2012-09-28T08:10:52-05:00 2011-12-31 351178661 BLUE & CO LLC 106 COMMUNITY DR SEYMOUR IN 47274 990 2011-01-01 351133185 LUTHERAN COMMUNITY HOME INC LUTH 8125225927 111 WEST CHURCH AVENUE SEYMOUR IN 47274 KARYN FLEETWOOD 8125225927 2012-09-25 1 KANDY L WISCHMEIER CPA P00118327 8125228416 2012-09-25 2011 2016-02-24 21:20:13Z KARYN FLEETWOOD 111 WEST CHURCH AVENUE SEYMOUR IN 47274 8616043 0 X WWW.LUTHERANCOMMHOME.ORG X 1959 IN TO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. 12 12 217 45 0 0 121297 87797 6735670 8527682 337 564 31407 0 6888711 8616043 0 0 0 0 4600777 5040848 0 0 0 2634571 2990517 7235348 8031365 -346637 584678 9476447 9878388 7668835 7486273 1807612 2392115 TO PROVIDE NURSING HOME CARE AND RESIDENTIAL HOUSING FOR THE ELDERLY RESIDENTS OF THE COMMUNITY. 0 0 6731783 8527682 LUTHERAN 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. 6731783 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 1 0 0 0 0 1 6 0 1 217 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X X KARYN FLEETWOOD 8125225927 111 WEST CHURCH AVENUE SEYMOUR IN 47274 LOUIS VOELKER 1.00 X X 0 0 0 LOWELL WESSEL 1.00 X X 0 0 0 GALEN KRUMME 1.00 X X 0 0 0 LINDA GUINN 1.00 X X 0 0 0 FRED POLLERT 1.00 X 0 0 0 WILBERT POLLERT 1.00 X 0 0 0 RICHARD STUCKWISCH 1.00 X 0 0 0 PASTOR OTTIS SAULS 1.00 X 0 0 0 SUSAN SCHNITKER 1.00 X 0 0 0 JOE JOINER 1.00 X 0 0 0 BOB NEHRT 1.00 X 0 0 0 CHRIS BRATCHER 1.00 X 0 0 0 KARYN FLEETWOOD 40.00 X 104055 0 20011 104055 0 20011 1 0 0 0 THERACARE 9957 ALLISONVILLE RD INDIANAPOLIS IN 46038 THERAPY SERVICES 450357 SIHO PO BOX 1561 COLUMBUS IN 47202 HEALTH INSURANCE 415949 US FOODS PO BOX 660088 INDIANAPOLIS IN 46038 FOOD PURCHASES 409118 DOCTORS PARK PHARMACEY 2010 DOCTORS PARK DRIVE COLUMBUS IN 47201 PHARMACY 155669 BEATTY INSURANCE PO BOX 345 SEYMOUR IN 47274 LIABILITY AND PROPERTY INSURANCE 151767 5 87797 87797 RESIDENT SERVICES 623000 7342305 7342305 ASSISTED LIVING REVENU 623000 905798 905798 OTHER SERVICE REVENUE 900099 279579 279579 8527682 564 564 8616043 8527682 0 564 124066 117863 6203 4280993 4066943 214050 313095 313095 322694 296071 26623 49016 49016 37675 37675 653119 653119 25296 25296 363082 317917 45165 95531 95531 351780 351780 16055 16055 7988 7988 280574 280574 515805 108611 407194 153599 153599 FOOD/DIETARY SUPPLEMENT 361837 361837 BAD DEBTS 40668 40668 MISC 29547 29547 PROFESSIONAL DUES 8945 8945 8031365 6731783 1299582 0 26062 440892 791080 925720 32994 30280 14848112 6517441 8624746 8330671 1565 150825 9476447 9878388 464516 609867 587330 557591 6616989 6318815 7668835 7486273 X 1807612 2392115 1807612 2392115 9476447 9878388 X 584678 -175 X X 0 1 1 X 0 X 2300 436943 250 121297 87797 648587 5679965 5828292 5738985 6767077 8527682 32542001 5682265 6265235 5739235 6888374 8615479 33190588 0 0 0 33190588 2310 1566 411 337 564 5188 2310 1566 411 337 564 5188 5684575 6266801 5739646 6888711 8616043 33195776 0.99980 0.96760 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45000 45000 12184380 4683944 7500436 50405 4200 46205 2568327 1829297 739030 8330671 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE 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. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ALL NOMINATIONS TO THE BOARD MUST BE APPROVED BY THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REVIEWS ANNUALLY USING IAHSA AND AAHSA DATA. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -175. CHANGE IN PROCEDURES OF AUDIT COMMITTEE FORM 990, PART XII, LINE 2C THE PROCEDURES THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR. LUTHERAN COMMUNITY HOME FOUNDATION 111 W CHURCH AVE SEYMOUR IN 47274 351510582 SUPPORTING FOUNDATION IN 501(C)(3) 11 B - TYPE II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 THE LUTHERAN COMMUNITY HOME FOUNDATION INC R 17039 THE LUTHERAN COMMUNITY HOME FOUNDATION INC M