﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-10-06T08:20:11-07:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>RANDALL C FIENE CPA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>30896 OLD HWY 40 EAST</AddressLine1>
        <City>CONCORDIA</City>
        <State>MO</State>
        <ZIPCode>640200108</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>430799196</EIN>
      <Name>
        <BusinessNameLine1>LUTHERAN NURSING HOME</BusinessNameLine1>
      </Name>
      <NameControl>LUTH</NameControl>
      <Phone>6604632267</Phone>
      <USAddress>
        <AddressLine1>THIRD AND WEST STREETS</AddressLine1>
        <City>CONCORDIA</City>
        <State>MO</State>
        <ZIPCode>64020</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>PAULETTE OETTING</Name>
      <Title>TREASURER</Title>
      <Phone>6604632267</Phone>
      <DateSigned>2011-09-23</DateSigned>
    </Officer>
    <Preparer>
      <Name>RANDALL C FIENE</Name>
      <Phone>6604632130</Phone>
      <DatePrepared>2011-10-06</DatePrepared>
      <SelfEmployed>X</SelfEmployed>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="00000001" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation" softwareId="10000104">
      <NameOfPrincipalOfficerPerson>PAULETTE OETTING</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>THIRD AND WEST STREETS</AddressLine1>
        <City>CONCORDIA</City>
        <State>MO</State>
        <ZIPCode>64020</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>4552070</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1963</YearFormation>
      <StateLegalDomicile>MO</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE HEALTH CARE TO THE ELDERLY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>9</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>9</NbrIndependentVotingMembers>
      <TotalNbrEmployees>148</TotalNbrEmployees>
      <TotalNbrVolunteers>20</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>3782</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>12413</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>4448505</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>4534186</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>7531</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>5471</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>4459818</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>4552070</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>2875147</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>2803367</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1677450</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>1544096</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>4552597</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>4347463</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-92779</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>204607</RevenuesLessExpensesCY>
      <TotalAssetsBOY>2243849</TotalAssetsBOY>
      <TotalAssetsEOY>2454966</TotalAssetsEOY>
      <TotalLiabilitiesBOY>239429</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>245939</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>2004420</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>2209027</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO PROVIDE HEALTH CARE TO THE ELDERLY.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>4336056</Expense>
      <Revenue>4552070</Revenue>
      <Description>120 BED NURSING HOME.</Description>
      <TotalProgramServiceExpense>4336056</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="00000002" referenceDocumentName="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities>false</ReportOtherLiabilities>
      <ReportFin48Footnote>false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt>false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>7</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>148</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>9</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>9</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>false</ConflictOfInterestPolicy>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>LUTHERAN NURSING HOME</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6604632267</TelephoneNumber>
        <AddressUS>
          <AddressLine1>THIRD WEST STREETS</AddressLine1>
          <City>CONCORDIA</City>
          <State>MO</State>
          <ZIPCode>64020</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <NoListedPersonsCompensated>X</NoListedPersonsCompensated>
      <Form990PartVIISectionA>
        <NamePerson>ROGER FLANDERMEYER</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLOTTE NEHER</NamePerson>
        <Title>VICE-PRESIDENT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MYRNA OLSON</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAULETTE OETTING</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH NIERMAN</NamePerson>
        <Title>EXECUTIVE BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRED DROEGE</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DON DITTMER</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREG BUSHMAN</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY CLAYTON</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>REHAB CARE GROUP INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 99341</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>THERAPY SERVICES</DescriptionOfServices>
        <Compensation>267142</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <AllOtherContributions>12413</AllOtherContributions>
      <TotalContributions>12413</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NURSING CARE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>1668017</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>2817947</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>LAUNDRY</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>17861</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>2208</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MANAGEMENT CONTRACT</Description>
        <BusinessCode>531310</BusinessCode>
        <TotalRevenueColumn>28153</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>4534186</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>5471</TotalRevenueColumn>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>4552070</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4539657</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>2411604</Total>
        <ProgramServices>2411604</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>15279</Total>
        <ProgramServices>15279</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>200287</Total>
        <ProgramServices>200287</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>176197</Total>
        <ProgramServices>176197</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>6721</Total>
        <ProgramServices>6721</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>11407</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>11407</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>3388</Total>
        <ProgramServices>3388</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>19075</Total>
        <ProgramServices>19075</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <Travel>
        <Total>2869</Total>
        <ProgramServices>2869</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <DepreciationDepletion>
        <Total>75289</Total>
        <ProgramServices>75289</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>UTILITIES</Description>
        <Total>125006</Total>
        <ProgramServices>125006</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NURSING FACILITY REIMB</Description>
        <Total>316439</Total>
        <ProgramServices>316439</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EDUCATIONAL EXPENSE</Description>
        <Total>9888</Total>
        <ProgramServices>9888</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>WORKER COMP INSURANCE</Description>
        <Total>40139</Total>
        <ProgramServices>40139</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INSURANCE</Description>
        <Total>117228</Total>
        <ProgramServices>117228</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>816647</Total>
        <ProgramServices>816647</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4347463</Total>
        <ProgramServices>4336056</ProgramServices>
        <ManagementAndGeneral>11407</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>100</BOY>
        <EOY>100</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>534532</BOY>
        <EOY>680978</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1021121</BOY>
        <EOY>1126653</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>16009</BOY>
        <EOY>18293</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>10010</BOY>
        <EOY>9302</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2341628</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1788910</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>595113</BOY>
        <EOY>552718</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>66964</BOY>
        <EOY>66922</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>2243849</BOY>
        <EOY>2454966</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>239429</BOY>
        <EOY>245939</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>239429</BOY>
        <EOY>245939</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2004420</BOY>
        <EOY>2209027</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2004420</BOY>
        <EOY>2209027</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2243849</BOY>
        <EOY>2454966</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>204607</ReconcilationRevenueExpenses>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="10000104">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="10000104">
      <Land>
        <OtherCostOrOtherBasis>7774</OtherCostOrOtherBasis>
        <BookValue>7774</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1798925</OtherCostOrOtherBasis>
        <Depreciation>1328803</Depreciation>
        <BookValue>470122</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>512324</OtherCostOrOtherBasis>
        <Depreciation>460107</Depreciation>
        <BookValue>52217</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>22605</OtherCostOrOtherBasis>
        <BookValue>22605</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>552718</TotalOfBookValueLandBuildings>
      <TotalRevenue>4552070</TotalRevenue>
      <TotalExpenses>4347463</TotalExpenses>
      <ExcessOrDeficitForYear>204607</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>204607</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>4552070</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>4552070</RevenueSubtotal>
      <TotalRevenuePerForm990>4552070</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4347463</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>4347463</ExpensesSubtotal>
      <TotalExpensesPerForm990>4347463</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="00000004" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>BOARD OF DIRECTORS ASSUMES OVERSIGHT RESPONSIBILITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>REVIEWED BY MANAGEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 6</Identifier>
        <Explanation>MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7a</Identifier>
        <Explanation>MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7b</Identifier>
        <Explanation>MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>MEDICAL DIRECTOR FEE 6000. 6000. 0. 0. MISCELLANEOUS 12563. 12563. 0. 0. CONTRACTED THERAPY 272785. 272785. 0. 0. MEDICARE BILLING 66044. 66044. 0. 0. CONSULTANTS 10562. 10562. 0. 0. CONTRACTED SERVICES 47105. 47105. 0. 0. MAINTENANCE AND REPAIR 51289. 51289. 0. 0. SUPPLIES 350299. 350299. 0. 0.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000005" softwareId="10000104">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LUTHERAN GOOD SHEPHERD HOME</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>THIRD AND WEST STREETS</AddressLine1>
          <City>CONCORDIA</City>
          <State>MO</State>
          <ZIPCode>64020</ZIPCode>
        </AddressUS>
        <EIN>440652188</EIN>
        <PrimaryActivities>AFFORDABLE HOUSING FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SHEPHERD VILLAGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>THIRD AND WEST STREETS</AddressLine1>
          <City>CONCORDIA</City>
          <State>MO</State>
          <ZIPCode>64020</ZIPCode>
        </AddressUS>
        <EIN>237091759</EIN>
        <PrimaryActivities>AFFORDABLE HOUSING FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SHEPHERD VILLAGE II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>THIRD AND WEST STREETS</AddressLine1>
          <City>CONCORDIA</City>
          <State>MO</State>
          <ZIPCode>64020</ZIPCode>
        </AddressUS>
        <EIN>431078623</EIN>
        <PrimaryActivities>AFFORDABLE HOUSING FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>