FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201323199349302412
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)
Timestamp2013-11-15T09:11:23-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN431909489EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 228AddressLine1
CitySEDALIACity
StateMOState
ZIP Code653020228ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430799196EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone6604632267Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePAULETTE OETTINGName
TitleTREASURERTitle
Phone6604632267Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNORMA SCHLESSELMAN CPAName
PTINP01296910PTIN
Phone6608274990Phone
Date Prepared2013-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAULETTE OETTINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1901 EAST FIRST STREETAddressLine1
CityCONCORIDACity
StateMOState
ZIP Code64020ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4888662GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE TO THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees145TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2575ContributionsGrantsPriorYear
Contributions Grants Current Year7891ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4775995ProgramServiceRevenuePriorYear
Program Service Revenue CY4877355ProgramServiceRevenueCY
Investment Income Prior Year4692InvestmentIncomePriorYear
Investment Income Current Year3416InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4783262TotalRevenuePriorYear
Total Revenue Current Year4888662TotalRevenueCurrentYear
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 Year2925512SalariesEtcPriorYear
Salaries Etc Current Year2963202SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1645973OtherExpensePriorYear
Other Expenses Current Year2504721OtherExpensesCurrentYear
Total Expenses Prior Year4571485TotalExpensesPriorYear
Total Expenses Current Year5467923TotalExpensesCurrentYear
Revenues Less Expenses Prior Year211777RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-579261RevenuesLessExpensesCY
Total Assets BOY2675814TotalAssetsBOY
Total Assets EOY2095462TotalAssetsEOY
Total Liabilities BOY255010TotalLiabilitiesBOY
Total Liabilities EOY253919TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2420804NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1841543NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5455737Expense
Revenue4877805Revenue
Description120 BED NURSING HOMEDescription
Total Program Service Expense5455737TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees145NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1LUTHERAN NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6604632267TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROGER FLANDERMEYER
PRESIDENT2.00XX000
CHARLOTTE NEHER
VICE-PRESIDENT2.00XX000
KENNETH NIERMAN
SECRETARY2.00XX000
PAULETTE OETTING
TREASURER2.00XX000
MYRNA OLSON
EXECUTIVE BOARD MEMBER2.00X000
FRED DROEGE
MEMBER2.00X000
DALE DIECKHOFF
MEMBER2.00X000
GREG BUSHMAN
MEMBER2.00X000
EDWARD NIERMAN
MEMBER2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

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

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 99341AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60693ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation365689Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions7891AllOtherContributions
Total Contributions7891TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300028634352863435
NURSING CARE62300019475831947583
MANAGEMENT CONTRACT5313102658726587
ROOM RESERVATION6230002075220752
LAUNDRY6230001689016890

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2108TotalRevenueColumn
Related Or Exempt Function Income2108RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4877355TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2966TotalRevenueColumn
Exclusion$2,966ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other450Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other450Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column450TotalRevenueColumn
Related Or Exempt Function Income450RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4888662TotalRevenueColumn
Related Or Exempt Function Income4877805RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,966ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2624581Total
Program Services2624581ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14710Total
Program Services14710ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total124253Total
Program Services124253ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total199658Total
Program Services199658ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total544Total
Program Services544ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12186Total
Management And General12186ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2669Total
Program Services2669ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25546Total
Program Services25546ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total120538Total
Program Services120538ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4036Total
Program Services4036ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total850365Total
Program Services850365ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total79379Total
Program Services79379ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total97317Total
Program Services97317ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES397518397518
CONTRACTED THERAPY383619383619
NURSING FACILITY REIMB344778344778
MEDICARE BILLING7318073180

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total113046Total
Program Services113046ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5467923Total
Program Services5455737ProgramServices
Management And General12186ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY152EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY864209BOY
EOY1025885EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1203509BOY
EOY361860EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15666BOY
EOY13131EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8397BOY
EOY8232EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2552827LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1933547LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY517011BOY
EOY619280EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY66922BOY
EOY66922EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2675814BOY
EOY2095462EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY255010BOY
EOY253919EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY255010BOY
EOY253919EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2420804BOY
EOY1841543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2420804BOY
EOY1841543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2675814BOY
EOY2095462EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-579261ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7774OtherCostOrOtherBasis
Book Value7774BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1993021OtherCostOrOtherBasis
Depreciation1489138Depreciation
Book Value503883BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis547032OtherCostOrOtherBasis
Depreciation444409Depreciation
Book Value102623BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Book Value5000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings619280TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
LUTHERAN GOOD SHEPHERD HOME
THIRD WEST STREETSCONCORDIAMO64020440652188AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(3)LINE 90
GOOD SHEPHERD VILLAGE
THIRD WEST STREETSCONCORDIAMO64020237091759AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
GOOD SHEPHERD VILLAGE II
THIRD WEST STREETSCONCORDIAMO64020431078623AFFORDABLE HOUSING FOR THE ELDERLYMO501(C)(4)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
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 GOOD SHEPHERD HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved850365AmountInvolved
Method Of Amt DeterminationACTUAL AMOUNT CONTRIBUTEDMethodOfAmtDetermination