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AUGSBURG LUTHERAN HOME OF MD INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AUGSBURG LUTHERAN HOME OF MD INC (EIN 52-0696196)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-30
IRS object ID
201322119349300712
Schema version
2012v2.0
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)
Timestamp2013-07-30T07:27:04-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Schiavi Wallace & Rowe PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11400 Front Avenue Suite 301AddressLine1
CityLuthervilleCity
StateMDState
ZIP Code21093ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520696196EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AUGSBURG LUTHERAN HOME OF MD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAUGSNameControl
Phone4104864573Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD RDAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21207ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDiane WebbName
TitleTreasurerTitle
Date Signed2013-07-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLinda Rajewski CPAName
PTINP00365170PTIN
Phone4104949517Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts17191729GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.augsburg.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1892YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTo serve the elderly, particularly Lutheran brothers and sisters, by providing nursing home care to residents in a 123 bed facility as well as assisted living services to residents in a 64 bed unit.ActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members31NbrIndependentVotingMembers
Total Nbr Employees277TotalNbrEmployees
Total Nbr Volunteers106TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year783322ContributionsGrantsPriorYear
Contributions Grants Current Year759653ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12164699ProgramServiceRevenuePriorYear
Program Service Revenue CY13034171ProgramServiceRevenueCY
Investment Income Prior Year460521InvestmentIncomePriorYear
Investment Income Current Year411789InvestmentIncomeCurrentYear
Other Revenue Prior Year132111OtherRevenuePriorYear
Other Revenue Current Year11690OtherRevenueCurrentYear
Total Revenue Prior Year13540653TotalRevenuePriorYear
Total Revenue Current Year14217303TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9210246SalariesEtcPriorYear
Salaries Etc Current Year9459272SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year275369TotalFundrsngExpCurrentYear
Other Expense Prior Year4675847OtherExpensePriorYear
Other Expenses Current Year4991328OtherExpensesCurrentYear
Total Expenses Prior Year13886093TotalExpensesPriorYear
Total Expenses Current Year14450600TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-345440RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-233297RevenuesLessExpensesCY
Total Assets BOY27656450TotalAssetsBOY
Total Assets EOY28496306TotalAssetsEOY
Total Liabilities BOY21977772TotalLiabilitiesBOY
Total Liabilities EOY22610466TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5678678NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5885840NetAssetsOrFundBalancesEOY
Mission DescriptionTo serve the elderly, particularly Lutheran brothers and sisters, by providing nursing home care to residents in a 123 bed facility as well as assisted living services to residents in a 64 bed unit.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10604332Expense
DescriptionTO SERVE THE ELDERLY IN A 123 BED NURSING FACILITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense907940Expense
DescriptionTO SERVE THE ELDERLY IN A 64 BED, 59 ROOM ASSISTED LIVING FACILITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense11512272TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees277NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members31NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAUGSBURG LUTHERAN HOMENamePerson
Telephone Number4104864573TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD ROADAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21207ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PAUL MILLER
Financial Secty1.001.00XX000
DR RHONDA RICHARDS
Director0.500.50X000
DOROTHEA WHITE
Director0.500.50X000
NANCY WAGNER
Director0.500.50X000
ALBERT E LIETZAU IV
Director0.500.50X000
KAREN A DROTER
Director0.500.50X000
LEANNE STACK-MARTIN
Director0.500.50X000
ARNOLD T ABEL JR
Director0.500.50X000
ROBERT L SEEGER
Director0.500.50X000
JEFFREY A LEES
Director0.500.50X000
ROMAINE SPIELMAN
Director0.500.50X000
JOAN ORSO
Director0.500.50X000
JOAN KRAFT
Director0.500.50X000
ROGER W LIESKE
Director0.500.50X000
REV JAMES SHARP
Director0.500.50X000
DARLENE QUIRAM
Director0.500.50X000
DR BARBARA DREYER
Director0.500.50X000
RONALD L MANN
Director0.500.50X000
DR GUY JACKSON
Director0.500.50X000
EMMA M HAHN
Director0.500.50X000
MARIE A GARSKE
Director0.500.50X000
KENNETH W HEMMETER
Director0.500.50X000
REV DAVID W EISENHUTH
Director0.500.50X000
HOWARD ZIETHEN
Director0.500.50X000
NEETU DHAWAN-GRAY
Director0.500.50X000
ANNE C GOLLER
Director0.500.50X000
CARROLL PFAFF
Director0.500.50X000
HERMAN BERGER
Director0.500.50X000
RICHARD LOHR
Director0.500.50X000
REV DONALD BEUTEL
Director0.500.50X000
REV STEPHEN EVERETTE
Director0.500.50X000
RICHARD PERRY
Director0.500.50X000
RONALD FOUSE
VIce Chairman1.001.00XX000
ROGER T KETTERMAN
Financial Secty1.001.00XX000
LAWRENCE REITER
Secretary1.001.00XX000
DAVID DANEKER
Chairman1.001.00XX000
DIANE WEBB
Treasurer45.002.00X12131506624
GLENN SCHERER
Executive Direc45.002.00X18470804940
MARC GOLDSTEIN-SMITH
ADMINISTRATOR40.000.0014673205097X
JOAN R DYER
RN40.000.0011772402816X
OLAYINKA OWOLABI
RN40.000.001064960469X
PUSHPA NALLABUTULA
RN, DN40.000.0010049102600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org777466TotalReportableCompFromOrg
Total Other Compensation22546TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sysco Food Services
PO Box 1099JessupMD20794Food Supplier320393
Sodexo Inc & Affiliates
PO Box 536922AtlanttaGA30353Environmental Svcs515446
Riparius Construction Inc
25 Schilling RoadHunt ValleyMD21031Bldg Construction305522
Hamilton Insurance Agency
4100 Monument Corner Dr Ste 500FairfaxVA22030Insurance Broker1237339
Assisted Rehab Inc
1768 Cattail Meadows DrWoodbineMD21797Restorative Therapy419894
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions759653AllOtherContributions
Total Contributions759653TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE PAY62300020881612088161
MEDICARE/MEDICAID PAYMENT62300087873278787327
ASSISTED LIVING62300020358852035885
AMORT. OF ENTRANCE FEES623000122798122798
FieldValueIRS element (for citing)
Total Program Service Revenue13034171TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column219504TotalRevenueColumn
Exclusion$219,504ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3166711Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2974426Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities192285Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column192285TotalRevenueColumn
Exclusion$192,285ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623000BusinessCode
Total Revenue Column11690TotalRevenueColumn
Related Or Exempt Function Income11690RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue11690TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14217303TotalRevenueColumn
Related Or Exempt Function Income13045861RelatedOrExemptFunctionIncome
Exclusion$411,789ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total315204Total
Management And General315204ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7306222Total
Program Services6304122ProgramServices
Management And General885549ManagementAndGeneral
Fundraising116551Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total94068Total
Program Services85506ProgramServices
Management And General6981ManagementAndGeneral
Fundraising1581Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1142731Total
Program Services946359ProgramServices
Management And General178876ManagementAndGeneral
Fundraising17496Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total601047Total
Program Services515960ProgramServices
Management And General76099ManagementAndGeneral
Fundraising8988Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18033Total
Management And General18033ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43451Total
Management And General43451ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total224477Total
Management And General224477ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total56361Total
Program Services13213ProgramServices
Management And General13050ManagementAndGeneral
Fundraising30098Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50923Total
Program Services771ProgramServices
Management And General50152ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total41317Total
Management And General41317ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total371193Total
Program Services306605ProgramServices
Management And General61210ManagementAndGeneral
Fundraising3378Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33797Total
Program Services2262ProgramServices
Management And General12492ManagementAndGeneral
Fundraising19043Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total292698Total
Program Services241768ProgramServices
Management And General48266ManagementAndGeneral
Fundraising2664Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1157471Total
Program Services956071ProgramServices
Management And General190867ManagementAndGeneral
Fundraising10533Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total220148Total
Management And General220148ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTED SERVICES38845721248816368912280
FOOD413589413589
THERAPY563209563209
SUPPLIES879449804347700465056

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total236755Total
Program Services146002ProgramServices
Management And General43052ManagementAndGeneral
Fundraising47701Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14450600Total
Program Services11512272ProgramServices
Management And General2662959ManagementAndGeneral
Fundraising275369Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1550BOY
EOY1550EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY591655BOY
EOY1534549EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY336799BOY
EOY14528EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1113824BOY
EOY1159847EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4744699BOY
EOY4618353EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62500BOY
EOY165493EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27630237LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14428534LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13908210BOY
EOY13201703EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4860509BOY
EOY5693274EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2036704BOY
EOY2107009EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27656450BOY
EOY28496306EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2044588BOY
EOY1947937EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY323627BOY
EOY296046EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18783821BOY
EOY19226842EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13330BOY
EOY6932EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY812406BOY
EOY1132709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21977772BOY
EOY22610466EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5261674BOY
EOY5387058EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY417004BOY
EOY498782EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5678678BOY
EOY5885840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27656450BOY
EOY28496306EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-233297ReconcilationRevenueExpenses
Reconciliation Unrealized Invest440459ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8340301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8471750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8934879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8949130CurrentTaxYearMinus1Year
Current Tax Year9546980CurrentTaxYear
Total44243040Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8340301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8471750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8934879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8949130CurrentTaxYearMinus1Year
Current Tax Year9546980CurrentTaxYear
Total44243040Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17044243040PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205977CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192006CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188932CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year205912CurrentTaxYearMinus1Year
Current Tax Year219504CurrentTaxYear
Total1012331Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6790CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9884CurrentTaxYearMinus1Year
Current Tax Year11689CurrentTaxYear
Total54449Total
FieldValueIRS element (for citing)
Total Support45309820TotalSupport
Public Support Pertcentage1700.97650PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97510PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Number Funds Held1NumberFundsHeld
Contrib To Funds And Other Accounts5046ContribToFundsAndOtherAccounts
Aggregate Fund Value23989AggregateFundValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance109847BeginningBalance
Additions During Year19079AdditionsDuringYear
Ending Balance128926EndingBalance
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4105554BeginningOfYearBalance
Investment Earnings Or Losses917771InvestmentEarningsOrLosses
Other Expenditures-121472OtherExpenditures
End Of Year Balance4901853EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4710266BeginningOfYearBalance
Investment Earnings Or Losses-604712InvestmentEarningsOrLosses
End Of Year Balance4105554EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3999362BeginningOfYearBalance
Contributions181434Contributions
Investment Earnings Or Losses529470InvestmentEarningsOrLosses
End Of Year Balance4710266EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2625815BeginningOfYearBalance
Contributions339695Contributions
Investment Earnings Or Losses1033852InvestmentEarningsOrLosses
End Of Year Balance3999362EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4344637BeginningOfYearBalance
Contributions94921Contributions
Investment Earnings Or Losses-1813743InvestmentEarningsOrLosses
End Of Year Balance2625815EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis22595OtherCostOrOtherBasis
Book Value22595BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22938561OtherCostOrOtherBasis
Depreciation11243540Depreciation
Book Value11695021BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis308518OtherCostOrOtherBasis
Depreciation148921Depreciation
Book Value159597BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis116121OtherCostOrOtherBasis
Depreciation113101Depreciation
Book Value3020BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4244442OtherCostOrOtherBasis
Depreciation2922972Depreciation
Book Value1321470BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13201703TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OPERATING RESERVE1927711
NET INTANGIBLE ASSET179198
INVESTMENT IN SUBSIDIARY100
FieldValueIRS element (for citing)
Total Book Value Other Assets2107009TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$563,141
DUE TO RELATED PARTY WORKING CAPITAL$209,568
DUE TO 3rd PARTY-MARYLAND MEDICAID$360,000
FieldValueIRS element (for citing)
Total Of Amounts1132709TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14657762TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments440459NetUnrealizedGainsInvestments
Revenue Not Rptd F990440459RevenueNotRptdF990
Revenue Subtotal14217303RevenueSubtotal
Total Revenue Per Form99014217303TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14450600TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14450600ExpensesSubtotal
Total Expenses Per Form99014450600TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteIncome TaxesThe Companies have been recognized by the Internal Revenue Service (IRS) as a not-for-profit, tax-exempt organizations as defined by 501(c)3 of the Internal Revenue Code and are exempt from federal income taxes. Accordingly, the Companies are not subject to income taxes in accordance with the Income Taxes Topic of FASB ASC 740-10 which clarifies the accounting for income taxes, by prescribing a minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. It also provides guidance on recognition, measurement and classification of amounts relating to uncertain tax positions, accounting for and disclosure of interest and penalties, accounting in interim periods, disclosures and transition relating to the adoption of this accounting standard.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.To further the mission of the Organization.
Part IV, Line 1bPart IV, Line 1b: Why is organization an agent, trustee, custodian or other intermediary for contribAugsburg Lutheran Home acts in an agency capacity regarding the holding of patient cash funds. At December 31, 2012 the Home was holding approximately $128,926 in patient cash funds, which are not reflected in Form 990, Part X.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MARC GOLDSTEIN-SMITH
ADMINISTRATOR1467325097151829
GLENN SCHERER
Executive Direc1847084940189648

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MD Health and Higher Educa Fac AuthBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
Date Issued2009-08-01DateIssued
Issue Price15539315IssuePrice
Description Of PurposeDebt Exting./new ConstructionDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds15539315TotalProceeds
Issuance Costs From Proceeds30240IssuanceCostsFromProceeds
Working Capital Expenditures5509075WorkingCapitalExpenditures
Capital Expenditures10000000CapitalExpenditures
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationPart IV Arbitrage is not applicable. This bond issue nor any portion of the proceeds are reasonably expected to be used directly or indirectly to acquire higher yielding investments or to replace funds which were used directly or indirectly to acquire higher yielding investments.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonAlbert LietzauNamePerson
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction94438AmountOfTransaction
Description Of TransactionProp, Cas/Gen Liab InsDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationGeneral and liability insurance for the Home was purchased through a company that is owned by a Board Member.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 990 is available upon request. Financial statements are on the facilities website and included in resident contracts.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAll board members are sent a questionnaire about the Executive Director's performance which is returned to the Board Chairman. The Executive Committee of the board uses these comments to prepare the annual review for the Executive Director.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board of Directors prepares the annual evaluation for the Executive Director. The Board Chair surveys the entire Board for their feedback on his performance and then the Board Chair, Vice Chair and HR Committee Chair approves the merit increase. Comparability data is also used to determine Executive Director's compensation. All Directors report to the Executive Director and he prepares the annual evaluations for the key directors who are the Administrator and the Director of Finance/Administration (Treasurer).
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, each board member signs a conflict of interest policy statement.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the Finance and Audit Committee before it is filed; Board of Directors then approves Form 990 prior to filing the return.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersApproximately 90 area Lutheran churches appoint Delegates who come to Augsburg twice a year to participate in meetings to keep up to date with Augsburg's activities and operations. These Delegates are not Board members. They participate at the annual meeting by taking an active role in voting and to approve any changes to bylaws.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyApproximately 90 area Lutheran churches appoint Delegates who come to Augsburg twice a year to participate in meetings to keep up to date with Augsburg's activities and operations. These Delegates are not Board members. They participate at the annual meeting by taking an active role in voting and to approve any changes to bylaws.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AUGSBURG LUTHERAN VILLAGE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16811 CAMPFIELD ROADAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212074657ZIPCode
FieldValueIRS element (for citing)
EIN521473851EIN
Primary ActivitiesTO PROVIDE INDEPENDENT RETIREMENT LIVING UNITS TO ELDERLY.PrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Augsburg Lutheran HomeBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg