FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN COMMUNITY HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN COMMUNITY HOME INC (EIN 35-1133185)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-28
IRS object ID
201212729349300706
Schema version
2011v1.2
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)
Timestamp2012-09-28T08:10:52-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1106 COMMUNITY DRAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351133185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN COMMUNITY HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone8125225927Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 WEST CHURCH AVENUEAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKARYN FLEETWOODName
TitleADMINISTRATORTitle
Phone8125225927Phone
Date Signed2012-09-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKANDY L WISCHMEIER CPAName
PTINP00118327PTIN
Phone8125228416Phone
Date Prepared2012-09-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKARYN FLEETWOODNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 WEST CHURCH AVENUEAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8616043GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANCOMMHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees217TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year121297ContributionsGrantsPriorYear
Contributions Grants Current Year87797ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6735670ProgramServiceRevenuePriorYear
Program Service Revenue CY8527682ProgramServiceRevenueCY
Investment Income Prior Year337InvestmentIncomePriorYear
Investment Income Current Year564InvestmentIncomeCurrentYear
Other Revenue Prior Year31407OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6888711TotalRevenuePriorYear
Total Revenue Current Year8616043TotalRevenueCurrentYear
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 Year4600777SalariesEtcPriorYear
Salaries Etc Current Year5040848SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2634571OtherExpensePriorYear
Other Expenses Current Year2990517OtherExpensesCurrentYear
Total Expenses Prior Year7235348TotalExpensesPriorYear
Total Expenses Current Year8031365TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-346637RevenuesLessExpensesPriorYear
Revenues Less Expenses CY584678RevenuesLessExpensesCY
Total Assets BOY9476447TotalAssetsBOY
Total Assets EOY9878388TotalAssetsEOY
Total Liabilities BOY7668835TotalLiabilitiesBOY
Total Liabilities EOY7486273TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1807612NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2392115NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6731783Expense
Revenue8527682Revenue
DescriptionLUTHERAN COMMUNITY HOME, INC. PROVIDES LONG TERM CARE FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. WE HAVE 109 LICENSED BED NURSING UNIT THAT PROVIDES LONG TERM CARE AS WELL AS A LOCKED DEMENTIA UNIT. WE ALSO PROVIDE A REHAB-TO-HOME UNIT WITHIN THESE 109 BEDS. WE ALSO HAVE A LICENSED 45 BED ASSISTED LIVING UNIT THAT IS ATTACHED TO THE NURSING FACILITY. IN ADDITION TO THESE, WE OPERATE 11 INDEPENDENT LIVING APARTMENTS AND 21 INDEPENDENT LIVING GARDEN HOMES. WE ARE REGISTERED AS A CCRC IN THE STATE OF INDIANA.Description
Total Program Service Expense6731783TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 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 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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees217NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KARYN FLEETWOODBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8125225927TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 WEST CHURCH AVENUEAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LOUIS VOELKER
PRESIDENT1.00XX000
LOWELL WESSEL
VICE PRESIDENT1.00XX000
GALEN KRUMME
TREASURER1.00XX000
LINDA GUINN
SECRETARY1.00XX000
FRED POLLERT
MEMBER1.00X000
WILBERT POLLERT
MEMBER1.00X000
RICHARD STUCKWISCH
MEMBER1.00X000
PASTOR OTTIS SAULS
MEMBER1.00X000
SUSAN SCHNITKER
MEMBER1.00X000
JOE JOINER
MEMBER1.00X000
BOB NEHRT
MEMBER1.00X000
CHRIS BRATCHER
MEMBER1.00X000
KARYN FLEETWOOD
ADMINISTRATOR40.00X104055020011
FieldValueIRS element (for citing)
Total Reportable Comp From Org104055TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation20011TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERACARE
9957 ALLISONVILLE RDINDIANAPOLISIN46038THERAPY SERVICES450357
SIHO
PO BOX 1561COLUMBUSIN47202HEALTH INSURANCE415949
US FOODS
PO BOX 660088INDIANAPOLISIN46038FOOD PURCHASES409118
DOCTORS PARK PHARMACEY
2010 DOCTORS PARK DRIVECOLUMBUSIN47201PHARMACY155669
BEATTY INSURANCE
PO BOX 345SEYMOURIN47274LIABILITY AND PROPERTY INSURANCE151767
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions87797AllOtherContributions
Total Contributions87797TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300073423057342305
ASSISTED LIVING REVENU623000905798905798
OTHER SERVICE REVENUE900099279579279579
FieldValueIRS element (for citing)
Total Program Service Revenue8527682TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column564TotalRevenueColumn
Exclusion$564ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8616043TotalRevenueColumn
Related Or Exempt Function Income8527682RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$564ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total124066Total
Program Services117863ProgramServices
Management And General6203ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4280993Total
Program Services4066943ProgramServices
Management And General214050ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total313095Total
Program Services313095ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total322694Total
Program Services296071ProgramServices
Management And General26623ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total49016Total
Program Services49016ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37675Total
Management And General37675ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total653119Total
Program Services653119ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total25296Total
Management And General25296ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total363082Total
Program Services317917ProgramServices
Management And General45165ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95531Total
Program Services95531ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total351780Total
Program Services351780ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total16055Total
Management And General16055ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7988Total
Management And General7988ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total280574Total
Management And General280574ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total515805Total
Program Services108611ProgramServices
Management And General407194ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total153599Total
Management And General153599ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD/DIETARY SUPPLEMENT361837361837
BAD DEBTS4066840668
MISC2954729547
PROFESSIONAL DUES89458945

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8031365Total
Program Services6731783ProgramServices
Management And General1299582ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26062BOY
EOY440892EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY791080BOY
EOY925720EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32994BOY
EOY30280EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14848112LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6517441LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8624746BOY
EOY8330671EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1565BOY
EOY150825EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9476447BOY
EOY9878388EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY464516BOY
EOY609867EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY587330BOY
EOY557591EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6616989BOY
EOY6318815EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7668835BOY
EOY7486273EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1807612BOY
EOY2392115EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1807612BOY
EOY2392115EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9476447BOY
EOY9878388EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses584678ReconcilationRevenueExpenses
Reconcilation Other Changes-175ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2300CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years436943CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year121297CurrentTaxYearMinus1Year
Current Tax Year87797CurrentTaxYear
Total648587Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5679965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5828292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5738985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6767077CurrentTaxYearMinus1Year
Current Tax Year8527682CurrentTaxYear
Total32542001Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5682265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6265235CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5739235CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6888374CurrentTaxYearMinus1Year
Current Tax Year8615479CurrentTaxYear
Total33190588Total

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 Total50933190588PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year337CurrentTaxYearMinus1Year
Current Tax Year564CurrentTaxYear
Total5188Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year337CurrentTaxYearMinus1Year
Current Tax Year564CurrentTaxYear
Total5188Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5684575CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6266801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5739646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6888711CurrentTaxYearMinus1Year
Current Tax Year8616043CurrentTaxYear
Total33195776Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99980PublicSupportPercentage509
Prior Year Support Percentage0.96760PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis45000OtherCostOrOtherBasis
Book Value45000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12184380OtherCostOrOtherBasis
Depreciation4683944Depreciation
Book Value7500436BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50405OtherCostOrOtherBasis
Depreciation4200Depreciation
Book Value46205BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2568327OtherCostOrOtherBasis
Depreciation1829297Depreciation
Book Value739030BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8330671TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE-LIKELY-THAN-NOT TEST, NO TAX BENEFIT IS RECORDED. NO EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS OCCURRED AND THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. MANAGEMENT HAS CONCLUDED THAT THEY ARE UNAWARE OF ANY TAX BENEFITS OR LIABILITIES TO BE RECOGNIZED AT DECEMBER 31, 2011 AND 2010. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE ORGANIZATION HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2011 AND 2010. THE ORGANIZATION HAS TAX RETURNS OPEN FOR FEDERAL AND STATE PURPOSES FOR YEARS ENDING 2008 AND AFTER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BALL NOMINATIONS TO THE BOARD MUST BE APPROVED BY THE MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD PRESIDENT REVIEWS AND SIGNS THE 990. A COPY IS MADE AVAILABLE FOR THE REIVEW OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION REVIEWS ANNUALLY USING IAHSA AND AAHSA DATA.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -175.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCEDURES THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR.CHANGE IN PROCEDURES OF AUDIT COMMITTEE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN COMMUNITY HOME FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 W CHURCH AVEAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode
FieldValueIRS element (for citing)
EIN351510582EIN
Primary ActivitiesSUPPORTING FOUNDATIONPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 B - TYPE IIPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
THE LUTHERAN COMMUNITY HOME FOUNDATION INC
R17039
THE LUTHERAN COMMUNITY HOME FOUNDATION INC
M