmt
Total$59,182TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,923,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,078,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,249,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,824,112CurrentTaxYearMinus1YearAmt
Current Tax Year$15,789,998CurrentTaxYearAmt
Total$77,864,860TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99920PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
Investment Income PY0.00100InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$18,616InvestmentCostOrOtherBasisAmt
Book Value$18,616BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$11,207,431InvestmentCostOrOtherBasisAmt
Depreciation$7,312,990DepreciationAmt
Book Value$3,894,441BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,399,293InvestmentCostOrOtherBasisAmt
Depreciation$3,600,187DepreciationAmt
Book Value$799,106BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$238,613InvestmentCostOrOtherBasisAmt
Book Value$238,613BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,950,776TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED & WITHHELD TAXES$203,470
ACCRUED VACATION$372,420
ACCRUED PAYROLL$371,094
GOVERNMENT MANDATED FEES$223,707
OTHER$27,432
FieldValueIRS element (for citing)
Total Liability$1,198,123TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,841,503TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$14,277NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$37,228DonatedServicesAndUseFcltsAmt
Revenue Not Reported$51,505RevenueNotReportedAmt
Revenue Subtotal$15,789,998RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,789,998TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,353,601TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$37,228DonatedServicesUseFcltsAmt
Expenses Not Reported$37,228ExpensesNotReportedAmt
Expenses Subtotal$14,316,373ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,316,373TotalExpensesPerForm990Amt

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-MINERVABusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 APPLEGROVE STREET NEAddressLine1
CityNORTH CANTONCity
StateOHState
ZIP Code44720ZIPCode
FieldValueIRS element (for citing)
Recipient EIN263108193RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$98,712CashGrantAmt
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$235,757BaseCompensationFilingOrgAmt
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$3,658DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$5,739NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$247,530TotalCompensationFilingOrgAmt
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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF NORTH CANTON OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN346002037BondIssuerEIN
Bond Issued2012-08-22BondIssuedDt
Issue Price$8,278,150IssuePriceAmt
PurposeHEALTHCARE FACILITIES REVENUE BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$8,278,150TotalProceedsAmt
Refunding Escrow$8,188,798RefundingEscrowAmt
Issuance Costs From Proceeds$89,352IssuanceCostsFromProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
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 Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ST LUKE LUTHERAN COMMUNITY - MINERVA
B$98,712
ST LUKE LUTHERAN COMMUNITY - MINERVA
D$800,000

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