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LUTHERAN HOME FOR THE AGED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME FOR THE AGED (EIN 36-2192824)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349302608
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T10:05:34-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1
CityOAK BROOKCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362192824EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOME FOR THE AGED INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone8473687342Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 W OAKTON STREETAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code600044602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL MOELLENKAMPName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8473687342Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT J NOWAK CPA MSTName
Phone6305738600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARL MOELLENKAMPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13150 SALT CREEK LANEAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43863822GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANLIFECOMMUNITIES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1892YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT. EMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees975TotalNbrEmployees
Total Nbr Volunteers297TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year378692ContributionsGrantsPriorYear
Contributions Grants Current Year704351ContributionsGrantsCurrentYear
Program Service Revenue Prior Year36249510ProgramServiceRevenuePriorYear
Program Service Revenue CY39477439ProgramServiceRevenueCY
Investment Income Prior Year233453InvestmentIncomePriorYear
Investment Income Current Year315838InvestmentIncomeCurrentYear
Other Revenue Prior Year2148274OtherRevenuePriorYear
Other Revenue Current Year2178493OtherRevenueCurrentYear
Total Revenue Prior Year39009929TotalRevenuePriorYear
Total Revenue Current Year42676121TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21150571SalariesEtcPriorYear
Salaries Etc Current Year22576294SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year52650TotalFundrsngExpCurrentYear
Other Expense Prior Year13466058OtherExpensePriorYear
Other Expenses Current Year14933747OtherExpensesCurrentYear
Total Expenses Prior Year34616629TotalExpensesPriorYear
Total Expenses Current Year37510041TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4393300RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5166080RevenuesLessExpensesCY
Total Assets BOY49245817TotalAssetsBOY
Total Assets EOY48355133TotalAssetsEOY
Total Liabilities BOY43517249TotalLiabilitiesBOY
Total Liabilities EOY37970793TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5728568NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10384340NetAssetsOrFundBalancesEOY
Mission DescriptionEMPOWERING VIBRANT GRACE FILLED LIVING ACROSS ALL GENERATIONS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL FUNDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32184511Expense
Revenue40508291Revenue
DescriptionDEVELOPMENT AND OPERATION OF 392 SKILLED NURSING UNITS FOR SENIORS. PROVIDING RESIDENTIAL AND HEALTH CARE SERVICES TO SENIORS INCLUDING BENEVOLENT CARE TO THOSE WHO HAVE EXHAUSTED THEIR FUNDS.Description
Total Program Service Expense32184511TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109698NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees975NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARL MOELLENKAMP CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473687342TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13150 SALT CREEK LANEAddressLine1
CityARLINTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROGER W PAULSBERG
CHAIRMAN37.50XX414665012410
REV DAVID G ABRAHAMSON
VICE-CHAIRMAN2.00XX000
PAULA K PARKS
TREASURER/SECRETARY2.00XX000
MARILYN HERMANN
DIRECTOR2.00X000
CARL MOELLENKAMP
CHIEF FINANCIAL OFFICER37.50X258183014464
JAMES HOLBROOK
SR VICE PRESIDENT, CORP OP37.50240403011473X
YVONNE RENEE WATTS
SENIOR VP CORP SERVICES37.5025786309748X
CARL BENDORF
VICE PRESIDENT37.50180396010398X
MARIE CARLSON-KYLLO
SR VICE PRESIDENT37.5019305009456X
RICHARD DEROCHE
IT DIRECTOR37.5014985606194X
ANNAMARIE SEBASTIAN
CORPORATE DIRECTOR, FINANC37.5014816106841X
PHILIP HEMMER
ADMINISTRATOR37.5013941409068X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1981991TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation90052TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACHIEVE ACCREDITATION
145 S YORK STREETELMHURSTIL60126CONSULTING186803
CHUHAK & TECSON PC
30 S WACKER DRIVECHICAGOIL60606LEGAL129954
KPMG LLP
PO BOX 120001DALLASTX75312AUDIT SERVICES126000
LANER MUCHIN
515 NORTH STATE STREET STE 2800CHICAGOIL60610CONSULTING113684
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions704351AllOtherContributions
Total Contributions704351TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH CARE SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column39477439TotalRevenueColumn
Related Or Exempt Function Income39477439RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39477439TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column378461TotalRevenueColumn
Exclusion$378,461ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1147641Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1147641Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1147641TotalRevenueColumn
Exclusion$1,147,641ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1125078Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1187701Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-62623Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-62623TotalRevenueColumn
Exclusion-$62,623ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA INCOME623000383621383621
BEAUTY SHOP623000212454212454
PURCHASE DISCOUNTS623000123983123983

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column310794TotalRevenueColumn
Related Or Exempt Function Income310794RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1030852TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42676121TotalRevenueColumn
Related Or Exempt Function Income40508291RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,463,479ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1219209Total
Management And General1219209ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17655056Total
Program Services17614556ProgramServices
Fundraising40500Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total328063Total
Program Services328063ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2070329Total
Program Services2070329ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1303637Total
Program Services1291487ProgramServices
Fundraising12150Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total80341Total
Management And General80341ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35000Total
Management And General35000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2873872Total
Program Services2873872ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total158363Total
Program Services158363ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3059217Total
Program Services3059217ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95026Total
Program Services95026ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1574616Total
Program Services1574616ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total88676Total
Program Services88676ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19309Total
Program Services19309ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1528546Total
Program Services1528546ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2739325Total
Program Services2739325ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total72539Total
Management And General72539ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD & DIETARY SUPPLIES19956431995643
GROUND MAINTENANCE & EQ571642571642
MEDICAL SUPPLIES264601264601
RESIDENT SERVICES163899163899
BUILDING REPAIRS148087148087

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-534955Total
Program Services-4400746ProgramServices
Management And General3865791ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37510041Total
Program Services32184511ProgramServices
Management And General5272880ManagementAndGeneral
Fundraising52650Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1396818BOY
EOY1791767EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1028519BOY
EOY404835EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4682034BOY
EOY5034080EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY793341BOY
EOY382527EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY121175BOY
EOY111293EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY663478BOY
EOY359543EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis68988387LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40988557LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29077720BOY
EOY27999830EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2940858BOY
EOY2749062EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8541874BOY
EOY9522196EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49245817BOY
EOY48355133EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3434246BOY
EOY4229688EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24456604BOY
EOY23918930EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2860000BOY
EOY3453000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12766399BOY
EOY6369175EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43517249BOY
EOY37970793EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5728568BOY
EOY10384340EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5728568BOY
EOY10384340EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49245817BOY
EOY48355133EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5166080ReconcilationRevenueExpenses
Reconcilation Other Changes-510308ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50251CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years120331CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5387CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year378692CurrentTaxYearMinus1Year
Current Tax Year704351CurrentTaxYear
Total1259012Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31044759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33729409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35281735CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36249510CurrentTaxYearMinus1Year
Current Tax Year39477439CurrentTaxYear
Total175782852Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31095010CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33849740CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35287122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36628202CurrentTaxYearMinus1Year
Current Tax Year40181790CurrentTaxYear
Total177041864Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509177041864PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1921660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1804530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1344819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1365272CurrentTaxYearMinus1Year
Current Tax Year1463479CurrentTaxYear
Total7899760Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1921660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1804530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1344819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1365272CurrentTaxYearMinus1Year
Current Tax Year1463479CurrentTaxYear
Total7899760Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years812576CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years895001CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years985604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1016455CurrentTaxYearMinus1Year
Current Tax Year1030853CurrentTaxYear
Total4740489Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33829246CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36549271CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37617545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39009929CurrentTaxYearMinus1Year
Current Tax Year42676122CurrentTaxYear
Total189682113Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93340PublicSupportPercentage509
Prior Year Support Percentage0.92990PriorYearSupportPercentage
Investment Income Percentage0.04160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20225InvestmentCostOrOtherBasis
Book Value20225BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis49928632InvestmentCostOrOtherBasis
Depreciation25110260Depreciation
Book Value24818372BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis18472912InvestmentCostOrOtherBasis
Depreciation15332314Depreciation
Book Value3140598BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis566618InvestmentCostOrOtherBasis
Depreciation545983Depreciation
Book Value20635BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27999830TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLONG TERM INVESTMENTSDescription
Book Value2749062BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2749062TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
AGENCY FUNDS50311
CUSTODIAL FUNDS108722
DEFERRED FINANCING COSTS465826
ASSETS HELD BY TRUSTEE UNDER BOND INDENTURE626615
RESIDENT DEPOSITS1348524
DUE FROM AFFILIATES6922198
FieldValueIRS element (for citing)
Total Book Value Other Assets9522196TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
RESIDENT ASSETS$108,722
RESERVE FOR FUNERAL EXPENSES$12,800
AGENCY FUNDS$50,311
REFUNDABLE DEPOSITS$1,335,724
PAYABLES UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS$26,577
DUE TO AFFILIATES$4,077,480
INTEREST RATE SWAP AGREEMENT$757,561
FieldValueIRS element (for citing)
Total Of Amounts6369175TotalOfAmounts

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROGER W PAULSBERG
34824203000003642301032702083042707503704620
CARL MOELLENKAMP
2133130237940210760698607478027264702034670
JAMES HOLBROOK
2033220137500233310717004303025187602222890
YVONNE RENEE WATTS
2221290106680250660765602092026761102419000
CARL BENDORF
155710037060209800572204676019079401800500
MARIE CARLSON-KYLLO
166050050000220000600103455020250601709390
RICHARD DEROCHE
130124053080144240281203382015605001635870
ANNAMARIE SEBASTIAN
123735060070184190447602365015500201446320

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200PXL6CUSIPNumber
Date Issued2003-11-13DateIssued
Issue Price14350000IssuePrice
Description Of PurposeREVENUE REFUNDING BONDDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPENNY PAULSBERGNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF ROGER PAULSBERG, CHAIRMANRelationship
Amount Of Transaction131804AmountOfTransaction
Description Of TransactionPENNY IS AN EMPLOYEE OF THE ORGANIZATION.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6LUTHERAN HOME AND SERVICES FOR THE AGED, INC. IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD IS APPOINTED BY THE SOLE CORPORATE MEMBER, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.
FORM 990, PART VI, SECTION A, LINE 7BSOME DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE CORPORATE MEMBER, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION REVIEWS THE TAX RETURN WITH THE AUDIT COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.) WHICH WAS APPOINTED BY THE BOARD OF LUTHERAN HOME FOR THE AGED, INC. TO REPORT TO THE BOARD OF LUTHERAN LIFE COMMUNITIES WHICH PROVIDES FINAL APPROVAL OF THE TAX RETURNS OF ALL OF ITS SUBSIDIARIES AND AFFILIATES.
THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO DISCLOSE TO THE BOARD OF DIRECTORS WHEN A CONFLICT MAY EXIST. THE POLICY AND COMPLIANCE WITH THIS POLICY IS REVIEWED ANNUALLY BY THE AUDIT COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.)FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION IS DETERMINED WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND THE COMPENSATION COMMITTEE OF LUTHERAN LIFE COMMUNITIES (WHICH IS THE SOLE CORPORATE MEMBER OF ITS PARENT, LUTHERAN HOME AND SERVICES FOR THE AGED, INC.) ULTIMATE APPROVAL FOR THE COMPENSATION AMOUNT FOR THE CEO RESTS WITH THE BOARD OF LUTHERAN LIFE COMMUNITIES. THE LUTHERAN LIFE COMMUNITIES BOARD PROVIDES COUNSEL TO THE CEO FOR THE COMPENSATION OF ANY OFFICERS AND KEY EMPLOYEES.FORM 990, PART VI, SECTION B, LINE 15
THE TAX RETURN, FINANCIAL STATEMENTS AND POLICIES ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 595,147. CHANGE IN FAIR VALUE OF DERIVATIVE INVESTMENTS 129,268. NET ASSETS TRANSFERRED TO AFFILIATES -1,234,723. TOTAL TO FORM 990, PART XI, LINE 5: -510,308.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LUTHERAN HOME AND SERVICES FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363375902HOUSING AND SERVICES FOR SENIORSIL501(C)(3)509(A)(2)N/A0
LUTHERAN COMMUNITY SERVICES FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363365609IMPROVE QUALITY OF LIFE FOR SENIORSIL501(C)(3)509(A)(2)N/A0
LUTHERAN FOUNDATION FOR THE AGED INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004363365615SUPPORTS THE WORK PROVIDED IN THE LUTHERAN HOME AND SERVICES SYSTEMIL501(C)(3)170(B)(1)(A)(VI)N/A0
LUTHER OAKS INC
601 LUTZ ROADBLOOMINGTONIL61704202117469HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
WITTENBERG LUTHERAN VILLAGE INC
1200 E LUTHER DRIVECROWN POINTIN46307351299499LONG-TERM HEALTH CARE FACILITYIN501(C)(3)509(A)(2)N/A0
WITTENBERG LUTHERAN VILLAGE ENDOWMENT CORPORATION
1200 E LUTHER DRIVECROWN POINTIN46307351472245LONG-TERM HEALTH CARE FACILITYIN501(C)(3)509(A)(2)N/A0
LUTHERAN LIFE COMMUNITIES
800 W OAKTON STREETARLINGTON HEIGHTSIL60004203426654DEVELOP NEW SERVICES FOR SENIORS AND MANAGE SENIOR LIVING FACILITIESIL501(C)(3)509(A)(1)N/A0
PLEASANT VIEW LUTHERAN HOME INC
505 COLLEGE AVENUEOTTAWAIL61350362167830NURSING AND HEALTHCARE FACILITYIL501(C)(3)509(A)(2)N/A0
LUTHERAN LIFE COMMUNITIES FOUNDATION
3831 NORTH MOZART AVENUECHICAGOIL60618363861882SUPPORTS THE RESIDENTS AND OPERATIONS OF EACH LUTHERAN LIFE COMMUNITYIL501(C)(3)509(A)(1)N/A0
ST PAUL'S HOUSE AND HEALTH CARE CENTER
3831 NORTH MOZART AVENUECHICAGOIL60618362167897HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
VERISPRING INC
800 W OAKTON STREETARLINGTON HEIGHTSIL60004208549333HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0
ARLINGTON OF NAPLES
800 W OAKTON STREETARLINGTON HEIGHTSIL60004262019353HEALTH CARE AND HOUSING FOR SENIORSIL501(C)(3)509(A)(2)N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN MANAGEMENT SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 W OAKTON STREETAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60004ZIPCode
FieldValueIRS element (for citing)
EIN203773781EIN
Primary ActivityCARE FOR SENIORSPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LUTHERAN LIFE COMMUNITIES
J25398
WITTENBERG LUTHERAN VILLAGE INC
P263336
ST PAUL'S HOUSE AND HEALTH CARE CENTER
P166394
PLEASANT VIEW LUTHER HOME INC
P184882
LUTHER OAKS INC
P66890
LUTHERAN LIFE COMMUNITIES
E11871
LUTHERAN LIFE COMMUNITIES FOUNDATION
E4065608
LUTHERAN HOME AND SERVICES FOR THE AGED INC
D2047676
WITTENBERG LUTHERAN VILLAGE INC
D1036780
PLEASANT VIEW LUTHER HOME INC
D1690626
ST PAUL'S HOUSE AND HEALTH CARE CENTER
D545957
LUTHER OAKS INC
D1016011
THE ARLINGTON OF NAPLES
D1217569
WITTENBERG LUTHERAN ENDOWMENT CORPORATION
D267579