ADMINISTRATOR

2012-07-10T15:36:56-05:00 2011-12-31 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2011-01-01 420698201 THE LUTHERAN HOMES SOCIETY LUTH 5632631241 2421 LUTHERAN DRIVE MUSCATINE IA 527619392 DAVE ARMSTRONG ADMINISTRATOR 5632631241 2012-06-29 1 CURTIS E BRAND CPA P00299230 5152253141 2011 2016-02-24 21:20:13Z DAVE ARMSTRONG 2421 LUTHERAN DRIVE MUSCATINE IA 527619392 11101031 0 X WWW.LUTHERAN-HOMES.ORG X 1895 IA THE MISSION OF THE LUTHERAN HOMES SOCIETY IS TO PROVIDE COMPASSIONATE CHRISTIAN MINISTRY, ADDRESSING INDIVIDUAL HEALTH CARE NEEDS OF ITS RESIDENT COMMUNITY. 10 10 338 85 0 0 21438 118111 10707313 10818188 36835 101648 42964 63084 10808550 11101031 0 0 0 0 6163759 5956453 0 0 0 4034207 4239046 10197966 10195499 610584 905532 12554651 13326118 1783231 1730418 10771420 11595700 THE MISSION OF THE LUTHERAN HOMES SOCIETY IS TO PROVIDE COMPASSIONATE CHRISTIAN MINISTRY, ADDRESSING INDIVIDUAL HEALTH CARE NEEDS OF ITS RESIDENT COMMUNITY. 0 0 8638812 10761486 THE LUTHERAN HOMES SOCIETY PROVIDES NURSING CARE TO ELDERLY CITIZENS OF THE AREA INCLUDING A LICENSED NURSING FACILITY, ASSISTED LIVING UNITS AND INDEPENDENT LIVING UNITS. 8638812 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 338 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IA X DAVE ARMSTRONG 5632631241 2421 LUTHERAN DRIVE MUSCATINE IA 527619392 LORYANN EIS PRESIDENT 2.00 X X 0 0 0 DAVID MELOY VICE PRESIDENT 2.00 X X 0 0 0 JEFF PATTISON SECRETARY 2.00 X X 0 0 0 BILL SNYDACKER TREASURER 2.00 X X 0 0 0 DYANN ROBY DIRECTOR 2.00 X 0 0 0 AL AIROLA DIRECTOR 2.00 X 0 0 0 LARRY MEYER DIRECTOR 2.00 X 0 0 0 DON HECKMAN DIRECTOR 2.00 X 0 0 0 GLADYS REIF DIRECTOR 2.00 X 0 0 0 PASTOR STEVE CAULEY DIRECTOR 2.00 X 0 0 0 DAVE ARMSTRONG ADMINISTRATOR 40.00 X 0 112391 2500 0 112391 2500 1 0 0 0 HEALTH DIMENSIONS CONSULTING INC 4400 BAKER ROAD SUITE 100 MINNEAPOLIS MN 55343 MANAGEMENT COMPANY 760647 ORTHOPEDIC & NEUROLOGICAL REHABILITATION 1101 S CAPITAL OF TEXAS HWY AUSTIN TX 78746 THERAPY COMPANY 488254 ENLOE PHARMACY 2305 W ALTORFER DR PEORIA IL 61615 PHARMACY 330035 US FOODS 9399 WEST HIGGINS RD ROSEMONT IL 60018 FOOD DISTRIBUTOR 328113 MCKESSON ONE POST STREET SAN FRANCISCO CA 94104 MEDICAL SUPPLIES 221350 5 118111 118111 Medicare/Medicaid Paym 623000 6243275 6243275 Resident Income 623000 4358911 4358911 Managed Care 623000 159300 159300 Meals, Beauty Shop and 623000 56702 56702 10818188 101648 101648 63084 63084 63084 63084 11101031 10761486 0 221434 114891 114891 5065224 4781037 284187 31133 26414 4719 335231 309255 25976 409974 378207 31767 536481 536481 11440 11440 34286 34286 77302 77302 78188 78188 28360 28360 472061 434466 37595 3393 471 2922 18718 18718 548077 548077 110933 110933 Supplies and Equipment 928641 928641 Therapy and Therapy Sup 852764 852764 Workers Comp Insurance 161664 149137 12527 Purchased Services 140597 140597 236141 89746 146395 10195499 8638812 1556687 0 1050 1050 1061046 1861662 920030 888287 45692 51515 195950 148135 17099248 9844225 7584365 7255023 2306873 2712918 439645 407528 12554651 13326118 836538 776899 946693 953519 1783231 1730418 X 9899049 10732320 462410 462410 409961 400970 10771420 11595700 12554651 13326118 X 905532 -81252 X X 0 1 1 X 0 X 46617 132284 52232 21438 118111 370682 8954772 8461429 9553535 10656248 10808418 48434402 95845 51065 56702 203612 9001389 8593713 9701612 10728751 10983231 49008696 0 0 0 49008696 256168 117190 145666 79799 164732 763555 256168 117190 145666 79799 164732 763555 9257557 8710903 9847278 10808550 11147963 49772251 0.98470 0.98490 0.01530 0.01510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85502 85502 12873337 6716657 6156680 3453733 2670089 783644 686676 457479 229197 7255023 MUTUAL FUNDS 2712918 F 2712918 11101031 10195499 905532 -72261 -8991 -81252 824280 11019779 -72261 -8991 -81252 11101031 0 11101031 10195499 0 10195499 0 10195499 Part XI, Line 8 - Other Adjustments: Loss on Permanently Restricted Net Assets -8,991. Part XII, Line 2d - Other Adjustments: Loss on permanently restricted assets -8,991. HEALTH DIMENSIONS CONSULTING INC EMPLOYS ADMINISTRATOR THROUGH MANAGEMENT CONTRACT 760647 THE MANAGEMENT FEE INCLUDES THE ADMINISTRATOR'S SALARY. 0 Form 990, Part VI, Section A, line 3 HEALTH DIMENSIONS CONSULTING, INC. IS EMPLOYED AS A MANAGEMENT COMPANY AND SUPPLIES THE LUTHERAN HOMES SOCIETY WITH AN ADMINISTRATOR WHO HIRES AND FIRES EMPLOYEES AND HELPS DETERMINE BUDGETS AND PERFORMS SUPERVISION DUTIES. Form 990, Part VI, Section B, line 11 A COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS AND ADMINISTRATOR TO REVIEW BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICTS OF INTEREST, AND THE BOARD MONITORS CLOSELY SITUATIONS THAT COULD POTENTIALLY BE A CONFLICT OF INTEREST REGARDING OFFICERS AND DIRECTORS. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS REVIEWS AND APPROVES ALL SALARIES AND RAISES FOR ALL KEY EMPLOYEES INCLUDING THE ADMINISTRATOR. Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES AVAILABLE ITS FORM 1023 AND FORM 990 UPON REQUEST. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -72,261. Loss on Permanently Restricted Net Assets -8,991. Total to Form 990, Part XI, Line 5: -81,252. Responsibility for oversight of audit and selection of independent auditor Form 990. Part XII, Line 2c The Board of Directors is responsible for the oversight of the audit of the financial statements and is responsible for selecting an independent auditor.