LUTHERAN HOME FOR THE AGED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME FOR THE AGED (EIN 36-2192824)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201311339349300926
Schema version
2011v1.5
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)
Timestamp2013-05-13T09:09:04-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1
CityOAK BROOKCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362192824EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOME FOR THE AGED INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone8473687342Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 W OAKTON STREETAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code600044602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL MOELLENKAMPName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8473687342Phone
Date Signed2013-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT J NOWAK CPA MSTName
PTINP00527435PTIN
Phone6305738600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARL MOELLENKAMPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13150 SALT CREEK LANEAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43248864GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANLIFECOMMUNITIES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1892YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT. EMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees1029TotalNbrEmployees
Total Nbr Volunteers346TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year704351ContributionsGrantsPriorYear
Contributions Grants Current Year180750ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39477439ProgramServiceRevenuePriorYear
Program Service Revenue CY38332139ProgramServiceRevenueCY
Investment Income Prior Year315838InvestmentIncomePriorYear
Investment Income Current Year395671InvestmentIncomeCurrentYear
Other Revenue Prior Year2178493OtherRevenuePriorYear
Other Revenue Current Year2241322OtherRevenueCurrentYear
Total Revenue Prior Year42676121TotalRevenuePriorYear
Total Revenue Current Year41149882TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22576294SalariesEtcPriorYear
Salaries Etc Current Year23737588SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year68250TotalFundrsngExpCurrentYear
Other Expense Prior Year14933747OtherExpensePriorYear
Other Expenses Current Year14649472OtherExpensesCurrentYear
Total Expenses Prior Year37510041TotalExpensesPriorYear
Total Expenses Current Year38387060TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5166080RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2762822RevenuesLessExpensesCY
Total Assets BOY48355133TotalAssetsBOY
Total Assets EOY42464877TotalAssetsEOY
Total Liabilities BOY37970793TotalLiabilitiesBOY
Total Liabilities EOY36246504TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10384340NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6218373NetAssetsOrFundBalancesEOY
Mission DescriptionEMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33731320Expense
Revenue39378397Revenue
DescriptionDEVELOPMENT AND OPERATION OF 392 SKILLED NURSING UNITS FOR SENIORS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FUNDS.Description
Total Program Service Expense33731320TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096110NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1029NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARL MOELLENKAMP CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473687342TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13150 SALT CREEK LANEAddressLine1
CityARLINTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROGER W PAULSBERG
CHAIRMAN37.50XX473388010253
REV DAVID G ABRAHAMSON
VICE-CHAIRMAN2.00XX000
PAULA K PARKS
TREASURER/SECRETARY2.00XX000
MARILYN HERMANN
DIRECTOR2.00X000
CARL MOELLENKAMP
CHIEF FINANCIAL OFFICER37.50X269490012156
JAMES HOLBROOK
SENIOR VP - OPERATIONS37.5028474309822X
YVONNE RENEE WATTS
SENIOR VP - CORP SERVICES37.5023855006666X
CARL BENDORF
VICE PRESIDENT37.5019275706822X
MARIE CARLSON-KYLLO
SENIOR VP - BUSINESS DEVELOPMENT37.5020666507047X
RICHARD DEROCHE
IT DIRECTOR37.5014970702966X
ANNAMARIE SEBASTIAN
CORPORATE DIRECTOR, FINANC37.5015297405200X
PHILIP HEMMER
ADMINISTRATOR37.5015190706550X
CONSTANCE SOWA
CORPORATE SR DIRECTOR - MARKETING & COMMUNICATIONS37.5014274304688X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2262924TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation72170TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHUHAK & TECSON PC
30 S WACKER DRIVECHICAGOIL60606LEGAL382090
ACHIEVE ACCREDITATION
145 S YORK STREETELMHURSTIL60126CONSULTING212334
FAVARO & GORMAN LTD
835 STERLING AVE STE 100PALATINEIL60067LEGAL106498
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions180750AllOtherContributions
Total Contributions180750TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH CARE SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column38332139TotalRevenueColumn
Related Or Exempt Function Income38332139RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue38332139TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column481553TotalRevenueColumn
Exclusion$481,553ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1195064Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1195064Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1195064TotalRevenueColumn
Exclusion$1,195,064ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2013100Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2098982Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-85882Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-85882TotalRevenueColumn
Exclusion-$85,882ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA INCOME623000414991414991
BEAUTY SHOP623000217411217411
PURCHASE DISCOUNTS623000160677160677

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column253179TotalRevenueColumn
Related Or Exempt Function Income253179RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1046258TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41149882TotalRevenueColumn
Related Or Exempt Function Income39378397RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,590,735ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1518780Total
Management And General1518780ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18899438Total
Program Services18846938ProgramServices
Fundraising52500Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total136474Total
Program Services136474ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1782663Total
Program Services1782663ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1400233Total
Program Services1384483ProgramServices
Fundraising15750Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total191632Total
Management And General191632ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90591Total
Management And General90591ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3147307Total
Program Services3147307ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total185450Total
Program Services185450ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3206519Total
Program Services3206519ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total107917Total
Program Services107917ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1637273Total
Program Services1637273ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total94252Total
Program Services94252ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15496Total
Program Services15496ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1672808Total
Program Services1672808ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2759959Total
Program Services2759959ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total64266Total
Management And General64266ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD & DIETARY SUPPLIES21937482193748
GROUND MAINTENANCE & EQ374610374610
MEDICAL SUPPLIES292309292309
RESIDENT SERVICES171800171800

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-1556465Total
Program Services-4278686ProgramServices
Management And General2722221ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38387060Total
Program Services33731320ProgramServices
Management And General4587490ManagementAndGeneral
Fundraising68250Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1791767BOY
EOY3255441EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY404835BOY
EOY441168EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5034080BOY
EOY5467844EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY382527BOY
EOY-444103EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY111293BOY
EOY128826EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY359543BOY
EOY524235EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis69823973LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40615273LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27999830BOY
EOY29208700EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2749062BOY
EOY1176044EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9522196BOY
EOY2706722EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48355133BOY
EOY42464877EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4229688BOY
EOY6016126EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23918930BOY
EOY23361255EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY3453000BOY
EOY4550000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6369175BOY
EOY2319123EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37970793BOY
EOY36246504EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10384340BOY
EOY6218373EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10384340BOY
EOY6218373EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48355133BOY
EOY42464877EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2762822ReconcilationRevenueExpenses
Reconcilation Other Changes-6928789ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120331CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5387CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years378692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year704351CurrentTaxYearMinus1Year
Current Tax Year180750CurrentTaxYear
Total1389511Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33729409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35281735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36249510CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39477439CurrentTaxYearMinus1Year
Current Tax Year38332139CurrentTaxYear
Total183070232Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33849740CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35287122CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36628202CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40181790CurrentTaxYearMinus1Year
Current Tax Year38512889CurrentTaxYear
Total184459743Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509184459743PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1804530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1344819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1365272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1463479CurrentTaxYearMinus1Year
Current Tax Year1590735CurrentTaxYear
Total7568835Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1804530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1344819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1365272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1463479CurrentTaxYearMinus1Year
Current Tax Year1590735CurrentTaxYear
Total7568835Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years895001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years985604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1016455CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1030853CurrentTaxYearMinus1Year
Current Tax Year1046258CurrentTaxYear
Total4974171Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36549271CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37617545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39009929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42676122CurrentTaxYearMinus1Year
Current Tax Year41149882CurrentTaxYear
Total197002749Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93630PublicSupportPercentage509
Prior Year Support Percentage0.93340PriorYearSupportPercentage
Investment Income Percentage0.03840InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20225InvestmentCostOrOtherBasis
Book Value20225BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis53053691InvestmentCostOrOtherBasis
Depreciation26695391Depreciation
Book Value26358300BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16183440InvestmentCostOrOtherBasis
Depreciation13364560Depreciation
Book Value2818880BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis566617InvestmentCostOrOtherBasis
Depreciation555322Depreciation
Book Value11295BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29208700TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
AGENCY FUNDS52330
CUSTODIAL FUNDS111500
DEFERRED FINANCING COSTS444209
ASSETS HELD BY TRUSTEE UNDER BOND INDENTURE626615
RESIDENT DEPOSITS1465588
OTHER ASSETS6480
FieldValueIRS element (for citing)
Total Book Value Other Assets2706722TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
RESIDENT ASSETS$111,500
RESERVE FOR FUNERAL EXPENSES$12,800
AGENCY FUNDS$52,330
REFUNDABLE DEPOSITS$1,452,788
PAYABLES UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS$21,845
INTEREST RATE SWAP AGREEMENT$466,157
CAPITAL LEASE OBLIGATION$201,703
FieldValueIRS element (for citing)
Total Of Amounts2319123TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART X, LINE 2: THE CORPORATIONS QUALIFY AS NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT THE LLC, WHICH IS EXEMPT FROM TAXES UNDER SECTION 509(A)(2) OF THE CODE. THE CORPORATIONS HAVE ADOPTED ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2012 AND 2011, THE CORPORATIONS DO NOT HAVE AN ASSET OR LIABILITY FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROGER W PAULSBERG
38400105548803389908196020570483641000
CARL MOELLENKAMP
22251403047601650004423077330281646000
JAMES HOLBROOK
23339902480702653705372044500294565000
YVONNE RENEE WATTS
1829530005559704924017420245216000
CARL BENDORF
1661600498702161003929028930199579000
MARIE CARLSON-KYLLO
1840990788201468404154028930213712000
RICHARD DEROCHE
1380100001169702966000152673000
ANNAMARIE SEBASTIAN
1303490612501650003081021190158174000
PHILIP HEMMER
135767073770876302963035870158457000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200PXL6CUSIPNumber
Date Issued2003-11-13DateIssued
Issue Price14350000IssuePrice
Description Of PurposeREVENUE REFUNDING BONDDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired2910000AmountRetired
Total Proceeds14350000TotalProceeds
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPENNY PAULSBERGNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF ROGER PAULSBERG, CHAIRMANRelationship
Amount Of Transaction132835AmountOfTransaction
Description Of TransactionPENNY IS AN EMPLOYEE OF THE ORGANIZATION.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6LUTHERAN HOME AND SERVICES FOR THE AGED, INC. IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD IS APPOINTED BY THE SOLE CORPORATE MEMBER, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.
FORM 990, PART VI, SECTION A, LINE 7BSOME DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE CORPORATE MEMBER, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION REVIEWS THE TAX RETURN WITH THE AUDIT COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.) WHICH WAS APPOINTED BY THE BOARD OF LUTHERAN HOME FOR THE AGED, INC. TO REPORT TO THE BOARD OF LUTHERAN LIFE COMMUNITIES WHICH PROVIDES FINAL APPROVAL OF THE TAX RETURNS OF ALL OF ITS SUBSIDIARIES AND AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO DISCLOSE TO THE BOARD OF DIRECTORS WHEN A CONFLICT MAY EXIST. THE POLICY AND COMPLIANCE WITH THIS POLICY IS REVIEWED ANNUALLY BY THE AUDIT COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.)
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND THE COMPENSATION COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.) ULTIMATE APPROVAL FOR THE COMPENSATION AMOUNT FOR THE CEO RESTS WITH THE BOARD OF LUTHERAN LIFE COMMUNITIES. THE LUTHERAN LIFE COMMUNITIES BOARD PROVIDES COUNSEL TO THE CEO FOR THE COMPENSATION OF ANY OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE TAX RETURN, FINANCIAL STATEMENTS AND POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -146,516. CHANGE IN FAIR VALUE OF DERIVATIVE INVESTMENTS 228,291. NET ASSETS TRANSFERRED TO AFFILIATES -7,078,827. AMORTIZATION OF SWAP DERIVATIVE - PRIOR PERIOD ADJUSTMENT 63,113. NET ASSETS RELEASED FROM RESTRICTION 5,150. TOTAL TO FORM 990, PART XI, LINE 5: -6,928,789.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LUTHERAN HOME AND SERVICES FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363375902HOUSING AND SERVICES FOR SENIORSIL501(C)(3)509(A)(2)N/A0
LUTHERAN COMMUNITY SERVICES FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363365609IMPROVE QUALITY OF LIFE FOR SENIORSIL501(C)(3)509(A)(2)N/A0
LUTHERAN FOUNDATION FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363365615SUPPORTS THE WORK PROVIDED IN THE LUTHERAN HOME AND SERVICES SYSTEMIL501(C)(3)170(B)(1)(A)(VI)N/A0
LUTHER OAKS INC
601 LUTZ ROADBLOOMINGTONIL61704202117469HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
WITTENBERG LUTHERAN VILLAGE INC
1200 E LUTHER DRIVECROWN POINTIN46307351299499LONG-TERM HEALTH CARE FACILITYIN501(C)(3)509(A)(2)N/A0
WITTENBERG LUTHERAN VILLAGE ENDOWMENT CORPORATION
1200 E LUTHER DRIVECROWN POINTIN46307351472245LONG-TERM HEALTH CARE FACILITYIN501(C)(3)509(A)(2)N/A0
LUTHERAN LIFE COMMUNITIES
800 W OAKTON STREETARLINGTON HEIGHTSIL60004203426654DEVELOP NEW SERVICES FOR SENIORS AND MANAGE SENIOR LIVING FACILITIESIL501(C)(3)509(A)(1)N/A0
PLEASANT VIEW LUTHERAN HOME INC
505 COLLEGE AVENUEOTTAWAIL61350362167830NURSING AND HEALTHCARE FACILITYIL501(C)(3)509(A)(2)N/A0
LUTHERAN LIFE COMMUNITIES FOUNDATION
3831 NORTH MOZART AVENUECHICAGOIL60618363861882SUPPORTS THE RESIDENTS AND OPERATIONS OF EACH LUTHERAN LIFE COMMUNITYIL501(C)(3)509(A)(1)N/A0
ST PAUL'S HOUSE AND HEALTH CARE CENTER
3831 NORTH MOZART AVENUECHICAGOIL60618362167897HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
VERISPRING INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004208549333HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
ARLINGTON OF NAPLES
800 W OAKTON STREETARLINGTON HEIGHTSIL60004262019353HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN MANAGEMENT SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 W OAKTON STREETAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60004ZIPCode
FieldValueIRS element (for citing)
EIN203773781EIN
Primary ActivityCARE FOR SENIORSPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LUTHERAN LIFE COMMUNITIES
J11871
WITTENBERG LUTHERAN VILLAGE INC
P263336
ST PAUL'S HOUSE AND HEALTH CARE CENTER
P166394
PLEASANT VIEW LUTHER HOME INC
P184882
LUTHER OAKS INC
P66890

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