GOOD SHEPHERD LUTHERAN COMMUNITY: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD LUTHERAN COMMUNITY (EIN 47-0391515)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-09
- IRS object ID
- 202031919349301753
- Schema version
- 2018v3.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-09T15:49:30-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 476097913 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470391515 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD LUTHERAN COMMUNITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 4024264663 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2242 WRIGHT STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON COLLING | PersonNm |
| Person Title | CEO/ADMINISTRATOR | PersonTitleTxt |
| Phone | 4024264663 | PhoneNum |
| Signature | 2020-07-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARC D BEHRENS | PreparerPersonNm |
| PTIN | P01543366 | PTIN |
| Phone | 4023302660 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 163.116.133.115 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-08 | IPDt |
| IP Tm | 09:27:17 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 269B3A6CFEBE93A73A929783B6584231D56B63A4 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 606148D43A08485A4B3CE148BC63DC11C84FD005 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHARON COLLING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2242 WRIGHT STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,559,982 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 9386 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GOODSHEPHERDBLAIR.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF GOOD SHEPHERD LUTHERAN COMMUNITY IS TO SERVE THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF GOD'S PEOPLE IN A MANNER OF LOVE, DIGNITY AND RESPECT REFLECTIVE OF JESUS CHRIST, THE GOOD SHEPHERD. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 129 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $27,022 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,172 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,801,534 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,913,732 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,614 | PYInvestmentIncomeAmt |
| CY Investment Income | $140,132 | CYInvestmentIncomeAmt |
| PY Other Revenue | $117,644 | PYOtherRevenueAmt |
| CY Other Revenue | $64,134 | CYOtherRevenueAmt |
| PY Total Revenue | $5,031,814 | PYTotalRevenueAmt |
| CY Total Revenue | $5,136,170 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,507,692 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,990,325 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,435 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,362,763 | PYOtherExpensesAmt |
| CY Other Expenses | $3,670,147 | CYOtherExpensesAmt |
| PY Total Expenses | $6,870,455 | PYTotalExpensesAmt |
| CY Total Expenses | $6,660,472 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,838,641 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,524,302 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,415,338 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,394,791 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,215,237 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,717,173 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,200,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,677,618 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF GOOD SHEPHERD LUTHERAN COMMUNITY IS TO SERVE THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF GOD'S PEOPLE IN A MANNER OF LOVE, DIGNITY AND RESPECT REFLECTIVE OF JESUS CHRIST, THE GOOD SHEPHERD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,089,778 | ExpenseAmt |
| Revenue | $4,347,961 | RevenueAmt |
| Desc | GOOD SHEPHERD LUTHERAN COMMUNITY OPERATES A 84-BED SKILLED NURSING FACILITY FOR ELDERLY, INVALID AND INDIGENT PERSONS, WHICH OFFERS PRIVATE AND SEMI-PRIVATE ROOMS, AS WELL AS A SECURED MEMORY SUPPORT UNIT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $443,583 | ExpenseAmt |
| Revenue | $602,009 | RevenueAmt |
| Desc | GOOD SHEPHERD LUTHERAN COMMUNITY OPERATES A 12-UNIT ASSISTED LIVING FACILITY FOR ELDERLY, INVALID AND INDIGENT PERSONS, AND A 24-UNIT INDEPENDENT LIVING APARTMENT COMPLEX FOR ELDERLY PERSONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,533,361 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 129 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA HILLMAN OFFICE MANAGER | PersonNm |
| Phone | 4024264663 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2242 WRIGHT STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| PASTOR SEAN TYLER | |||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVE LADWIG | |||||||
| VICE PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NANCY KRUSE | |||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JUDY HANSEN | |||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JANE HEINRICH | |||||||
| PRESIDENT THRU 10/2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KEN MCELHOSE | |||||||
| VICE PRESIDENT THRU 10/2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SANDY MCMULLEN | |||||||
| TREASURER THRU 10/2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANNE CLAUSEN | |||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNA OLSON | |||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARVIN HEISE | |||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN TIMMERMIER | |||||||
| MEMBER THRU 10/2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH M ROMSHEK | |||||||
| CEO/ADMINISTRATOR | 39.00 | 1.00 | Yes (X) | $78,359 | $0 | $6,954 | |
| MARY POWELL | |||||||
| CEO/ADMINISTRATOR THRU 12/2018 | 39.00 | 1.00 | Yes (X) | $88,756 | $0 | $0 | |
| TERESA HILLMAN | |||||||
| OFFICE MANAGER | 39.00 | 1.00 | Yes (X) | $67,917 | $0 | $11,260 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $235,032 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $18,214 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INFINITY REHAB | |||||
| 25117 SW PARKWAY AVE | WILSONVILLE | OR | 97070 | THERAPY SERVICES | $279,352 |
| LANTERN HEALTH SERVICES | |||||
| 10430 N 152ND CT | WAVERLY | NE | 68462 | CONSULTING SERVICES | $236,155 |
| MEDICAL STAFFING NETWORK | |||||
| 13057 W CENTER RD SUITE 24 | OMAHA | NE | 68144 | NURSING STAFFING AGENCY | $186,976 |
| SYSCO LINCOLN | |||||
| 900 KINGBIRD RD | LINCOLN | NE | 68521 | FOOD SERVICE | $146,596 |
| TMS DESIGN SERVICES | |||||
| 10208 L ST STE 1 | OMAHA | NE | 68127 | NURSING STAFFING AGENCY | $108,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $18,172 | AllOtherContributionsAmt |
| Total Contributions | $18,172 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 623000 | $3,198,688 | $3,198,688 |
| PRIVATE PAY PATIENT RE | 623000 | $1,715,044 | $1,715,044 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,913,732 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,272 | TotalRevenueColumnAmt |
| Exclusion | $14,272 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $549,672 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $413,582 | SecuritiesAmt |
| Other | $10,230 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $136,090 | SecuritiesAmt |
| Other | -$10,230 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125,860 | TotalRevenueColumnAmt |
| Exclusion | $125,860 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $34,828 | $34,828 | |
| GUEST AND VISITOR MEAL | 900099 | $19,756 | $19,756 | |
| RESIDENT HAIR CARE | 900099 | $8,140 | $8,140 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,410 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $64,134 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,136,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,949,970 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $168,028 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,245 | TotalAmt |
| Program Services | $88,756 | ProgramServicesAmt |
| Management And General | $164,489 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,251,619 | TotalAmt |
| Program Services | $2,159,646 | ProgramServicesAmt |
| Management And General | $82,792 | ManagementAndGeneralAmt |
| Fundraising | $9,181 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,821 | TotalAmt |
| Program Services | $268,540 | ProgramServicesAmt |
| Management And General | $11,213 | ManagementAndGeneralAmt |
| Fundraising | $1,068 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,640 | TotalAmt |
| Program Services | $176,536 | ProgramServicesAmt |
| Management And General | $27,484 | ManagementAndGeneralAmt |
| Fundraising | $620 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,620 | TotalAmt |
| Program Services | $795 | ProgramServicesAmt |
| Management And General | $30,825 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,430 | TotalAmt |
| Program Services | $5,200 | ProgramServicesAmt |
| Management And General | $63,230 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,763 | TotalAmt |
| Program Services | $560,299 | ProgramServicesAmt |
| Management And General | $501,464 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,751 | TotalAmt |
| Program Services | $2,493 | ProgramServicesAmt |
| Management And General | $18,050 | ManagementAndGeneralAmt |
| Fundraising | $3,208 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,727 | TotalAmt |
| Program Services | $349,152 | ProgramServicesAmt |
| Management And General | $24,217 | ManagementAndGeneralAmt |
| Fundraising | $358 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,600 | TotalAmt |
| Program Services | $179,248 | ProgramServicesAmt |
| Management And General | $4,352 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,634 | TotalAmt |
| Program Services | $2,017 | ProgramServicesAmt |
| Management And General | $1,617 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,191 | TotalAmt |
| Program Services | $1,272 | ProgramServicesAmt |
| Management And General | $4,919 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,152 | TotalAmt |
| Program Services | $432,640 | ProgramServicesAmt |
| Management And General | $5,512 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,621 | TotalAmt |
| Program Services | $33,942 | ProgramServicesAmt |
| Management And General | $124,679 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $891,785 | $890,005 | $1,780 |
| FOOD SUPPLIES | $193,979 | $193,787 | $192 |
| BAD DEBTS | $183,991 | $183,991 | |
| DUES & SUBSCRIPTIONS | $37,435 | $2,506 | $34,929 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,468 | TotalAmt |
| Program Services | $2,536 | ProgramServicesAmt |
| Management And General | $10,932 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,660,472 | TotalAmt |
| Program Services | $5,533,361 | ProgramServicesAmt |
| Management And General | $1,112,676 | ManagementAndGeneralAmt |
| Fundraising | $14,435 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,976 | BOYAmt |
| EOY | $410,854 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,205 | BOYAmt |
| EOY | $491,341 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,808 | BOYAmt |
| EOY | $23,808 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,837 | BOYAmt |
| EOY | $15,449 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,220,094 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,222,611 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,398,314 | BOYAmt |
| EOY | $2,997,483 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,069 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,705 | BOYAmt |
| EOY | $338,145 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,424 | BOYAmt |
| EOY | $117,711 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,415,338 | BOYAmt |
| EOY | $4,394,791 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,153 | BOYAmt |
| EOY | $1,244,499 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,720 | BOYAmt |
| EOY | $1,001,647 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,651 | BOYAmt |
| EOY | $185,854 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,713 | BOYAmt |
| EOY | $285,173 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,215,237 | BOYAmt |
| EOY | $2,717,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,063,631 | BOYAmt |
| EOY | $1,610,292 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,470 | BOYAmt |
| EOY | $67,326 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,200,101 | BOYAmt |
| EOY | $1,677,618 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,415,338 | BOYAmt |
| EOY | $4,394,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,524,302 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,819 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $163,737 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $119,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,172 | CurrentTaxYearAmt |
| Total | $364,953 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,918,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,820,737 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,159,300 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,801,534 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,913,732 | CurrentTaxYearAmt |
| Total | $27,614,063 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,370 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $53,637 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,957 | CurrentTaxYearMinus1YearAmt |
| Total | $256,791 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,021,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,038,111 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,377,404 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,866,513 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,931,904 | CurrentTaxYearAmt |
| Total | $28,235,807 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $60 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385 | CurrentTaxYearAmt |
| Total | $2,745 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $14,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,827 | CurrentTaxYearMinus2YearsAmt |
| Total | $16,828 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385 | CurrentTaxYearAmt |
| Total | $19,573 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $28,216,234 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,124 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,274 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,272 | CurrentTaxYearAmt |
| Total | $245,199 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,124 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,274 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,272 | CurrentTaxYearAmt |
| Total | $245,199 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $677,725 | CurrentTaxYearMinus2YearsAmt |
| Total | $677,725 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,089,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,099,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,117,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,905,787 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,946,176 | CurrentTaxYearAmt |
| Total | $29,158,731 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96790 | PublicSupportPY509Pct |
| Investment Income CY | 0.00840 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00940 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $136,470 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | $312 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $70,956 | OtherExpendituresAmt |
| End Year Balance | $67,326 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,184 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | $3,786 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $136,470 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,191 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | $8,493 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $131,184 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $123,971 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,280 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $121,191 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $127,875 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$5,404 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $123,971 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,500 | OtherCostOrOtherBasisAmt |
| Book Value | $11,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,248,949 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,700,841 | DepreciationAmt |
| Book Value | $2,548,108 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,597,467 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,233,138 | DepreciationAmt |
| Book Value | $364,329 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $362,178 | OtherCostOrOtherBasisAmt |
| Depreciation | $288,632 | DepreciationAmt |
| Book Value | $73,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,997,483 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ELCA ENDOWMENT FUND POOLED TRUST FUND A | Desc |
| Book Value | $338,145 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $338,145 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT | $272,473 |
| REFUNDABLE ADVANCES | $12,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $285,173 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,953,998 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,819 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,819 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,952,179 | RevenueSubtotalAmt |
| Other Revenues Not Included | $183,991 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $183,991 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,136,170 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,476,481 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,476,481 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $183,991 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $183,991 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,660,472 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE COMMUNITY HOLDS ENDOWMENT FUNDS FOR SUPPORT OF ITS PROGRAMS. |
| PART X, LINE 2: | THE COMMUNITY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND NEBRASKA STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN THE COMMUNITY'S TAX EXEMPT STATUS. THE COMMUNITY ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE COMMUNITY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2019 AND 2018, THE COMMUNITY HAD NO UNCERTAIN TAX POSITIONS ACCRUED. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 183,991. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 183,991. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUTHORITY NO 1 OF WASHINGTON COUNTY NEBRASKA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521441599 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2003-08-07 | BondIssuedDt |
| Issue Price | $1,794,683 | IssuePriceAmt |
| Purpose | RETIRE OTHER OUTSTANDING DEBT & CONSTRUCTION OF ASSISTED LIVING FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,620,792 | RetiredAmt |
| Total Proceeds | $1,794,683 | TotalProceedsAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE OFFICE MANAGER AND/OR CEO/ADMINISTRATOR WILL REVIEW THE RETURN, NOTIFY THE TAX PREPARER OF APPROVAL AND THE RETURN WILL BE SUBMITTED TO THE IRS. THE RETURN WILL BE DISCUSSED AT A MONTHLY BOARD OF DIRECTORS MEETING AND THE OFFICE MANAGER AND/OR CEO/ADMINISTRATOR WILL BE AVAILABLE FOR DISCUSSION AND QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED ON AN ONGOING BASIS IN SEVERAL WAYS. FIRST, ANNUALLY ALL STAFF MEMBERS ARE REQUIRED TO ATTEND TRAINING SESSIONS ON REPORTING FRAUD AND ABUSE AS WELL AS ANNUALLY FILL OUT A SELF-DISCLOSURE FORM INDICATING ANY WRONGDOING OR KNOWN CONFLICTS. ALSO, BEFORE EMPLOYMENT, POTENTIAL EMPLOYEES ARE SCREENED (1) THROUGH BACKGROUND CHECKS AND (2) BY THE CEO/ADMINISTRATOR FOR POTENTIAL CONFLICTS OF INTEREST. GOOD SHEPHERD LUTHERAN COMMUNITY ALSO PARTNERS WITH EIGHT LUTHERAN "CORPORATE" CHURCHES WHO PROVIDE MEMBERS FOR THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS DETERMINES THE CEO/ADMINISTRATOR'S ANNUAL COMPENSATION PACKET THROUGH A WRITTEN ANNUAL REVIEW PROCESS AND AN INDEPENDENT VOTE. THE CEO/ADMINISTRATOR GENERALLY RECEIVES A PERCENTAGE INCREASE ANNUALLY. ALL OTHER COMPENSATION INCREASES ARE APPROVED BY DEPARTMENT SUPERVISORS AND THE ADMINISTRATOR, WHICH ARE THEN PLACED IN THE BUDGET. THE BOARD OF DIRECTORS APPROVES THE BUDGET ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AND AT GOOD SHEPHERD LUTHERAN COMMUNITY'S ANNUAL PUBLIC MEETING, WHICH IS HELD THE THIRD THURSDAY IN OCTOBER EACH YEAR. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICE FEES: PROGRAM SERVICE EXPENSES 560,299. MANAGEMENT AND GENERAL EXPENSES 501,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,061,763. |
| FORM 990, PART XI LINE 2C: | THE BOARD OF DIRECTORS TAKES RESPONSIBLITY FOR CHOOSING THE INDEPENDENT ACCOUNTANT AND FOR THE AUDIT OF THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD ASSISTED LIVING CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2242 WRIGHT STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470819116 | EIN |
| Primary Activities | ELDERLY APARTMENTS | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD LUTHERAN COMMUNITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |