AUGSBURG LUTHERAN VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AUGSBURG LUTHERAN VILLAGE INC (EIN 52-1473851)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-30
IRS object ID
201312119349300016
Schema version
2012v2.0
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)
Timestamp2013-07-30T07:28:16-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Schiavi Wallace & Rowe PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11400 Front Avenue Suite 301AddressLine1
CityLuthervilleCity
StateMDState
ZIP Code21093ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521473851EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AUGSBURG LUTHERAN VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAUGSNameControl
Phone4104864573Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD ROADAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21207ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDiane WebbName
TitleTreasurerTitle
Date Signed2013-07-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLinda Rajewski CPAName
PTINP00365170PTIN
Phone4104949517Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts3542177GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.augsburg.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTo provide independent retirement living units with onsite wellness and medical services, transportation and meals - 138 units served.ActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members31NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers47TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3560694ProgramServiceRevenuePriorYear
Program Service Revenue CY3535659ProgramServiceRevenueCY
Investment Income Prior Year6090InvestmentIncomePriorYear
Investment Income Current Year6518InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3566784TotalRevenuePriorYear
Total Revenue Current Year3542177TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year885484SalariesEtcPriorYear
Salaries Etc Current Year930866SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2491662OtherExpensePriorYear
Other Expenses Current Year2522238OtherExpensesCurrentYear
Total Expenses Prior Year3377146TotalExpensesPriorYear
Total Expenses Current Year3453104TotalExpensesCurrentYear
Revenues Less Expenses Prior Year189638RevenuesLessExpensesPriorYear
Revenues Less Expenses CY89073RevenuesLessExpensesCY
Total Assets BOY14071636TotalAssetsBOY
Total Assets EOY13750320TotalAssetsEOY
Total Liabilities BOY12496375TotalLiabilitiesBOY
Total Liabilities EOY12085986TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1575261NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1664334NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide independent retirement living units with onsite wellness and medical services, transportation and meals - 138 units served.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2746762Expense
DescriptionProvided independent retirement living units with onsite wellness and medical services, transportation and meals - 138 units served.Description
Total Program Service Expense2746762TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members31NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDiane WebbNamePerson
Telephone Number4104864573TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD RD BALTIMORE MDAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code212074698ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Dr Rhonda Richards
Director0.500.50X000
Jeffrey A Lees
Director0.500.50X000
Joan Orso
Director0.500.50X000
Roger W Lieske
Director0.500.50X000
Rev Stephen Everett
Director0.500.50X000
Dorothea White
Director0.500.50X000
Robert L Seeger
Director0.500.50X000
Dr Guy Jackson
Director0.500.50X000
Richard Perry
Director0.500.50X000
Emma Hahn
Director0.500.50X000
Joan Kraft
Director0.500.50X000
Nancy Wagner
Director0.500.50X000
Leanne Stack-Martin
Director0.500.50X000
Rev James Sharp
Director0.500.50X000
Albert E Lietzau IV
Director0.500.50X000
Karen A Droter
Director0.500.50X000
Romaine Spielman
Director0.500.50X000
Darlene Quiram
Director0.500.50X000
Ronald L Mann
Director0.500.50X000
Kenneth W Hemmeter
Director0.500.50X000
Paul L Miller
Financial Secty1.001.00X000X
Anne C Goller
Director0.500.50X000
Howard Ziethen
Director0.500.50X000
Rev David W Eisenhuth
Director0.500.50X000
Neetu Dhawan-Gray
Director0.500.50X000
Carroll Pfaff
Director0.500.50X000
Marie Garske
Director0.500.50X000
Richard Lohr
Director0.500.50X000
Arnold T Abel Jr
Director0.500.50X000
Dr Barbara Dreyer
Director0.500.50X000
Herman Berger
Director0.500.50X000
Rev Donald Beutel
Director0.500.50X000
Ronald Fouse
Vice Chairman1.001.00X000X
Roger T Ketterman
Financial Secty1.001.00X000X
Lawrence Reiter
Secretary1.001.00X000X
David Daneker
Chairman1.001.00X000X
Glenn Scherer
Executive Direc2.0045.0001847084940X
Diane Webb
Treasurer2.0045.0001213156624X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs306023TotalReportableCompFrmRltdOrgs
Total Other Compensation11564TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TIM MCFADDEN CONTRACTING INC
1401 MCCURLEY AVENUECATONSVILLEMD21228DWELLING RENOVATIONS213572
SYSCO FOOD SERVICES OF BALTIMORE
PO BOX 1099JESSUPMD20794FOOD SERVICE260482
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INDEPENDENT LIVING UNITS62300027423862742386
AMORT. OF ENTRANCE FEES623000793273793273
FieldValueIRS element (for citing)
Total Program Service Revenue3535659TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6518TotalRevenueColumn
Exclusion$6,518ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3542177TotalRevenueColumn
Related Or Exempt Function Income3535659RelatedOrExemptFunctionIncome
Exclusion$6,518ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total761434Total
Program Services565361ProgramServices
Management And General196073ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total116420Total
Program Services85112ProgramServices
Management And General31308ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total53012Total
Program Services38412ProgramServices
Management And General14600ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total131625Total
Management And General131625ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25786Total
Management And General25786ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total211811Total
Program Services211811ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total48189Total
Management And General48189ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2970Total
Management And General2970ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total585910Total
Program Services443134ProgramServices
Management And General142776ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25Total
Program Services25ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total87572Total
Program Services78815ProgramServices
Management And General8757ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total867780Total
Program Services781002ProgramServices
Management And General86778ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CLEANING2400024000
MAINTENANCE & REPAIRS3828538285
SUPPLIES162936162936
FOOD307872307872

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27477Total
Program Services9997ProgramServices
Management And General17480ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3453104Total
Program Services2746762ProgramServices
Management And General706342ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY550BOY
EOY550EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10783BOY
EOY218683EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY63302BOY
EOY87584EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY131253BOY
EOY139077EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21421332LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8866826LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13062138BOY
EOY12554506EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY803610BOY
EOY749920EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14071636BOY
EOY13750320EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY85606BOY
EOY177421EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7666070BOY
EOY7290212EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4744699BOY
EOY4618353EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12496375BOY
EOY12085986EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1575261BOY
EOY1664334EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1575261BOY
EOY1664334EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14071636BOY
EOY13750320EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses89073ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3276751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3454102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3556576CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3560694CurrentTaxYearMinus1Year
Current Tax Year3535659CurrentTaxYear
Total17383782Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3276751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3454102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3556576CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3560694CurrentTaxYearMinus1Year
Current Tax Year3535659CurrentTaxYear
Total17383782Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50917383782PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6090CurrentTaxYearMinus1Year
Current Tax Year6518CurrentTaxYear
Total24991Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6090CurrentTaxYearMinus1Year
Current Tax Year6518CurrentTaxYear
Total24991Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3276751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3460674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3562387CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3566784CurrentTaxYearMinus1Year
Current Tax Year3542177CurrentTaxYear
Total17408773Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99860PublicSupportPercentage509
Prior Year Support Percentage0.99760PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18361336OtherCostOrOtherBasis
Depreciation7550114Depreciation
Book Value10811222BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis60765OtherCostOrOtherBasis
Depreciation37641Depreciation
Book Value23124BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1077350OtherCostOrOtherBasis
Depreciation758203Depreciation
Book Value319147BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1921881OtherCostOrOtherBasis
Depreciation520868Depreciation
Book Value1401013BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12554506TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Operating Reserve381716
Intangible asset158636
DUE FROM RELATED PARTY WORKING CAPITAL209568
FieldValueIRS element (for citing)
Total Book Value Other Assets749920TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Related Party-Bond FinancingDescription
Amount$4,618,353Amount
FieldValueIRS element (for citing)
Total Of Amounts4618353TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt3542177TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3542177RevenueSubtotal
Total Revenue Per Form9903542177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3453104TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3453104ExpensesSubtotal
Total Expenses Per Form9903453104TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationIncome TaxesThe Village has been recognized by the Internal Revenue Service (IRS) as a not-for-profit, tax-exempt organization as defined by 501(c)3 of the Internal Revenue Code and is exempt from federal income taxes. Accordingly the Village is not subject to income taxes in accordance with the Income Taxes Topic of FASB ASC 740-10 which clarifies the accounting for income taxes, by prescribing a minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. It also provides guidance on recognition, measurement and classification of amounts relating to uncertain tax positions, accounting for and disclosure of interest and penalties, accounting in interim periods, disclosures and transition relating to the adoption of this accounting standard.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonGlenn SchererNamePerson
TitleExecutive DirecTitle
Comp Based On Related Orgs184708CompBasedOnRelatedOrgs
Deferred Comp Related Orgs4940DeferredCompRelatedOrgs
Total Compensation Related Orgs189648TotalCompensationRelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MD Health and Higher Education AssnBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
Date Issued2009-08-01DateIssued
Issue Price5060685IssuePrice
Description Of PurposeDebt ExtinguishmentDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds5060685TotalProceeds
Issuance Costs From Proceeds183748IssuanceCostsFromProceeds
Working Capital Expenditures4876937WorkingCapitalExpenditures
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationPart IV Arbitrage is not applicable. This bond issue nor any portion of the proceeds are reasonably expected to be used directly or indirectly to acquire higher yielding investments or to replace funds which were used directly or indirectly to acquire higher yielding investments.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonAlbert LietzauNamePerson
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction76725AmountOfTransaction
Description Of TransactionProp, Cas/Gen Liab InsDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationGeneral and liability insurance for the Village was purchased through a company that is owned by a Board Member.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 990 is available upon request. Financial statements are on the facilities website and included in resident contracts.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAll board members are sent a questionnaire about the Executive Director's performance which is returned to the Board Chairman. The Executive Committee of the board uses these comments to prepare the annual review for the Executive Director.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board of Directors prepares the annual evaluation for the Executive Director. The Board Chair surveys the entire Board for their feedback on his performance and then the Board Chair, Vice Chair and HR Committee Chair approves the merit increase. Comparability data is also used to determine Executive Director's compensation. All Directors report to the Executive Director and he prepares the annual evaluations for the key directors who are the Administrator and the Director of Finance/Administration (Treasurer).
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, each board member signs a conflict of interest policy statement.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the Finance and Audit Committee prior to filing; Board of Directors then approves Form 990 prior to filing the return.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersDelegates to Augsburg vote and approve changes to bylaws at the annual meeting.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyDelegates to Augsburg vote and approve new board members at the annual meeting.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AUGSBURG LUTHERAN HOME OF MARYLAND INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD ROADAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21207ZIPCode
FieldValueIRS element (for citing)
EIN520696196EIN
Primary ActivitiesNURSING HOME & ASSISTED LIVINGPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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