LUTHERAN SENIOR SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN SENIOR SERVICES (EIN 43-0654862)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-13
IRS object ID
201322259349301852
Schema version
2012v2.1
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)
Timestamp2013-08-13T11:25:44-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430654862EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN SENIOR SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone3149689313Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63144ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL OGIERName
TitleCFOTitle
Phone3149689313Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMANDA TINNEYName
PTINP00028482PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN KOTOVSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63144ZIPCode
FieldValueIRS element (for citing)
Gross Receipts150814533GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LSSLIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1863YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionFAITH BASED ORGANIZATION WHICH PROVIDES A NETWORK OF SUPPORTIVE SERVICES FOR OLDER ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3465TotalNbrEmployees
Total Nbr Volunteers3467TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1771886ContributionsGrantsPriorYear
Contributions Grants Current Year1841541ContributionsGrantsCurrentYear
Program Service Revenue Prior Year108838559ProgramServiceRevenuePriorYear
Program Service Revenue CY113233286ProgramServiceRevenueCY
Investment Income Prior Year4831026InvestmentIncomePriorYear
Investment Income Current Year6339612InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year115441471TotalRevenuePriorYear
Total Revenue Current Year121414439TotalRevenueCurrentYear
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 Year11768922SalariesEtcPriorYear
Salaries Etc Current Year12876129SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year98546058OtherExpensePriorYear
Other Expenses Current Year100982304OtherExpensesCurrentYear
Total Expenses Prior Year110314980TotalExpensesPriorYear
Total Expenses Current Year113858433TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5126491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7556006RevenuesLessExpensesCY
Total Assets BOY395706222TotalAssetsBOY
Total Assets EOY400455813TotalAssetsEOY
Total Liabilities BOY352448656TotalLiabilitiesBOY
Total Liabilities EOY347206422TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY43257566NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53249391NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A NETWORK OF SUPPORTIVE SERVICES THAT MEET THE NEEDS OF OLDER ADULTS AT ALL INCOME LEVELS IN ORDER TO LIVE OUT OUR MISSION OF "OLDER ADULTS LIVING LIFE TO THE FULLEST".MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense83719233Expense
Revenue111191744Revenue
DescriptionOPERATIONS FOR FIVE CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) THAT OFFER A CONTINUUM OF CARE THAT INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, SKILLED NURSING, AND MEMORY CARE. IN ADDITION, OPERATIONS OF ONE ASSISTED LIVING AND ONE SKILLED NURSING FACILITY NOT ASSOCIATED WITH A CCRC. A TOTAL OF 3,133 UNITS ARE OFFERED WITH A SUBSTAINED OCCUPANCY RATE EXCEEDING 90%.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5140675Expense
Revenue5980371Revenue
DescriptionA VARIETY OF IN-HOME SERVICES FOR OLDER ADULTS WHO REMAIN IN THEIR OWN HOMES, INCLUDING MEDICARE CERTIFIED HOME HEALTH, PRIVATE DUTY HOME HEALTH SERVICES, HOSPICE SERVICES, AND THREE PROGRAMS IN PARTNERSHIP WITH THE UNITED WAY: OUTREACH SOCIAL SERVICES, THE GOOD NEIGHBOR PROGRAM, AND VOLUNTEER MONEY MANAGEMENT. MORE THAN 4,500 CLIENTS ARE SERVED ANNUALLY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Revenue-3938829Revenue
DescriptionA BENEVOLENT CARE FUND EXISTS TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS OR CLIENTS WHO OUTLIVE THEIR ABILITY TO PAY. TOTAL BENEVOLENT CARE ASSISTANCE PROVIDED WAS $3,938,829, OF WHICH $3,938,829 IS OFFSETTING PROGRAM SERVICE REVENUE.Description
FieldValueIRS element (for citing)
Total Program Service Expense88859908TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096283NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3465NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAUL OGIERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3149689313TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63144ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MR JAMES R DANKENBRING
CHAIRPERSON OF THE BOARD0.202.00XX000
REV WILLIAM T SIMMONS
ASST CHAIRPERSON OF THE BOARD0.202.00XX000
MR LEE H BODENDIECK
SECRETARY0.202.00XX000
MR SCOTT M HARTWIG
ASSISTANT SECRETARY0.202.00XX000
MR RICHARD J BAGY JR
BOARD MEMBER0.202.00X000
MS NORMA J BARR
BOARD MEMBER0.202.00X000
REV JOEL T CHRISTIANSEN
BOARD MEMBER0.202.00X000
REV DWIGHT E DICKINSON
BOARD MEMBER0.202.00X000
MR KARL A DUNAJCIK
BOARD MEMBER0.202.00X000
MS JAN S KRAEMER
BOARD MEMBER0.202.00X000
MS KATHLEEN T MUELLER
BOARD MEMBER0.202.00X000
MS CARLA S ROBINSON-RAINEY
BOARD MEMBER0.202.00X000
MR WILLIAM F ROTH
BOARD MEMBER0.202.00X000
MR ROGER H VOLK
BOARD MEMBER0.202.00X000
DR H DOUGLAS WALDEN
BOARD MEMBER0.202.00X000
MR JOHN R KOTOVSKY
PRESIDENT/CHIEF EXECUTIVE OFFICER40.005.00X403482052731
MR PAUL OGIER
CHIEF FINANCIAL OFFICER40.005.00X283101047953
MS LINDA DETRING
CHIEF OPERATING OFFICER40.005.00X280114036651
MR MARK SCHOEDEL
VP OF CONSTRUCTION AND INFORMATION TECHNOLOGY40.005.00X200965035639
MR DALE KREIENKAMP
VP OF HUMAN RESOURCES40.005.00X178059034780
MR MIKE RASO
REGIONAL VICE PRESIDENT40.005.00X154492011766
MS CARLA BAUM
REGIONAL VICE PRESIDENT40.005.00X142880011296
MATTESKIRK D
ADMINISTRATOR OF STEWARDSHIP1.0040.00132899012993X
MEIERVALERIE C
EXECUTIVE DIRECTOR40.00132498012604X
ETLINGTERRY L
EXECUTIVE DIRECTOR40.00129905010787X
VICARYRITA M
ADMIN OF MARKETING & SALES40.00123796012625X
RIGGSMARY E
EXECUTIVE DIRECTOR40.00120031010451X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2282222TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation290276TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PARIC CORPORATION
PO BOX 790100ST LOUISMO63179CONSTRUCTION CONTRACTOR42456229
ALLIANCE REHAB
1520 KENSINGTON RD SUITE 110OAK BROOKIL60523THERAPY SERVICES4734254
PROVIDENT GROUP
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144DEVELOPMENT & MANAGEMENT1000000
TECH ELECTRONICS
PO BOX 790379ST LOUISMO63179TELEPHONE EQUIPMENT555116
PERKINS-EASTMAN ARCHTECTS
115 FIFTH AVENUENEW YORKNY10003ARCHITECT497283
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Related Organizations1516006RelatedOrganizations
All Other Contributions325535AllOtherContributions
Total Contributions1841541TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTINUING CARE RETIRE623000111191744111191744
IN HOME SERVICES REVENUE62300059803715980371
BENEVOLENT CARE FUND623000-3938829-3938829
FieldValueIRS element (for citing)
Total Program Service Revenue113233286TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4112265TotalRevenueColumn
Exclusion$4,112,265ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities31119900Securities
Other507541Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities29150714Securities
Other249380Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1969186Securities
Other258161Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2227347TotalRevenueColumn
Exclusion$2,227,347ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column121414439TotalRevenueColumn
Related Or Exempt Function Income113233286RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,339,612ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1643093Total
Management And General1643093ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1097124Total
Program Services100000ProgramServices
Management And General997124ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10135912Total
Program Services10005097ProgramServices
Management And General130815ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2829530Total
Management And General2829530ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19397963Total
Management And General19397963ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8493792Total
Program Services8493792ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total6395060Total
Program Services6395060ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11187314Total
Program Services11187314ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NURSING2829509728295097
DIETARY1226426712264267
IN-HOME SERVICE51406755140675
HOUSEKEEPING & LAUNDRY39620793962079

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3016527Total
Program Services3016527ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total113858433Total
Program Services88859908ProgramServices
Management And General24998525ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY4693342EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3934935BOY
EOY4669696EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7873645BOY
EOY6091463EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY278017EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY634440EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis295199386LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec125438475LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY162528336BOY
EOY169760911EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY183902790BOY
EOY150855772EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37466516BOY
EOY63472172EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY395706222BOY
EOY400455813EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15999904BOY
EOY21258553EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7522932BOY
EOY7549302EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY195868369EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY215272611BOY
EOY6200000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY113653209BOY
EOY116330198EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY352448656BOY
EOY347206422EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42784337BOY
EOY52781642EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY473229BOY
EOY467749EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43257566BOY
EOY53249391EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY395706222BOY
EOY400455813EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7556006ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2628294ReconciliationUnrealizedInvest
Reconcilation Other Changes-192475ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years208472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years264884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years385355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year407295CurrentTaxYearMinus1Year
Current Tax Year1841541CurrentTaxYear
Total3107547Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years97981573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99490770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years100896490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108838559CurrentTaxYearMinus1Year
Current Tax Year113233286CurrentTaxYear
Total520440678Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years98190045CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99755654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101281845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109245854CurrentTaxYearMinus1Year
Current Tax Year115074827CurrentTaxYear
Total523548225Total

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 Total509523548225PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2473106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4695898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3148743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3495604CurrentTaxYearMinus1Year
Current Tax Year6339612CurrentTaxYear
Total20152963Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2473106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4695898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3148743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3495604CurrentTaxYearMinus1Year
Current Tax Year6339612CurrentTaxYear
Total20152963Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100663151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years104451552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104430588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112741458CurrentTaxYearMinus1Year
Current Tax Year121414439CurrentTaxYear
Total543701188Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96290PublicSupportPercentage509
Prior Year Support Percentage0.96650PriorYearSupportPercentage
Investment Income Percentage0.03710InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$30,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB30000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10571951OtherCostOrOtherBasis
Book Value10571951BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis246968298OtherCostOrOtherBasis
Depreciation98989307Depreciation
Book Value147978991BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis14307331OtherCostOrOtherBasis
Depreciation9860306Depreciation
Book Value4447025BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23351806OtherCostOrOtherBasis
Depreciation16588862Depreciation
Book Value6762944BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings169760911TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATE1036434
INTEREST RECEIVABLE AND OTHER1369191
DEFERRED FINANCING COSTS4167110
DEFERRED MARKETING COSTS546560
CONSTRUCTION IN PROGRESS56352877
FieldValueIRS element (for citing)
Total Book Value Other Assets63472172TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADMISSION FEES$102,026,773
RESIDENT DEPOSITS$6,426,999
ACCRUED PENSION COST$5,426,680
INTEREST RATE SWAP AGREEMENT$2,449,746
FieldValueIRS element (for citing)
Total Of Amounts116330198TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATIONS, EXCEPT FOR THE WHOLLY OWNED SUBSIDIARY, PROVIDENT GROUP, INC., QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATIONS ARE CLASSIFIED AS PUBLICLY-SUPPORTED CHARITABLE ORGANIZATIONS UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATIONS QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. PROVIDENT GROUP IS ORGANIZED AS A TAXABLE FOR-PROFIT FOR FEDERAL AND STATE INCOME TAX PURPOSES. THE ORGANIZATIONS ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEAR 2009 TO 2012 ARE SUBJECT TO REVIEW AND EXAMINATION BY THE IRS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
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 (7 entries)

TitleTitleBase 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
MR JOHN R KOTOVSKY
PRESIDENT/CHIEF EXECUTIVE OFFICER28900000011448202000003273104562130200000
MR PAUL OGIER
CHIEF FINANCIAL OFFICER2452230003787802000002795303310540200000
MS LINDA DETRING
CHIEF OPERATING OFFICER2391190004099502000001665103167650200000
MR MARK SCHOEDEL
VP OF CONSTRUCTION AND INFORMATION T1686720003229302000001563902366040200000
MR DALE KREIENKAMP
VP OF HUMAN RESOURCES16873400093250200000147800212839000
MR MIKE RASO
REGIONAL VICE PRESIDENT1519920002500000117660166258000
MS CARLA BAUM
REGIONAL VICE PRESIDENT1378800005000000112960154176000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
A43117896660635HD892008-08-2750000000CAP. IMPROVEMENTS TO LUTHERAN SENIOR SVCS & LUTHERAN RETIREMENT CENTER ASSOC000
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
B43117896660635HC492007-02-0861166776REFUNDING OF 1997 BONDS AND CAPITAL IMPROVEMENTS TO MERIDIAN VILLAGE000
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
C43117896660635HYM52005-08-3130848043FINANCE PURCHASE AND CONSTRUCTION IMPROVEMENTS OF LSS AND MERIDIAN VILLAGE000
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
D43117896660635HZA02005-11-0322311871REFUNDING PRIOR BOND ISSUANCE FROM SERIES 1996A, FUND DEBT SERVICE RESERVE000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount In Reserve FundAmountInReserveFundOther Spent ProceedsOtherSpentProceeds
A5024090514165623750002084389544823995120090011
B613951338299161518359724889200711116625000462456946063924
C3111225547321120220728855403200700111581434
D223118713003271832110114500000174802320245200

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00110000
B00110000
C00110000
D00110000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
US BANK
A0100116.00000000000000001
(no name)
B000100001
(no name)
C000100001
JPMORGAN
D100101(ORIGINALLY TMG30.3000000000001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER NAME: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOU DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2012 ISSUER NAME: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOU DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2012
SCHEDULE K, ENTITY 2, PAGE 1, PART II, LINE (A), COLUMN (F)THE CAPITAL IMPROVEMENTS BENEFITTED LUTHERAN SENIOR SERVICES, HEISINGER LUTHERAN HOME, LUTHERAN RETIREMENT CENTER ASSOCIATION, AND MERIDIAN VILLAGE ASSOCIATION III.
SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE (A), COLUMN (B)THE 2007 SERIES A BONDS FUNDED PROJECTS AT THE FOLLOWING FACILITIES: MERIDIAN VILLAGE RETIREMENT COMMUNITY IN GLEN CARBON, IL, ST. JOSEPH'S HOME IN JEFFERSON CITY, MO, LUTHERAN CONVALESCENT HOME IN WEBSTER GROVES, MO, BREEZE PARK RETIREMENT COMMUNITY IN ST. CHARLES, MO, LENOIR WOODS IN COLUMBIA, MO, AND HIDDEN LAKE RETIREMENT COMMUNITY IN SPANISH LAKE, MO. THE 2007 SERIES B BONDS FUNDED PROJECTS AT MERIDIAN VILLAGE ASSOCIATION IN GLEN CARBON, IL. THE 2007 SERIES C BONDS FUNDED PROJECTS AT MERIDIAN VILLAGE ASSOCIATION II IN GLEN CARBON, IL.
SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN BINTEREST ON RESERVE FUNDSPROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/12 OF $228,357.
SCHEDULE K, PAGE 1, ENTITY 2, PART II, LINE 3, COLUMN AINTEREST ON RESERVE FUNDSPROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/12 OF $156,973.
SCHEDULE K, PAGE 1, ENTITY 2, PART II, LINE 3, COLUMN BINTEREST ON RESERVE FUNDSPROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/12 OF $264,740.
SCHEDULE K, ENTITY 1, PAGE 1, PART II, LINE 4, COLUMN (C)GROSS PROCEEDS IN RESERVE FUNDSTHE GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/12 EQUALS $1,654,097. THIS AMOUNT IS REDUCED BY -$72,663, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT.
SCHEDULE K, ENTITY 2, PAGE 1, PART II, LINE 4, COLUMN (A)GROSS PROCEEDS IN RESERVE FUNDSTHE TOTAL AMOUNT OF GROSS PROCEEDS IN RESERVE FUNDS AT 12/31/12 EQUALS $3,850,772. THIS AMOUNT IS REDUCED BY -$73,539, WHICH REPRESENTS THE DIFFERENCE BETWEEN CURRENT MARKET VALUE OF DEBT RESERVE FUNDS AND THE INITIAL FUNDING AMOUNT.
SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN CINTEREST ON RESERVE FUNDSPROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/12 OF $264,212.
SCHEDULE K, PAGE 1, ENTITY 1, PART II, LINE 3, COLUMN AINTEREST ON RESERVE FUNDSPROCEEDS DIFFERS FROM ISSUANCE PRICE DUE TO INCLUSION OF ACCUMULATED INTEREST INCOME THROUGH 12/31/12 OF $240,905.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
A43117896660635HK402010-10-1438277316CAP IMPROVEMENTS TO LSS, HEISINGER LUTHERAN HOME, LRCA AND MVIII000
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF STATE OF MISSOURI
B43117896660635HM552011-09-2947187481CAPITAL IMPROVEMENTS TO LUTHERAN SENIOR SERVICES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A38434289377723391540463197361372331055171144078520110001
B47452221358236575186259112430588820001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00110000
B00110000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A010000001
B010000001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BOARD MEMBERS ARE ELECTED BY ASSOCIATED CHURCHES.
FORM 990, PART VI, SECTION B, LINE 11THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING. APPROVAL OF THE FORM 990 IS DELEGATED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS AND EMPLOYEES WILL DISCLOSE A CONFLICT OF INTEREST ON THE "CONFLICT OF INTEREST FORM" IN THE FOLLOWING SITUATIONS AND IN OTHER CIRCUMSTANCES WHICH HE/SHE THINKS MIGHT CAUSE A CONFLICT BETWEEN HIS/HER PERSONAL INTERESTS AND HIS/HER FIDUCIARY DUTY: FINANCIAL INTERESTS, INSIDE INFORMATION, CONFLICTING INTEREST OTHER THAN FINANCIAL, GIFTS AND FAVORS. THE FOLLOWING LSS EMPLOYEES ARE REQUIRED TO SIGN A "CONFLICT OF INTEREST FORM" ANNUALLY: PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER/TREASURER, VICE PRESIDENT OF CONSTRUCTION AND IT, VICE PRESIDENT OF HUMAN RESOURCES, ALL DIRECTORS, ADMINISTRATORS AND ASSISTANT ADMINISTRATORS. THE CORPORATE COMPLIANCE OFFICER FOLLOWS UP WITH ANY CONFLICTS OF INTERESTS AND DOCUMENTS THE RESOLUTIONS OF THE CONFLICTS. THESE FORMS ARE KEPT BY THE CORPORATE COMPLIANCE OFFICE.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS ESTABLISHED A SEPARATE COMPENSATION COMMITTEE CHARGED WITH PERFORMING AN ANNUAL PERFORMANCE REVIEW OF THE CEO AND REVIEWING THE CEO'S COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM TO: (1) DEVELOP AN ANNUAL CEO PERFORMANCE REVIEW PROCESS, INCLUDING A NEW EVALUATION FORM, AND (2) DEVELOP A COMPENSATION PACKAGE BASED ON ITS KNOWLEDGE OF SIMILARLY SIZED NON-PROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE COMPENSATION PAID TO THE CEO IS REASONABLE. ALL MEMBERS OF THE BOARD COMPLETE AN ANNUAL EVALUATION, WHICH THE COMPENSATION COMMITTEE SUMMARIZES AND REVIEWS. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR ANY COMPENSATION ADJUSTMENTS.
FORM 990, PART VI, SECTION C, LINE 19ALTHOUGH NOT A REQUIREMENT, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THE ITEMS.
FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, LINE 9ORGANIZATION HAS SALARIES ALLOCATED TO RESPECTIVE SERVICE AREAS ON LINE 24OTHER EMPLOYEE BENEFITS
FORM 990, PART XI, LINE 9:NET PERIODIC PENSION COST -824,986. CHANGE IN VALUE OF INTEREST RATE SWAP 332,182. OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS 300,329.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
LUTHERAN SENIOR SERVICES ENDOWMENT FUND
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431818832SENIOR LIVINGMO501(C)(3)LINE 11B, IILUTHERAN SENIOR SERVICES1
HALLS FERRY MANOR
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431660879SENIOR LIVINGMO501(C)(3)LINE 90N/A
DUNN ROAD MANOR INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431874215SENIOR LIVINGMO501(C)(3)LINE 90N/A
ROSE HILL HOUSE INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431736720SENIOR LIVINGMO501(C)(3)LINE 90N/A
ROSE HILL HOUSE II INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144201889216SENIOR LIVINGMO501(C)(3)LINE 90N/A
HILLTOP MANOR ASSOCIATION INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144020667342SENIOR LIVINGMO501(C)(3)LINE 90N/A
WESTFIELD MANOR ASSOCIATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144020568032SENIOR LIVINGIL501(C)(3)LINE 90N/A
MERIDIAN VILLAGE ASSOCIATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144371415588SENIOR LIVINGIL501(C)(3)LINE 90N/A
COLE COUNTY LUTHERAN HOME ASSOCIATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431147326SENIOR LIVINGMO501(C)(3)LINE 90N/A
HEISINGER HOPE FOUNDATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144431905378SENIOR LIVINGMO501(C)(3)LINE 11B, II0N/A
LUTHERAN RETIREMENT CENTER ASSOCIATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144371199021SENIOR LIVINGMO501(C)(3)LINE 90N/A
LUTHERAN HILLSIDE VILLAGE INC
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144370818454SENIOR LIVINGMO501(C)(3)LINE 90N/A
LUTHERAN HILLSIDE VILLAGE FOUNDATION
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144371371314SENIOR LIVINGMO501(C)(3)LINE 70N/A
MACKENZIE PLACE 202 - II - 45-4000626
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144454000626SENIOR LIVINGMO501(C)(3)LINE 9LUTHERAN SENIOR SERVICES1
MACKENZIE PLACE 202 - 27-3777863
1150 HANLEY INDUSTRIAL COURTST LOUISMO63144273777863SENIOR LIVINGMO501(C)(3)LINE 90N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PROVIDENT GROUP INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11150 HANLEY INDUSTRIAL COURTAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63144ZIPCode
FieldValueIRS element (for citing)
EIN300134496EIN
Primary ActivityDEVELOPMENT & MANAGEMENT OF ASSISTED LIVING FACILITIESPrimaryActivity
Legal Domicile StateMOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN SENIOR SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income1080000ShareOfTotalIncome
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN SENIOR SERVICES ENDOWMENT FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1516006AmountInvolved
Method Of Amt DeterminationG/L DETAILMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.