FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN NURSING HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN NURSING HOME (EIN 43-0799196)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-15
IRS object ID
201232919349300003
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)
Timestamp2012-10-15T07:42:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-10-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNORMA SCHLESSELMAN CPAName
PTINP01296910PTIN
Phone6608274990Phone
Date Prepared2012-10-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts4783262GrossReceipts
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 Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12413ContributionsGrantsPriorYear
Contributions Grants Current Year2575ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4534186ProgramServiceRevenuePriorYear
Program Service Revenue CY4775995ProgramServiceRevenueCY
Investment Income Prior Year5471InvestmentIncomePriorYear
Investment Income Current Year4692InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4552070TotalRevenuePriorYear
Total Revenue Current Year4783262TotalRevenueCurrentYear
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 Year2803367SalariesEtcPriorYear
Salaries Etc Current Year2925512SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1544096OtherExpensePriorYear
Other Expenses Current Year1645973OtherExpensesCurrentYear
Total Expenses Prior Year4347463TotalExpensesPriorYear
Total Expenses Current Year4571485TotalExpensesCurrentYear
Revenues Less Expenses Prior Year204607RevenuesLessExpensesPriorYear
Revenues Less Expenses CY211777RevenuesLessExpensesCY
Total Assets BOY2454966TotalAssetsBOY
Total Assets EOY2675814TotalAssetsEOY
Total Liabilities BOY245939TotalLiabilitiesBOY
Total Liabilities EOY255010TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2209027NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2420804NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE TO THE ELDERLYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4560194Expense
Revenue4775995Revenue
Description120 BED NURSING HOMEDescription
Total Program Service Expense4560194TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
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
MYRNA OLSON
SECRETARY2.00XX000
PAULETTE OETTING
TREASURER2.00XX000
KENNETH NIERMAN
EXECUTIVE BOARD MEMBER2.00X000
FRED DROEGE
MEMBER2.00X000
DONALD DITTMER
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
Compensation347826Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions2575AllOtherContributions
Total Contributions2575TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300030755433075543
NURSING CARE62300016486051648605
MANAGEMENT CONTRACT5313103135331353
LAUNDRY6230001763217632
MISCELLANEOUS62300028622862
FieldValueIRS element (for citing)
Total Program Service Revenue4775995TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4692TotalRevenueColumn
Exclusion$4,692ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4783262TotalRevenueColumn
Related Or Exempt Function Income4775995RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,692ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2568610Total
Program Services2568610ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13433Total
Program Services13433ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total150099Total
Program Services150099ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total193370Total
Program Services193370ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1244Total
Program Services1244ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11291Total
Management And General11291ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2329Total
Program Services2329ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17328Total
Program Services17328ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4750Total
Program Services4750ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total77158Total
Program Services77158ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES393210393210
CONTRACTED THERAPY356286356286
NURSING FACILITY REIMB313645313645
UTILITIES138932138932

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total329800Total
Program Services329800ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4571485Total
Program Services4560194ProgramServices
Management And General11291ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY680978BOY
EOY864209EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1126653BOY
EOY1203509EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18293BOY
EOY15666EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9302BOY
EOY8397EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2383079LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1866068LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY552718BOY
EOY517011EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY66922BOY
EOY66922EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2454966BOY
EOY2675814EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY245939BOY
EOY255010EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY245939BOY
EOY255010EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2209027BOY
EOY2420804EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2209027BOY
EOY2420804EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2454966BOY
EOY2675814EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses211777ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis1827556OtherCostOrOtherBasis
Depreciation1427938Depreciation
Book Value399618BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis524861OtherCostOrOtherBasis
Depreciation438130Depreciation
Book Value86731BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22888OtherCostOrOtherBasis
Book Value22888BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings517011TotalOfBookValueLandBuildings
Total Revenue4783262TotalRevenue
Total Expenses4571485TotalExpenses
Excess Or Deficit For Year211777ExcessOrDeficitForYear
Excess Or Deficit Per FS211777ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4783262TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4783262RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904783262TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4571485TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4571485ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904571485TotalExpensesPerForm990

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 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 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