FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-13
IRS object ID
201423179349306187
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)
Return2014-11-13T16:46:56-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431909489PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILSON TOELLNER & ASSOCIATES LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12700 MATTHEW DRAddressLine1
CitySEDALIACity
StateMOState
ZIP Code65301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430799196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone6604632267PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1THIRD AND WEST STREETSAddressLine1
CityCONCORDIACity
StateMOState
ZIP Code64020ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULETTE OETTINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6604632267PhoneNum
Signature2014-10-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNORMA SCHLESSELMAN CPAPreparerPersonNm
PTINP01296910PTIN
Phone6608274990PhoneNum
Preparation2014-10-28PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAULETTE OETTINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 EAST FIRST STREETAddressLine1
CityCONCORIDACity
StateMOState
ZIP Code64020ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$5,028,945GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE TO THE ELDERLYActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee138TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,891PYContributionsGrantsAmt
CY Contributions Grants$2,700CYContributionsGrantsAmt
PY Program Service Revenue$4,877,355PYProgramServiceRevenueAmt
CY Program Service Revenue$5,015,470CYProgramServiceRevenueAmt
PY Investment Income$3,416PYInvestmentIncomeAmt
CY Investment Income$10,775CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,888,662PYTotalRevenueAmt
CY Total Revenue$5,028,945CYTotalRevenueAmt
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$2,963,202PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,107,857CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,504,721PYOtherExpensesAmt
CY Other Expenses$1,650,952CYOtherExpensesAmt
PY Total Expenses$5,467,923PYTotalExpensesAmt
CY Total Expenses$4,758,809CYTotalExpensesAmt
PY Revenues Less Expenses-$579,261PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$270,136CYRevenuesLessExpensesAmt
Total Assets BOY$2,095,462TotalAssetsBOYAmt
Total Assets EOY$2,487,591TotalAssetsEOYAmt
Total Liabilities BOY$253,919TotalLiabilitiesBOYAmt
Total Liabilities EOY$372,588TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,841,543NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,115,003NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,745,719ExpenseAmt
Revenue$5,015,470RevenueAmt
Desc120 BED NURSING HOMEDesc
Total Program Service Expenses$4,745,719TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee138EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
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 Line1LUTHERAN NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Phone6604632267PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1THIRD WEST STREETSAddressLine1
CityCONCORDIACity
StateMOState
ZIP Code64020ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROGER FLANDERMEYER
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
CHARLOTTE NEHER
VICE-PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KENNETH NIERMAN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PAULETTE OETTING
TREASURER2.00Yes (X)Yes (X)$0$0$0
MYRNA OLSON
EXECUTIVE BOARD MEMBER2.00Yes (X)$0$0$0
FRED DROEGE
MEMBER2.00Yes (X)$0$0$0
DALE DIECKHOFF
MEMBER2.00Yes (X)$0$0$0
GREG BUSHMAN
MEMBER2.00Yes (X)$0$0$0
EDWARD NIERMAN
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHAB CARE GROUP INCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$309,094CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,700AllOtherContributionsAmt
Total Contributions$2,700TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$2,884,742$2,884,742
NURSING CARE623000$2,059,358$2,059,358
MANAGEMENT CONTRACT531310$25,891$25,891
ROOM RESERVATION623000$22,452$22,452
LAUNDRY623000$17,740$17,740

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,287TotalRevenueColumnAmt
Related Or Exempt Func Income$5,287RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,015,470TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,775TotalRevenueColumnAmt
Exclusion$10,775ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,028,945TotalRevenueColumnAmt
Related Or Exempt Func Income$5,015,470RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,775ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,775,447TotalAmt
Program Services$2,775,447ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,923TotalAmt
Program Services$17,923ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$109,384TotalAmt
Program Services$109,384ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$205,103TotalAmt
Program Services$205,103ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$461TotalAmt
Program Services$461ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,974TotalAmt
Management And General$11,974ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,116TotalAmt
Management And General$1,116ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,985TotalAmt
Program Services$4,985ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,465TotalAmt
Program Services$28,465ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$123,877TotalAmt
Program Services$123,877ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,184TotalAmt
Program Services$6,184ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$79,351TotalAmt
Program Services$79,351ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$102,510TotalAmt
Program Services$102,510ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$410,011$410,011
NURSING FACILITY REIMB$362,809$362,809
CONTRACTED THERAPY$324,613$324,613
MEDICARE BILLING$67,947$67,947

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$126,649TotalAmt
Program Services$126,649ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,758,809TotalAmt
Program Services$4,745,719ProgramServicesAmt
Management And General$13,090ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$152BOYAmt
EOY$150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,025,885BOYAmt
EOY$1,024,699EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$361,860BOYAmt
EOY$335,611EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,131BOYAmt
EOY$13,358EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,232BOYAmt
EOY$8,025EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,622,449LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,012,898LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$619,280BOYAmt
EOY$609,551EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$434,692EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,922BOYAmt
EOY$61,505EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,095,462BOYAmt
EOY$2,487,591EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$253,919BOYAmt
EOY$372,588EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$253,919BOYAmt
EOY$372,588EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,841,543BOYAmt
EOY$2,115,003EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,841,543BOYAmt
EOY$2,115,003EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,095,462BOYAmt
EOY$2,487,591EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$270,136ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,324NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,774OtherCostOrOtherBasisAmt
Book Value$7,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,022,382OtherCostOrOtherBasisAmt
Depreciation$1,549,499DepreciationAmt
Book Value$472,883BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$567,568OtherCostOrOtherBasisAmt
Depreciation$463,399DepreciationAmt
Book Value$104,169BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,725OtherCostOrOtherBasisAmt
Book Value$24,725BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$609,551TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT REVIEWS FORM 990.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
PT XII, LINE 2CBOARD OF DIRECTORS ASSUMES OVERSIGHT RESPONSIBILITY

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
LUTHERAN GOOD SHEPHERD HOME
THIRD WEST STREETSCONCORDIAMO64020440652188AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(3)LINE 90
GOOD SHEPHERD VILLAGE
THIRD WEST STREETSCONCORDIAMO64020237091759AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
GOOD SHEPHERD VILLAGE II
THIRD WEST STREETSCONCORDIAMO64020431078623AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN GOOD SHEPHERD HOME
O$338,753ACTUAL AMOUNT
LUTHERAN GOOD SHEPHERD HOME
P$622,200ACTUAL AMOUNT