FURP.ORG / PUBLIC DATA EXPLORER

Lutheran Augustana Center for Extended: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Lutheran Augustana Center for Extended (EIN 11-2150953)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-12
IRS object ID
201123179349300602
Schema version
2010v3.4
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)
Timestamp2011-11-12T23:04:37-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112150953EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN AUGUSTANA CENTER FOR EXTENDEDBusinessNameLine1
Business Name Line2CARE AND REHABILITATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone7186306000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15434 SECOND AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID ROSEName
TitleEXECUTIVE DIRECTORTitle
Phone7186306000Phone
Date Signed2011-11-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID ROSENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15434 SECOND AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34431529GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANAUGUSTANACENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SKILLED NURSING HOME CARE FOR THE ELDERLY AND DISABLED,RESTORATIVE REHABILITATION AND SUB ACUTE CARE IN A 240-BED NURSING HOME FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees467TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year91720ContributionsGrantsPriorYear
Contributions Grants Current Year69457ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33675056ProgramServiceRevenuePriorYear
Program Service Revenue CY34017467ProgramServiceRevenueCY
Investment Income Prior Year62791InvestmentIncomePriorYear
Investment Income Current Year28048InvestmentIncomeCurrentYear
Other Revenue Prior Year302770OtherRevenuePriorYear
Other Revenue Current Year311256OtherRevenueCurrentYear
Total Revenue Prior Year34132337TotalRevenuePriorYear
Total Revenue Current Year34426228TotalRevenueCurrentYear
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 Year20896095SalariesEtcPriorYear
Salaries Etc Current Year21237331SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13442821OtherExpensePriorYear
Other Expenses Current Year13657124OtherExpensesCurrentYear
Total Expenses Prior Year34338916TotalExpensesPriorYear
Total Expenses Current Year34894455TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-206579RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-468227RevenuesLessExpensesCY
Total Assets BOY37314834TotalAssetsBOY
Total Assets EOY38389038TotalAssetsEOY
Total Liabilities BOY31712896TotalLiabilitiesBOY
Total Liabilities EOY33240396TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5601938NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5148642NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION, A NOT FOR PROFIT ORGANIZATION, EXISTS AS A SOCIAL MINISTRY ORGANIZATION OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA, DEDICATED TO PROVIDING A FULL RANGE OF SERVICES FOCUSING UPON THE ENCHANCEMENT OF AN INDIVIDUALS PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL WELL BEING. TO FULFILL ITS MISSION, LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION PLEDGES TO: - SERVE THE DIVERSE NEEDS OF OUR RESIDENTS, THEIR FAMILIES AND THE COMMUNITY AT LARGE. -SUPPORT INDIVIDUALS IN REALIZING THEIR MAXIMUM POTENTIAL AND INDEPNDENCE WHILE ENRICHING THEIR LIVES WITH DIGNITY AND HONOR.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense27378166Expense
Revenue29206342Revenue
DescriptionIN 2010, LUTHERAN AUGUSTANA CENTER CONTINUED TO INCREASE THE CAPACITY OF ITS SHORT TERM RESTORATIVE REHABILITATION AND MEDICALLY COMPLEX SUBACUTE CARE PROGRAMS. AS A RESULT, DISCHARGES BACK TO THE COMMUNITY INCREASED BY 23% IN 2010. AUGUSTANA'S PROGRESSIVE WOUND CARE PREVENTION AND TREATMENT PROTOCOLS, UTILIZING EVIDENCE BASED PRACTICE TREATMENTS INCORPORATING THE USE OF APPROPRIATE SUPPORT SURFACES AND NEGATIVE PRESSURE THERAPY, HAS RESULTED IN SIGNIFICANT POSITIVE OUTCOMES FOR THOSE WE PROVIDED CARE AND TREATMENT TO. AUGUSTANA'S IN-HOUSE PRESSURE ULCER OCCURRENCES ARE CURRENTLY AND HAVE ROUTINELY BEEN BELOW THE NATIONAL AVERAGE. THE CENTER PROVIDED 79,877 DAYS OF SKILLED NURSING CARE FOR THE YEAR ENDED DECEMBER 31,2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4261583Expense
Revenue4811125Revenue
DescriptionLUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION LONG TERM HOME HEALTHCARE PROGRAM ATTAINED 100% OCCUPANCY IN 2009. THE PROGRAM COMMENCED OPERATIONS IN SEPTEMBER 2007. DURING 2010, 25 ADDITIONAL SLOTSWERE APPROVED BY DOH, RAISING THE CAPACITY TO 125 SLOTSDescription
FieldValueIRS element (for citing)
Total Program Service Expense31639749TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 Required1ScheduleJRequired
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 With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees467NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL PAGANOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7186306014TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15434 2ND AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
REVDAVID H ROMMEREIM
CHAIRPERSON1.00XX000
REV KHADER EL'YATEEM
BOARD MEMBER1.00X000
BRENDA A GRANDELL
BOARD MEMBER1.00X000
REV RICHARD A MILLER
BOARD MEMBER1.00X000
CHRISTINE HAUGE
BOARD MEMBER1.00X000
PETER CLAVIN
BOARD MEMBER1.00X000
FLORENCE SULLIVAN ESQ
BOARD MEMBER1.00X000
DONALD ENG ESQ
BOARD MEMBER1.00X000
ROBERT KASSENBROCK
BOARD MEMBER1.00X000
WENDY Z GOLDSTEIN
VICE CHAIRPERSON OF OPERAT1.00XX0963111302656
RITA RASMUSSEN
VICE CHAIRPERSON1.00XX000
FREDERICK HADAD
TREASURER1.00XX000
REV CRAIG MILLER
SECRETARY1.00XX000
DAVID ROSE
EXECUTIVE DIRECTOR35.00X271720032797
MICHAEL PAGANO
CHIEF FINANCIAL OFFICER35.00X180460026661
ELENA N LOPEZ
ASSISTANT ADMINISTRATOR35.0013611708084X
ELIZABETH A WALSH
DIR OF NURSING35.00150996022523X
HILDA GRIER
ASSISTANT DIR OF NURSING35.0012333803323X
ANGELA R PEZZA
ASSOCIATE DIR OF NURSING35.00117781011700X
ERIC SILBERMAN
DIR OF REHAB35.00104430023070X
DEBRA CAVAN
DIR OF SOCIAL SERVICES35.0096014022927X
JACQUELINE M ARTHURS
CLINICAL EDUC. SERVICES35.0009822422065X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1084842TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs963111TotalReportableCompFrmRltdOrgs
Total Other Compensation430814TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREATCARE INC
407 PARK AVENUE SOUTHNEW YORKNY10016HOME HEALTH AIDE SERVICES1189488
S & A UNIFIED HOME CARE INC
424 KINGS HIGHWAYBROOKLYNNY11223HOME HEALTH AIDE SERVICES600894
LUTHERAN MEDICAL CENTER
150 55TH STREETBROOKLYNNY11220MANAGEMENT AND ANCILLARY SERVICES285162
NES ENERGY INC
2221-7 FIFTH AVERONKONKOMANY11779CONSTRUCTION282652
UNITEX TEXTILE RENTAL SERVICES
401 SOUTH MACQUESTEN PARKWAYMT VERNONNY10550LAUNDRY AND LINEN SERVICES216706
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Fundraising Events36962FundraisingEvents
All Other Contributions32495AllOtherContributions
Total Contributions69457TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code623000BusinessCode
Total Revenue Column34017467TotalRevenueColumn
Related Or Exempt Function Income34017467RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue34017467TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28048TotalRevenueColumn
Exclusion$28,048ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5301GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events36962CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5301FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING GARAGE812930219270$219,270
REBATES90009956493$56,493
TELEPHONE22100031351$31,351

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4142TotalRevenueColumn
Exclusion$4,142ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue311256TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34426228TotalRevenueColumn
Related Or Exempt Function Income34017467RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$339,304ExclusionAmount

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total511638Total
Management And General511638ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15177699Total
Program Services14220097ProgramServices
Management And General957602ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total890581Total
Program Services835631ProgramServices
Management And General54950ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2887739Total
Program Services2628159ProgramServices
Management And General259580ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1769674Total
Program Services1657365ProgramServices
Management And General112309ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total124215Total
Program Services124215ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61202Total
Management And General61202ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total93038Total
Management And General93038ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4242930Total
Program Services3992884ProgramServices
Management And General250046ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6428Total
Program Services326ProgramServices
Management And General6102ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1458996Total
Program Services1114354ProgramServices
Management And General344642ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total184282Total
Program Services15596ProgramServices
Management And General168686ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2376631Total
Program Services2137333ProgramServices
Management And General239298ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17706Total
Program Services15279ProgramServices
Management And General2427ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1485719Total
Program Services1347142ProgramServices
Management And General138577ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total575634Total
Program Services524227ProgramServices
Management And General51407ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACEUTICALS10255181025518
ASSESMENT FEES995164995164
BAD DEBTS606708606708
FOOD4029533997513202

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34894455Total
Program Services31639749ProgramServices
Management And General3254706ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY57344BOY
EOY21897EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5154509BOY
EOY2954212EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5779614BOY
EOY9643653EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13581BOY
EOY13620EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY478416BOY
EOY548223EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41451026LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25737191LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16203883BOY
EOY15713835EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9627487BOY
EOY9493598EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37314834BOY
EOY38389038EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6027524BOY
EOY6922648EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY86454BOY
EOY32000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25258836BOY
EOY24909571EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY340082BOY
EOY1376177EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY31712896BOY
EOY33240396EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5373747BOY
EOY4909710EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY44857BOY
EOY40667EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY183334BOY
EOY198265EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5601938BOY
EOY5148642EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37314834BOY
EOY38389038EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-468227ReconcilationRevenueExpenses
Reconcilation Other Changes14931ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 Basis154000OtherCostOrOtherBasis
Book Value154000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36806380OtherCostOrOtherBasis
Depreciation23080161Depreciation
Book Value13726219BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis177548OtherCostOrOtherBasis
Depreciation116825Depreciation
Book Value60723BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4023532OtherCostOrOtherBasis
Depreciation2540205Depreciation
Book Value1483327BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis289566OtherCostOrOtherBasis
Book Value289566BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15713835TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
ESCROW DEPOSITS8329572
BENEFICIAL INTEREST IN PERPETUAL TRUST152533
DUE FROM THIRD PARTY1011493
FieldValueIRS element (for citing)
Total Book Value Other Assets9493598TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTIES$1,150,391
RESIDENT FUNDS$225,786
FieldValueIRS element (for citing)
Total Of Amounts1376177TotalOfAmounts
Total Revenue34426228TotalRevenue
Total Expenses34894455TotalExpenses
Excess Or Deficit For Year-468227ExcessOrDeficitForYear
Other$14,931OtherAmount
Total Adjustments14931TotalAdjustments
Excess Or Deficit Per FS-453296ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34441159TotRevenueEtcAuditedFinclStmt
Other Revenues14931OtherRevenues
Revenue Not Rptd F99014931RevenueNotRptdF990
Revenue Subtotal34426228RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99034426228TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34894455TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal34894455ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034894455TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO REVIEW BY TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 14,931.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 14,931.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WALK-A-THONNameOfEvent1
Gross Receipts Event142263GrossReceiptsEvent1
Charitable Contributions Event136962CharitableContributionsEvent1
Gross Revenue Event15301GrossRevenueEvent1
Food And Beverage Event1460FoodAndBeverageEvent1
Other Direct Expenses Event14841OtherDirectExpensesEvent1
Gross Receipts Total42263GrossReceiptsTotal
Charitable Contributions Total36962CharitableContributionsTotal
Gross Revenue Total Events5301GrossRevenueTotalEvents
Food And Beverage Total Events460FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4841OtherDirectExpensesTotalEvents
Direct Expense Summary Events5301DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WENDY Z GOLDSTEIN
08881110750000002696000330560126576700
DAVID ROSE
260988000107320178630149340304517000
MICHAEL PAGANO
1795650008950100340166270207121000
ELIZABETH A WALSH
150468000528089670135560173519000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2REV. CRAIG MILLER IS THE SON OF REV. RICHARD MILLER.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 HAS BEEN REVIEWED WITH THE ORGANIZATION'S FINANCE COMMITTEE, AND THE BOARD OF DIRECTORS PRIOR TO BEING FILED.
LUTHERAN AUGUSTANA CENTER REQUIRES ALL MEMBERS OF THE BOARD OF DIRECTORS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST AND RELATED MATTERS DISCLOSURE STATEMENT PRIOR TO SERVING ON THE BOARD FOR THE CURRENT YEAR. THIS DISCLOSURE STATEMENT IS MONITORED AND REVIEWED BY AUGUSTANA'S EXECUTIVE DIRECTOR. IN 2009, AUGUSTANA SUPPLEMENTED ITS ORIGINAL DISCLOSURE STATEMENT WITH AN ADDITIONAL QUESTIONAIRE INTENDED TO COVER ISSUES RAISED BY THE NEW FORM 990, BUT NOT ADDRESSED IN THE ORIGINAL DISCLOSURE STATEMENT. THIS QUESTIONAIRE WAS COMPLETED BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES PRIOR TO THE FILING OF THE FORM 990. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING THE DISCLOSURE STATEMENTS AND, IF ANY SUSPECTED CONFLICTS ARE IDENTIFIED, REFERRING THE MATTER TO THE EXECUTIVE DIRECTOR TO DETERMINE WHETHER FURTHER INQUIRY IS REQUIRED. IF REQUIRED, THE MATTER IS REFERRED TO GENERAL COUNSEL FOR RESOLUTION. IF THERE IS A CONFLICT THE EXECUTIVE DIRECTOR WILL TAKE THE APPROPRIATE ACTION. AT NO TIME DURING THE PROCESS WILL THE PERSON WITH A CONFLICT OR POSSIBLE CONFLICT PARTICIPATE IN THE PROCEEDINGS.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF TRUSTEES OF LUTHERAN MEDICAL CENTER ENGAGES SULLIVAN COTTER AND ASSOCIATES, INC. TO PROVIDE LUTHERAN MEDICAL CENTER'S BOARD OF TRUSTEES WITH A REPORT THAT CONTAINS: A) A MARKET ANALYSIS OF THE TOTAL COMPENSATION LEVELS OF SENIOR EXECUTIVES IN RELATION TO THEIR PEERS IN THE MARKET PLACE, B) A REVIEW OF CURRENT COMPENSATION AND BENEFIT PLAN DESIGNS TO ENSURE THEIR COMPETITIVENESS TO THE MARKET PLACE, AND C) TO ENSURE COMPLIANCE WITH ANY STATE OR FEDERAL REGULATIONS. THE BOARD RELIES UPON THE DATA AND RECOMMENDATIONS PROVIDED BY SULLIVAN COTTER TO DETERMINE THE COMPENSATION LEVEL OF THE CEO.FOR OTHER KEY POSITIONS, THE COST OF LIVING ADJUSTMENTS IS THE SAME PERCENTAGE AS THOSE RECEIVED BY THE NON UNION STAFF BASED ON THE CURRENT BUDGET. THE BOARD CONDUCTS THIS PROCESS ANNUALLY. IN 2010, THERE WERE NO COST OF LIVING ADJUSTMENTS GIVEN TO KEY EMPLOYEES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 14,931. TOTAL TO FORM 990, PART XI, LINE 5: 14,931.FORM 990, PART XI, LINE 5:
IN PRIOR YEARS, THE ORGANIZATION HAS HAD A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT PUBLIC ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.PART XII, LINE 2C
WENDY GOLDSTEIN WORKS 35 HOURS FOR A RELATED ORGANIZATION.FORM 990, PART VII, COLUMN (B)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LUTHERAN MEDICAL CENTER
150 55TH STREETBROOKLYNNY11220111839567MEDICAL CENTERNY501(C)(3)3N/A0
COMMUNITY CARE ORGANIZATION INC
246 55TH STREETBROOKLYNNY11220113001682LICENSED HOME HEALTH CARENY501(C)(3)9N/A0
LUTHERAN FAMILY HEALTH CENTERS
150 55TH STREETBROOKLYNNY11220202508411MEDICAL AND DENTAL CLINICSNY501(C)(3)7N/A0
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LUTHERAN MEDICAL CENTER
O285162VALUE OF SERVICES PROVIDED
COMMUNITY CARE ORGANIZATION
O154928VALUE OF SERVICES PROVIDED