2013-11-15T09:11:23-06:00 2013-06-30 431909489 WILSON TOELLNER & ASSOCIATES LLC PO BOX 228 SEDALIA MO 653020228 990 2012-07-01 430799196 LUTHERAN NURSING HOME LUTH 6604632267 THIRD AND WEST STREETS CONCORDIA MO 64020 PAULETTE OETTING 6604632267 2013-11-07 1 NORMA SCHLESSELMAN CPA P01296910 6608274990 2013-11-07 2012 2015-11-30 17:44:51Z PAULETTE OETTING 901 EAST FIRST STREET CONCORIDA MO 64020 4888662 0 X N/A X 1963 MO TO PROVIDE HEALTHCARE TO THE ELDERLY 9 9 145 0 0 0 2575 7891 4775995 4877355 4692 3416 0 0 4783262 4888662 0 0 0 0 2925512 2963202 0 0 0 1645973 2504721 4571485 5467923 211777 -579261 2675814 2095462 255010 253919 2420804 1841543 TO PROVIDE HEALTHCARE TO THE ELDERLY 0 0 5455737 4877805 120 BED NURSING HOME 5455737 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 145 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 X LUTHERAN NURSING HOME 6604632267 THIRD WEST STREETS CONCORDIA MO 64020 X ROGER FLANDERMEYER 2.00 X X 0 0 0 CHARLOTTE NEHER 2.00 X X 0 0 0 KENNETH NIERMAN 2.00 X X 0 0 0 PAULETTE OETTING 2.00 X X 0 0 0 MYRNA OLSON 2.00 X 0 0 0 FRED DROEGE 2.00 X 0 0 0 DALE DIECKHOFF 2.00 X 0 0 0 GREG BUSHMAN 2.00 X 0 0 0 EDWARD NIERMAN 2.00 X 0 0 0 0 0 0 0 0 0 0 REHAB CARE GROUP INC PO BOX 99341 CHICAGO IL 60693 THERAPY SERVICES 365689 1 7891 7891 MEDICARE/MEDICAID 623000 2863435 2863435 NURSING CARE 623000 1947583 1947583 MANAGEMENT CONTRACT 531310 26587 26587 ROOM RESERVATION 623000 20752 20752 LAUNDRY 623000 16890 16890 2108 2108 4877355 2966 2966 450 0 450 450 450 4888662 4877805 0 2966 2624581 2624581 14710 14710 124253 124253 199658 199658 544 544 12186 12186 2669 2669 25546 25546 120538 120538 4036 4036 850365 850365 79379 79379 97317 97317 SUPPLIES 397518 397518 CONTRACTED THERAPY 383619 383619 NURSING FACILITY REIMB 344778 344778 MEDICARE BILLING 73180 73180 113046 113046 5467923 5455737 12186 0 100 152 864209 1025885 1203509 361860 15666 13131 8397 8232 2552827 1933547 517011 619280 66922 66922 2675814 2095462 255010 253919 255010 253919 X 2420804 1841543 2420804 1841543 2675814 2095462 -579261 0 X X 1 X 0 0 0 X 7774 7774 1993021 1489138 503883 547032 444409 102623 5000 5000 619280 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS FORM 990, PART VI, SECTION A, LINE 7A MEMBERS FORM 990, PART VI, SECTION A, LINE 7B MEMBERS FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS FORM 990. FORM 990, PART VI, SECTION B, LINE 15 BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. PT XII, LINE 2C BOARD OF DIRECTORS ASSUMES OVERSIGHT RESPONSIBILITY LUTHERAN GOOD SHEPHERD HOME THIRD WEST STREETS CONCORDIA MO 64020 440652188 AFFORDABLE HOUSING FOR THE ELDERLY MO 501(C)(3) LINE 9 0 GOOD SHEPHERD VILLAGE THIRD WEST STREETS CONCORDIA MO 64020 237091759 AFFORDABLE HOUSING FOR THE ELDERLY MO 501(C)(4) 0 GOOD SHEPHERD VILLAGE II THIRD WEST STREETS CONCORDIA MO 64020 431078623 AFFORDABLE HOUSING FOR THE ELDERLY MO 501(C)(4) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 LUTHERAN GOOD SHEPHERD HOME B 850365 ACTUAL AMOUNT CONTRIBUTED