2018-05-22T08:59:43-05:00 2017-12-31 421229486 BROOKS LODDEN PC 1441 29TH STREET STE 305 WEST DES MOINES IA 502661357 990 2017-01-01 420680368 SALEM LUTHERAN HOMES INC SALE 7127644201 2027 COLLEGE STREET ELK HORN IA 51531 DOROTHY NELSEN TREASURER 7127644201 2018-02-05 1 TELFORD A LODDEN P00075132 5152237300 2017 2022-09-23 18:48:47Z DOROTHY NELSEN 2027 COLLEGE STREET ELK HORN IA 51531 5718453 0 X N/A X 1989 IA PROVIDE LONG TERM CARE AND HOUSING FOR ELDERLY AND INCAPACITATED PATIENTS 12 12 125 25 0 0 43161 162140 5252889 5543974 9524 12339 0 0 5305574 5718453 0 0 0 0 3284867 3146640 0 0 42438 2127710 2675837 5412577 5822477 -107003 -104024 6184456 6044282 1147758 1085758 5036698 4958524 PROVIDE LONG TERM CARE AND HOUSING FOR ELDERLY AND INCAPACITATED PATIENTS 0 0 4866312 5543974 PROVIDED LONG TERM HOUSING AND CARE TO NURSING HOME RESIDENTS 4866312 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 125 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROYLENE BALD 7127644201 2027 COLLEGE STREET ELK HORN IA 51531 X X JEANETTE KNUDSEN SECRETARY 1.00 X X 0 0 0 REVEREND KEITH MENTER TREASURER 1.00 X X 0 0 0 DEB BIEKER DIRECTOR 1.00 X 0 0 0 TROY PETERSEN DIRECTOR 1.00 X 0 0 0 TRUDY JUELSGAARD DIRECTOR 1.00 X 0 0 0 JOHN JONES DIRECTOR 1.00 X 0 0 0 NICK NICOTERO PRESIDENT 1.00 X X 0 0 0 LEROY LARSEN DIRECTOR 1.00 X 0 0 0 RON ST PETER DIRECTOR 1.00 X 0 0 0 CAROLYN OLDENBURG DIRECTOR 1.00 X 0 0 0 REVEREND PHIL NIELSEN DIRECTOR 1.00 X 0 0 0 JULIENNE FERRY DIRECTOR 1.00 X 0 0 0 NATASHA URINKO ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 BLUE STONE THERAPY 6750 WESTOWN PARKWAY STE 110 WEST DES MOINES IA 50266 THERAPY 391600 GOOD SAMARITAN SOCIETY 4800 WEST 57TH ST SIOUX FALLS SD 57117 MANAGEMENT/ACCOUNTING & DENTAL AND LIFE 389073 GRAPETREE MEDICAL STAFFING 1003 23RD STREET MILFORD IA 51351 STAFFING 166960 BADDING CONSTRUCTION 814 WEST 9TH STREET CARROLL IA 51401 CONSTRUCTION 137750 ONESTAFF MEDICAL 11718 NICHOLAS STREET OMAHA NE 68154 STAFFING 109817 5 162140 162140 NURSING HOME & ANCILLA 623000 5437830 5437830 OTHER PROGRAM SERV REV 623000 106144 106144 5543974 9180 9180 3159 0 3159 3159 3159 5718453 5543974 0 12339 77419 77419 2500450 2276264 190219 33967 29616 29616 358577 314966 38718 4893 180578 166564 11709 2305 311654 311654 952 952 20454 20454 81481 81481 34999 34999 235673 213032 22641 24786 16827 7959 11367 11367 315066 315066 14887 11165 3722 CONTRACT SERVICES 918244 894290 23954 DRUGS/PATIENT CARE SUPP 160603 160603 PROVIDER TAX 154165 154165 DIETARY SUPPLEMENTS 145966 145966 245540 156421 87846 1273 5822477 4866312 913727 42438 1272669 890839 650990 603063 13836 13506 19659 62501 9270647 4972850 4076576 4297797 7107 27877 143619 148699 6184456 6044282 618469 566268 500000 500000 29289 19490 1147758 1085758 X 4859492 4767845 33587 41980 143619 148699 5036698 4958524 6184456 6044282 X -104024 20770 5080 X X 0 1 X 1 0 X 148993 155749 566410 43161 162140 1076453 4458515 4922230 5426237 5252889 5543974 25603845 4607508 5077979 5992647 5296050 5706114 26680298 0 0 0 26680298 10983 10221 7188 9524 9180 47096 10983 10221 7188 9524 9180 47096 4618491 5088200 5999835 5305574 5715294 26727394 0.99820 0.99790 0.00180 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18234 18234 8137657 4152202 3985455 1114756 820648 294108 4297797 RESIDENT FUNDS 19490 19490 5744303 20770 5080 25850 5718453 0 5718453 5822477 0 5822477 0 5822477 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF PERPETUAL TRUST HELD BY THIRD PARTY 5,080. FORM 990, PART VI, SECTION A, LINE 3 DAY TO DAY OPERATIONS ARE OVERSEEN BY THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY WITH THE BOARD OF DIRECTORS APPROVAL REQUIRED ON KEY BUSINESS DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE RETURN WAS PROVIDED TO EACH BOARD MEMBER FOR REVIEW. THE BOARD VOTED TO APPROVE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS OF INTEREST ARE DISCUSSED AT BOARD MEETINGS THROUGHOUT THE YEAR AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINIG COMPENSATION OF THE ADMINISTRATOR IS DONE BY THE MANAGEMENT COMPANY THAT EMPLOYS HER. SHE RECEIVES AN ANNUAL EVALUATION FROM THE MANAGEMENT COMPANY AS WELL AS THE ORGANIZATION. COMPENSATION IS BASED UPON HER EVALUATION AS WELL AS COMPARABLE SALARY DATA FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 SALEM LUTHERAN HOMES WILL MAKE AVAILABLE COPIES OF THE 990 RETURN AND OTHER GOVERNING DOCUMENTS UPON REQUEST. THE 990 RETURN IS ALSO AVAILABLE FOR REVIEW ON THE GUIDE STAR WEBSITE. SECTION 1A THE ADMINISTRATOR IS AN EMPLOYEE OF THE MANAGEMENT COMPANY AND IS COMPENSATED BY THE MANAGEMENT COMPANY. TRANSACTIONS WITH THE MANAGEMENT COMPANY ARE DISCLOSED IN PART VII SECTION B. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST HELD BY THIRD PARTY 5,080. FORM 990, PART XII, LINE 2C: NO CHANGE HAS OCCURRED IN THE ORGANIZATION'S SELECTION OR OVERSIGHT PROCESS OF THE AUDIT PROCESS OF THE ORGANIZATION'S FINANCIAL STATEMENTS. SALEM LUTHERAN HOME CHARITABLE FOUNDATION 2027 COLLEGE STREET ELK HORN IA 51531 421306694 SUPPORT SALEM LUTHERAN HOMES THRU THE SOLICITATION OF CONTRIBUTIONS & GIFTS. IA 501(C)(3) LINE 7 NONE 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SALEM LUTHERAN HOMES CHARITABLE FOUNDATION E 500000 CASH SALEM LUTHERAN HOMES CHARITABLE FOUNDATION C 61800 CASH